Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

En Route to Site

  • Narrow Roads?

  • Sharp Turns?

  • Load Restrictions?

  • Overhead Obstructions?

  • Plant/Gated Security?

  • Alternate Routes?

  • Signs of Previous Inclement Weather?

  • Site Representatives (Name and Title)

Site Utilities

  • Power (Description and Distance)

  • Volts

  • Amps

  • Phase

  • Is existing power adequate?

  • Will overhead power lines restrict operations?

  • Will underground power lines restrict operations?

  • Is there a hookup and/or use charge for power?

  • What distribution problems are likely?

  • Water (Source and Capacity)

  • Is existing water (fire and domestic) adequate?

  • Is there a hookup and/or use charge for non-potable water?

  • Nearest available source for potable water?

  • Is there a hookup and/or use charge for potable water?

  • Gas (Source and Capacity)

  • Is existing gas source adequate?

  • Is there a hookup and/or use charge for gas supply?

  • Are alternate sources available?

  • Is there a hookup and/or charge for temporary gas?

  • Compressed Air

  • Is compressed air required?

  • Is there an existing distribution system available?

  • Is this adequate?

  • Can single units handle rather than a distribution system?

Site Conditions

  • Groundwater

  • Is the area well drained?

  • Will a Wellpoint system be required?

  • Is the area subject to flooding?

  • Comments

  • Clearing and Excavation

  • Are permits required for clearing or excavation?

  • Is disposal area available?

  • Are there ground level or underground obstructions?

  • Are obstructions located visibility on design documents?

  • Disposal area dump fees are?

Construction Site Logistics

  • Is there adequate space for:

  • Offices?

  • Storage trailers?

  • Materials lay-down/staging?

  • Staff and/or trade parking?

  • Construction traffic?

  • Are improvements or new construction required for:

  • Offices?

  • Storage trailers?

  • Materials lay-down/staging?

  • Staff and/or trade parking?

  • Construction traffic?

Regulatory and Permit Requirements

  • Land Disturbance Permit

  • Responsible for cost

  • Authority Having Jurisdiction (AHJ)

  • Building Permit

  • Responsible for cost

  • Authority Having Jurisdiction (AHJ)

  • Other Permit(s)

  • Responsible for cost

  • Authority Having Jurisdiction (AHJ)

Local Material, Labor, Subcontractor and Labor Supply

  • Are local suppliers available for:

  • Small tools and consumables?

  • Equipment rentals?

  • Office supplies and furnishings?

  • Construction materials?

  • Comments

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.