Safety Audit

• Document No.

• Job Site

• Foreman

• Conducted On

  Date

• Conducted By

• Location
  Address

Ladder Safety (1926 Subpart X, 1926.1050 - 1926.1060, 1926 Subpart X App A)

• Is a ladder being used?

  Yes

  No

  N/A

• Does the ladder meet the 1/4 ratio?

  Safe

  At Risk

  N/A

• Is the ladder tied off?

  Safe

  At Risk

  N/A

• Is the ladder being used properly?

  Safe

  At Risk

  N/A

• Are rungs and steps free of any substance that would make it slippery.

  Safe

  At Risk

  N/A

• Areas at top/bottom of ladder are clear.

  Safe

  At Risk

  N/A

• 3 points of contact maintained at all times?

  Safe

  At Risk

  N/A

• Ensure nothing is carried up the ladder.

  Safe

  At Risk

  N/A

• Employees face ladder when climbing up/down?

  Safe

  At Risk

  N/A

• Is ladder on a level/firm footing?

  Safe

  At Risk

  N/A

• Are there any openings/doors near the ladder?

  Yes

  No

  N/A

• Is the traffic diverted away from the area with the ladder?

  Safe

  At Risk

  N/A

• Are openings protected with proper cover?

  Safe

  At Risk

  N/A

Fall Protection (1926 Subpart M, 1926.500 - 1926.503, 1926 Subpart M App A - E)

• Are guardrails being used? (1926 subpart M App B)

  Safe

  At Risk

  N/A

• Positioning device system (1926 subpart M App D)

  Safe

  At Risk

  N/A

• Personal fall arrest system (1926 subpart M App C)

  Safe

  At Risk

  N/A

• Is every aspect of fall arrest present?

  Yes

  No

  N/A

• Full Body Harness

  Safe

  At Risk

  N/A

• Web Lanyard (1926.104)

  Safe

  At Risk

  N/A

• Shock Absorber

  Safe

  At Risk

  N/A

• Locking snap hooks

  Safe

  At Risk

  N/A

• Lifeline or Retractable (1926.104)

  Safe

  At Risk

  N/A

• Is the rope being adjusted as needed during use?

  Safe

  At Risk

  N/A

• Rope Grab

  Safe

  At Risk

  N/A

• Adequate anchor point

  Safe

  At Risk

  N/A

Personal protection equipment (PPE) (1926 Subpart E, 1926.95 - 1926.107)

• Is PPE being used?

  Yes

  No

  N/A

• Hand protection

  Yes

  No

  N/A

• Foot protection (1926.96)

  Yes

  No

  N/A

• Head Protection (1926.100)

  Yes

  No

  N/A

• Hearing protection (1926.101)

  Yes

  No

  N/A

• Eye/Face protection (1926.102)

  Yes

  No

  N/A

• Respiratory protection (1926.103)

  Yes

  No

  N/A

Tools and Equipment

• Are power tools in good working order?

  Yes

  No

  N/A

• Is PPE used when operating power tools when needed?

  Yes

  No

  N/A

• Are all cords in good working order

  Yes

  No

  N/A

• Are hand tools used properly and in good working condition?

  Yes

  No

  N/A

• Is PPe used during hand tool use when needed?

  Yes

  No

  N/A

• Are generators being used?

  Yes

  No

  N/A

• Is fire extinguisher at a safe and accessible distance? (no more than 25 feet)

  Safe

  At Risk

  N/A

• Are the proper amount of cords being used, not overloaded?

  Safe

  At Risk

  N/A

• Is the generator maintenance records up to date?

  Yes

  No

  N/A

Hot Work

• Is there a kettle being used?

  Yes

  No

  N/A

• Material staging and safety (minimum 25 feet away)

  Safe

  At Risk

  N/A

• Is kettle taped off from unwanted entry?

  Safe

  At Risk

  N/A

• Are pipes leading to roof secured?

  Safe

  At Risk

  N/A

• Is the egress unobstructed (10 foot minimum)

  Safe

  At Risk

  N/A

• Are fire extinguishers provided and kept nearby? ( 2-20 lb no more then 25 feet away)

  Safe

  At Risk

  N/A

• Is there a working thermometer?

  Safe

  At Risk

  N/A

• Propane containers (minimum 10 feet away when being used)

  Safe

  At Risk

  N/A