Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General & Environmental Controls

  • Safety manual on site?

  • Safety meeting held and documented?

  • Weekly safety inspection available for review?

  • Site audit conducted?

  • Citations issued?

  • House keeping?

  • Doctor's panel posted?

  • Film camera on site?

  • All containers labeled?

Personal Protective Equipment

  • Hard hats worn at all times?

  • Safety glasses worn when necessary?

  • Full body harness worn correctly?

  • Lanyards worn when necessary?

  • Snapping hooks double locking?

  • Respirator worn when required?

  • Face shields worn when required?

Fire Prevention

  • Metal gas cans are being used?

Material Handling & Storage

  • Building materials properly stacked?

  • Material stacked > 10' from leading edge.

  • Rigging equipment has Approval tag?

  • Outrigger platform installed, guarded and sign?

Tools ams Cords

  • Power tools grounded or double insulated?

  • Power tools properly guarded?

  • Temporary Power cords in good condition?

  • All temporary power sources GFCI protected?

  • Powder tools used by certified employees?

  • Power tools used properly?

  • Power tools in good condition?

Scaffolding

  • Competent person erection and dismantle?

  • Work platform properly planked?

  • Guardrails used above 6'?

  • Scaffolds and pump jacks properly secured?

  • Temporary scaffolds used correctly and in good condition?

  • Employees trained on scaffold safety?

  • X-bracing, pins footings and lacing all adequate?

Fall Protection

  • Site specific fall protection plan on site?

  • Exposed employees properly trained on fall hazards?

  • Control line placed at the CAZ?

  • Control line placed at the CAZ?

  • CAZ clearly marked at the point on entry?

  • Guard rail system adequate?

  • All holes over 2" in diameter covered secured and labeled?

  • Safety monitor identified?

  • Employees are properly tied-off when necessary?

  • Stairway and ladder openings guarded?

Excavations

  • Trenches properly sloped or shored?

  • Material at least 2 feet from trench?

  • Daily inspections by competent person?

  • Egress provided at least every 25 feet?

Stairway and Ladders

  • Job built ladders properly constructed?

  • Ladders properly secured?

  • Folding ladders used properly?

  • All ladders in good condition?

  • Ladders used properly?

First Aid

  • First Aid Kit (stocked and ready for use)?

Review

  • Superintendent signature

  • Safety Director signature

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.