Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. General Safety

  • 1.1. Is Housekeeping in good condition?

  • 1.2. Is working areas and walkways clear of obstructions?

  • 1.3. Are nails removed from lumber or lumber material cleaned up?

  • 1.4. Is work area access controlled?

  • 1.5. Are fire extinguishers inspected and in good condition?

2. Personal Protective Equipment (PPE)

  • 2.1. Use of safety glasses?

  • 2.2. Use of face shields?

  • 2.3. Proper footwear?

  • 2.4. Hand and or arm protection? (Please specify)

  • 2.5. Hard hat?

  • 2.6. Respiratory protection?

  • 2.7. Hearing protection?

  • 2.8. Is there a lack of, or inadequate PPE (including sun protection)

  • 2.9. Other please fill in.

3. Hazardous Chemical Storage / Usage

  • 3.1. Are Proper containers being used?

  • 3.2. Are containers properly labeled?

  • 3.3. Material Safety Data Sheets for chemicals brought on site?

  • 3.4. Reactivity labels on container?

  • 3.5. Chemical dispensing ( bonding,grounding and containment) ?

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

  • 3.7. Incompatible chemicals stored near each other?

  • 3.8. Inadequate spill containment equipment?

  • 3.9. Excessive quantities stored on site or in vehicles?

  • 3.10. Insufficient, or incorrect, PPE?

  • 3.11. Is there sufficient ventilation?

4. Compressed Gasses

  • 4.1. Cylinders secured? (with proper material)

  • 4.2. Protective cap fastened?

  • 4.3. Incompatible cylinders separated ( oxygen / fuel)?

5. Hot Work

  • 5.1. Hot work permit?

  • 5.2. Is there fire hazards in the area ( flammable or combustible materials)?

  • 5.3. Is Fire watch needed or present?

  • 5.4. Is a welding screen in place?

  • 5.5. Are Fire extinguishers or other fire extinguishment media present?

  • 5.6. Do crews have a way to report fires?

  • 5.7. Are Welding leads and gas hoses in good condition?

6. Electrical Safety and Hazards

  • 6.1. Is the Lockout Tag-out system used properly?

  • 6.2. Electrical equipment / extension cords good? (damaged, out of test date or untested) SAFE or AT RISK

  • 6.3. Is the Grounding GFCI protection policy in place and being used?

  • 6.4. Are the Leads placed on ground or on metal structures?

  • 6.5. Are outlets being overloaded?

  • 6.6. Is Electrical equipment near water?

  • 6.7. Is Electrical equipment near flammables?

7. Hand Tools

  • 7.1. Are hand tools in Good condition?

  • 7.2. Are they being used safely?

  • 7.3. Are Guards in place?

  • 7.4. Are Cords in good condition?

  • 7.5. Is Proper PPE being used?

8. Motorized Equipment ( fork truck,cranes,etc)

  • 8.1. Is equipment in Good working condition?

  • 8.2. Back up alarms working?

  • 8.3. Crane reports compleate?

  • 8.4. Are inspections completed?

  • 8.5. Are operators trained?

  • 8.6. Is safe work or operating instructions / procedures being followed?

  • 8.7. Are Seat belts worn?

  • 8.8. Is there a lack of training in safe operation, clean-up and maintenance?

9. Confined Space

  • 9.1. Entry permit present?

  • 9.2. Is Air monitoring needed?

  • 9.3. Is Safe entry procedures being used an followed?

  • 9.4. All Appropriate safety equipment being used and or available?

  • 9.5. Is there an Attendant / standby person? Are they trained?

  • 9.6. Is there Rescue equipment and plans in place?

10. Process Safety

  • 10.1 Are all employees trained?

  • 10.2. Are Safe work procedures being followed

  • 10.3. Lack of training in risk controls and safe lifting/ team lifting techniques? SAFE of AT RISK

11. Excavations

  • 11.1. Location of underground utilities identified?

  • 11.2. Dig safe called 72hrs before excavation?

  • 11.3. Appropriate sloping and or shoring?

  • 11.4. Means of entry and or egress?

  • 11.5. Competent person? Clearly defined?

  • 11.6. Work area access controlled?

  • 11.7. Control of hazardous conditions (air toxics)?

12. Ladders / Scaffolds

  • 12.1. Is the ladder being used right for the job?

  • 12.2. Are Ladders secured and tied off?

  • 12.3. Are ladders positioned properly?

  • 12.4. Are ladders in Good working condition? Unsafe or damaged ladders need to be tagged out of service and or disposed of.

  • 12.5. Are Scaffolds written inspection completed by comp person?

  • 12.6. Scaffold railings ( top,mid rail,and toe boards? SAFE of AT RISK

  • 12.7. Are scaffolds Unsafe or incomplete?

  • 12.8. Are Incompatible scaffold components being used?

13. Elevated Work Areas Heights

  • 13.1. Are Openings in floors and walls guarded?

  • 13.2. Are Hand rails built correctly?

  • 13.3. Is Appropriate fall protection being used?

  • 13.4. Are there Fall risks of 2m or more? (including voids, pits, and trenches)

  • 13.5. Is there a Lack of edge protection?

  • 13.6. Unsafe or incomplete edge protection? SAFE of AT RISK

14. Construction

  • 14.1. Is JSA complete for task?

  • 14.2. Is Everyone on site signed in to the JSA?

  • 14.3. Is Daily safe work practice plan complete?

15. Rigging

  • 15.1. Are there Tears, cuts, abrasions, or exposed core yarns present?

  • 15.2. Are there Legible and present tags?

  • 15.3. Is Tell Tails (twin-path) visible?

  • 15.4. Is there Bird Caging / Crushing / Broken wires (wire sling) present?

  • 15.5. Is Corrosion ( Alloy Chains) present?

  • 15.6. Is there Bent / Twisted / Stretched Links?

  • 15.7. Are Loads lifted over persons, close proximity to obstacles incl. overhead power lines? If yes done properly?

  • 15.8. Is there a Lack of maintenance, testing and inspection?

  • 15.9. Is there any Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks found?

  • 15.10. Are Qualified riggers being used?

16. Harness and Equipment

  • 16.1. Unsafe or damaged harness or equipment being used?

  • 16.2. Unsafe or uncertified anchor points?

  • 16.3. Incompatible hooks/equipment?

  • 16.4. Lack of inspection of equipment?

  • 16.5. Lack of or inadequate formal training for users?

17. Emergency Response

  • 17.1. Lack of, or no emergency plans for site.

  • 17.2. Emergency procedures displayed and in place.

  • 17.3. Training and rehearsal of emergency plans implemented.

  • 17.4. Is there a Lack of, or inadequate first aid kits aid equipment for site?

  • 17.5. Is there access to formally trained First Aiders on site or available through local channels?

  • 17.6. Is there suitable or adequate communication equipment?

18. Traffic Management

  • 18.1. Is there an adequate, Traffic Management Plan (TMP) in place?

  • 18.2. Is training in TMP for all persons on site available and or compleat?<br>(contractors and visitors)

  • 18.3. Are adequate controls for TMP in place? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

19. Work Environment

  • 19.1. Is there a Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  • 19.2. Is there sufficient lighting?

  • 19.3. Inadequate housekeeping?

  • 19.4. Is there a Lack of, or inadequate noise/ vibration control?

20. Environmental Hazards

  • 20.1. Lack of/or inadequate Environmental Management plan (EMP)?

  • 20.2. Lack of/or inadequate, dust suppression system?

  • 20.3. Lack of/or inadequate systems to prevent contaminants entering stormwater drains?

  • 20.4. Rock faces cleaned and clear of hazards?

21. Administrative Procedures

  • 21.1. Lack of/or inadequate Site Safety Plan?

  • 21.2. Lack of/or inadequate training, licenses, skills, experience?

  • 21.3. Lack of, or inadequate, induction for workers, contractors, visitors?

  • 21.4. Lack or, or inadequate, supervisory arrangements?

  • 21.5. Lack of, or inadequate, routine inspections, monitoring, audits?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • Greg Letourneau

  • Brian Holmes

  • Don Houde

  • Bob Burdick

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