Information

  • Site conducted

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Job Site Activities/status

  • PIC

  • Has the Superintendent or Foreman completed the JSA

  • Has a Daily Excavation Competent Person been completed in writing or on Heavy Job

  • Are employees wearing mandatory PPE (hard hats, safety glasses, reflective vests, gloves and boots)?

  • Are employees wearing additional PPE for specific tasks (ear protection, face shield, respirator, chaps, etc.)?

  • House Keeping

  • Material Storage

  • Are employees working in excavations protected from "Cave-ins"

  • Are employees working in excavation deeper than 4' provided with ladder or ramp for access/egress?

  • Other Excavation hazards present (spoil piles, materials, tools, etc., back at least 2', etc)?

  • Utilities - Are underground utilities marked and Georgia 811 - One Call ticket current?

  • Material handling - Body Mechanics - Are employees manually lifting tools, materials, etc. in a safe manner?

  • Material Handling - Rigging - Are slings on site inspected before each use and in proper condition? Are proper rigging methods being used?

  • Is equipment being inspected each day before use including safety features, maintenance (fluid levels, etc.)?

  • Is equipment being operated safely?

  • Are equipment operators aware of existing and operating equipment a safe distance from overhead power lines?

  • Are Georgia Development Company Trucks inspected and in good condition?

  • Are fire extinguishers present on equipment, company crew trucks, company trucks with equipment fuel tanks and 25-75' from on site on-site storage fuel tanks

  • Are flammable/combustible materials stored properly

  • Are restrooms and potable water available?

  • Is a First Aid kit readily available?

  • Electrical?

  • Hot work/welding?

  • Traffic control

  • Signs / Barricades

  • Lock-Out / Tag-Out

  • Fall protection

  • Power and Hand Tools

  • Confined Space

  • Other

  • Other

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.