Safety Audit

• Site conducted

  Select

• Audit title

• Project

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Paperwork

• 1.1- Is the proper paperwork being filled out and completed prior to work being performed?

  Yes

  No

  N/A

• 1.2- Have Locates been completed and documented?

  Yes

  No

  N/A

• 1.3- Have the Dig Permits been properly and completely filled out?

  Yes

  No

  N/A

• 1.4- Has Equipment checklist paperwork been completed and filled out properly?

  Yes

  No

  N/A

• 1.5- Has the AHA on site been signed by all assigned team members?

  Yes

  No

  N/A

• 1.6- Has the AHA been amended and signed by all team members?

  Yes

  No

  N/A

2. General Lighting

• 2.1- Is there good natural lighting?

  Yes

  No

  N/A

• 2.2- Is temporary lighting put in place?

  Yes

  No

  N/A

• 2.3- Do the temporary lights have any missing cages?

  yes

  N/A

  No

• 2.4- Are there any bulbs missing or bulbs that need to be replaced in the temporary lighting?

  Yes

  No

• 2.5- Is emergency exit lighting operable?

  Yes

  No

  N/A

3. Building Safety

• 3.1- Are floor surfaces even and uncluttered?

  Yes

  No

  N/A

• 3.2- Are entry and walkways kept clear?

  Yes

  No

  N/A

• 3.3- Are stairs and risers kept clear?

  Yes

  No

  N/A

• 3.4- Are safety railings in good condition?

  Yes

  No

  N/A

• 3.5- Are fall preventative measures in place and used where gaps occur in floors?

  Yes

  No

  N/A

• 3.6- Are cords out of walkways?

  Yes

  No

  N/A

• 3.7- Are there signs showing where to exit the building?

  Yes

  No

  N/A

4. Housekeeping

• 4.1- Are trash cans located at suitable points around site?

  Yes

  No

  N/A

• 4.2- Are trash cans emptied regularly?

  Yes

  No

  N/A

• 4.3- Are conduit scraps picked up and not on the floor?

  Yes

  No

  N/A

• 4.4- Are loose materials picked up and not on the floor?

  Yes

  No

  N/A

• 4.5- Are work areas clean?

  Yes

  No

  N/A

5. Fire Prevention

• 5.1- Is the evacuation plan displayed and understood by all employees?

  Yes

  No

  N/A

• 5.2- Are the evacuation procedures discussed regularly?

  Yes

  No

  N/A

• 5.3- Are fire extinguishers in place and clearly marked for the type of fire?

  Yes

  No

  N/A

• 5.4- Have fire extinguishers been recently serviced or inspected?

  Yes

  No

  N/A

• 5.5- Are fire extinguishers clear of obstructions?

  Yes

  No

  N/A

• 5.6- Are flammable storage cabinets used with proper signs posted?

  Yes

  No

  N/A

• 5.7- Are fire extinguishers within 50 feet of flammable storage cabinets?

  Yes

  No

  N/A

6. Hazardous Chemicals

• 6.1- Are SDS available on site?

  Yes

  No

  N/A

• 6.2- Is fuel being properly stored?

  Yes

  No

  N/A

• 6.3- Are fuel cans labeled correctly?

  Yes

  No

  N/A

• 6.4- Are chemicals properly labeled?

  Yes

  No

  N/A

• 6.5- Are chemicals being properly disposed of?

  Yes

  No

  N/A

7. Storage Design and Use

• 7.1- Are materials stored in racks and bins wherever possible?

  Yes

  No

  N/A

• 7.2- Is conduit stored correctly?

  Yes

  No

  N/A

• 7.3- Are floors around storage area clear of obstructions?

  Yes

  No

  N/A

• 7.4- Are the gang boxes clean and orderly?

  Yes

  No

  N/A

• 7.5- Are ladders kept in a secure location?

  Yes

  No

  N/A

8. Equipment

• 8.1- Is all paperwork regarding equipment completed?

  Yes

  No

  N/A

• 8.2- Is equipment being maintained and kept clean?

  Yes

  No

  N/A

• 8.3- Are equipment checklists current and available for inspection?

  Yes

  No

  N/A

• 8.4- Do operators have certification cards on their person as required?

  Yes

  No

  N/A

• 8.5- Do the operators know how to operate safely?

  Yes

  No

  N/A

• 8.6- Are spotters being used to ensure safe movement of equipment?

  Yes

  No

  N/A

9. PPE

• 9.1- Are employees wearing the proper footwear for the job?

  Yes

  No

  N/A

• 9.2- Are employees wearing proper PPE?

  Yes

  No

  N/A

• 9.3- Do employees need new safety gear?

  Yes

  No

• 9.4- Do the employees have PPE

  Yes

  No

  N/A

• 9.5- Are safety shields being used when needed?

  Yes

  No

  N/A

10. Ladders

• 10.1- Are ladders inspected before use?

  Yes

  No

  N/A

• 10.2- Are ladders used according to manufacturer's recommended use?

  Yes

  No

  N/A

• 10.3- Are extension ladder ropes, pulleys and treads in good state of repair?

  Yes

  No

  N/A

• 10.4- Are ladders properly labeled?

  Yes

  No

  N/A

• 10.5- Is the right ladder being used for the job?

  Yes

  No

  N/A

11. Trench and Excavation

• 11.1- Has the proper paperwork been filled out before excavation work started?

  Yes

  No

  N/A

• 11.2- Has the soil been classified?

  Yes

  No

  N/A

• 11.3- Are the spoil piles at least two feet or greater away from excavation?

  Yes

  No

  N/A

• 11.4- If excavation is greater than four feet in depth, has it been properly sloped or shored?

  Yes

  No

  N/A

• 11.5- Dose the trench have a way of safe ingress and egress or ramp with proper slope and identified as a entry ramp, or is a ladder in place every 25 feet of lateral movement?

  Yes

  No

  N/A

• 11.6- Has the excavation been fenced off and safe from potential fall hazards?

  Yes

  No

  N/A

• 11.7- Has excavation been properly compacted?

  Yes

  No

  N/A

12. Working at Heights

• 12.1- Are there fall risks of 6 feet or more? (Standing close to a leading edge, also voids, pits, and trenches)

  Yes

  No

  N/A

• 12.2- Is there protection in place for leading edge work of 6 feet in height or more?

  Yes

  No

  N/A

• 12.3- Are workers trained in Fall Protection?

  Yes

  No

  N/A

• 12.4- Are harnesses in safe working condition?

  Yes

  No

  N/A

• 12.5- Are the self-retractable lanyards in safe working condition?

  Yes

  No

  N/A

• 12.6- Are materials brought up in a correct manner?

  Yes

  No

  N/A

13. Electrical Safety

• 13.1- Have portable power tools been tested and tagged?

  Yes

  No

  N/A

• 13.2- Are portable power tools in good condition?

  Yes

  No

  N/A

• 13.3- Is the power tool used per manufactures recommendation?

  Yes

  No

  N/A

• 13.4- Is the power tool missing any safety guards or parts?

  Yes

  No

• 13.5- Have the plugs, sockets, or switches been checked?

  Yes

  No

  N/A

• 13.6- Are cords inspected for fraying or damage?

  Yes

  No

  N/A

• 13.7- Are the cords checked if they are under stress?

  Yes

  No

  N/A

• 13.8- Where required are emergency shut-down procedures in place?

  Yes

  No

  N/A

• 13.9- Are all wires capped?

  Yes

  No

  N/A

• 13.10- Are all boxes containing energized conductors covered?

  Yes

  No

  N/A

• 13.11- Have the GFCI receptacles been tested?

  Yes

  No

  N/A

• 13.12- Are knock-out seals in place as needed?

  Yes

  No

  N/A

• Is hand sanitizer full and available?

  Yes

  No

  N/A

• Are hand washing facilities available?

  Yes

  No

  N/A

• Are team members wearing face coverings?

  Yes

  No

  N/A

• Are social distancing guide lines being followed?

  Yes

  No

  N/A

• Are temperature checks being used at beginning of shift?

  Yes

  No

  N/A

• Is temporary power available to job site?

  Yes

  No

  N/A

• Is temporary power being utilized from existing building power panel?

  Yes

  No

  N/A

• Is temporary power panel properly built to NEC codes?

  Yes

  No

  N/A

• Are all romex cables and conduits entering temporary panel using proper fittings?

  Yes

  No

  N/A

• Does temporary panel have GFCI receptacles mounted to it?

  Yes

  No

  N/A

• Do GFCI receptacles have in-use covers properly installed?

  Yes

  No

  N/A

• Are GFCI receptacles tested on a weekly basis?

  Yes

  No

  N/A

• Are breaker spaces in the temporary panel properly protected with breaker blanks?

  Yes

  No

  N/A

• Are Danger signs properly adhered to the front of the temporary panel?

  Yes

  No

  N/A

• Are signs adhered to temporary panel indicating who to contact in emergency?

  Yes

  No

  N/A

• Project Foreman

  Sign

• Safety Auditor

  Sign

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