Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Working at Heights

  • Fall Hazards properly identified and addressed?

  • Handrails/guard rails used properly and in good condition?

  • Adequate fall protection plans used if necessary?

Harness and Equipment

  • Unsafe or damaged harness or equipment?

  • Incompatible hooks/equipment?

  • Unlabelled or does not meet AS?

  • Unsafe or uncertified anchor points?

  • Lack of inspection protocol for equipment?

  • Lack of or inadequate formal training for users?

Scaffolds

  • Are adequate mud sills and base plates in use? Correct footing for hydro/mobile scaffolds?

  • Is a scaffold competent person on site?

  • Unsafe or incomplete scaffold? Guard rails, fall protection, proper access in place?

  • Lack of inspection protocol for scaffold?

  • Incompatible scaffold components?

  • Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)

Lifting Equipment

  • Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  • Lack of maintenance, testing and inspection? Including daily inspections

  • Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

  • Lifting equipment unlabelled, does not meet AS, no SWL displayed?

  • Unlicensed operators?

Ladders

  • Unsafe or damaged ladders?

  • Unsafe positioning of ladders?

  • Ladder not properly secured?

  • Ladder unsuitable for job? Used improperly?

Hazardous Chemical (including fuel and oil)

  • Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  • Excessive quantities stored on site or in vehicles?

  • Insufficient, or incorrect, PPE?

  • Unsuitable storage containers? (unlabeled or stored in food containers)

Personal Protective Equipment (PPE)

  • Lack of, or inadequate PPE

  • Hard Hats, Safety Glasses, Vests in use according to policy?

Electrical Hazards

  • Unsafe electrical cords? (damaged, missing grounds)

  • Lack of GFCI Protection

  • Underground/Overhead utilities protected from contact?

  • Cords placed on ground or on metal structures? Protected from damage?

  • Electrical cords that may be damaged from contact with moving machinery parts?

  • Electrical cords on work surfaces? Tripping hazards?

General Conditions

  • Insufficient lighting?

  • Inadequate housekeeping?

Notes/Comments/ Actions Required or Taken

  • Is corrective action required?

  • Have deficiencies been properly reported?

  • Please note corrective actions:

  • REMINDER - Place a work order to correct issues identified in this audit.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.