Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Has Daily Site Inspection / Safety Meeting been completed?
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List Who was Involved
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Are there other personnel or companies on site
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List the other personal or companies
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Picture of Daily Site Inspection
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Are there permits required on site?
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Customer Permit
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Hot Work Permit
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Ground Disturbance Permit
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Picture of the Permits
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Is there any Ground Disturbance Work being done?
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Who are the Supervisors on site?
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Is Rattray Protocol being followed?
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Explain what isn't being done
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Is emergency equipment available and ready for use?
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Shovel
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Fire Extinguishers
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First Aid Kit
Equipment
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Is there a Binder in your Truck/Equipment?
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Check if the following are included in your binder
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Insurance
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Registration
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2015-2016 Permits
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Safety Fitness Certificate
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CVIP
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2015 Manual
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Current MSDS
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JSA's
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Are all the tools properly secured?
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Attach a photo of the tools
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Have the all windows been clean?
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Is the view free from obstructions?
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Are the Floors Clean & Free of Garbage?
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Attach a photo of the floors
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Has the truck deck been swept off?
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Attach a photo of the deck
Competency
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Employee Assessed:
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Employee can explain the ERP sufficiently
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Employee is wearing appropriate PPE
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Conducting the following Tasks:
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Employee is using the approved safe work procedure
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Employee is competent for task assigned
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Inspectors Signature
