Safety Audit

• Completed By:

• Auditor's Position:

• Conducted On:

  Date

• Office Location:

• Project:
  Address

• Foreman's Name:

GENERAL

• Weekly toolbox talk complete?

  Compliant

  Attention Needed

  N/A

• JSA complete and available for review?

  Compliant

  Attention Needed

  N/A

• Drinking water available?

  Compliant

  Attention Needed

  N/A

• Adequate temporary lighting in work areas?

  Compliant

  Attention Needed

  N/A

• First aid kit stocked?

  Compliant

  Attention Needed

  N/A

HOUSEKEEPING/MATERIAL STORAGE/HANDLING

• Walking working surfaces orderly (free of slip/trip hazards)?

  Compliant

  Attention Needed

  N/A

• Materials properly stored to prevent displacement?

  Compliant

  Attention Needed

  N/A

• Trash chutes in place?

  Compliant

  Attention Needed

  N/A

PERSONAL PROTECTIVE EQUIPMENT (PPE)

• Safety glasses in use?

  Compliant

  Attention Needed

  N/A

• Hard hats in use?

  Compliant

  Attention Needed

  N/A

• Gloves worn if exposed to cut/chemical hazards?

  Compliant

  Attention Needed

  N/A

• Hearing/respiratory protection worn when required?

  Compliant

  Attention Needed

  N/A

• Safety vests and face shields as needed?

  Compliant

  Attention Needed

  N/A

FALL PROTECTION

• Adequate fall protection/prevention system in place?

  Compliant

  Attention Needed

  N/A

• Roof openings guarded/securely covered/marked as required?

  Compliant

  Attention Needed

  N/A

• Harness, lanyard, rope, anchor point utilized as designed?

  Compliant

  Attention Needed

  N/A

• Roof perimeter warning system in place?

  Compliant

  Attention Needed

  N/A

FIRE PROTECTION

• Only NFPA approved containers used for fuel?

  Compliant

  Attention Needed

  N/A

• Adequate number of fully charged fire extinguishers available?

  Compliant

  Attention Needed

  N/A

• Fire extinguisher inspections current (annual/monthly)?

  Compliant

  Attention Needed

  N/A

• Fire extinguishers within 25 ft of kettle?

  Compliant

  Attention Needed

  N/A

HEALTH AND SAFETY

• Social distancing observed? If not, are face coverings utilized?

  Compliant

  Attention Needed

  N/A

• Are hand wash stations/sanitizer available?

  Compliant

  Attention Needed

  N/A

LADDERS

• Of the appropriate type (height, capacity, selection)?

  Compliant

  Attention Needed

  N/A

• Secured and properly set up?

  Compliant

  Attention Needed

  N/A

• Overall condition?

  Compliant

  Attention Needed

  N/A

ELECTRICAL

• GFCI in use?

  Compliant

  Attention Needed

  N/A

• Overall condition of cord powered tools and extension cords?

  Compliant

  Attention Needed

  N/A

• Utilized as intended?

  Compliant

  Attention Needed

  N/A

HAND AND POWER TOOLS

• Proper guarding in place?

  Compliant

  Attention Needed

  N/A

• Overall condition of hand and power tools?

  Compliant

  Attention Needed

  N/A

• Utilized as designed?

  Compliant

  Attention Needed

  N/A

POWERED INDUSTRIAL TRUCKS (Rough Terrain Forklift/Other)

• Are forklifts in use?

  Yes

  No

• Operator certified to operate the Forklift?

  Compliant

  Attention Needed

  N/A

• Pre-operational inspection complete?

  Compliant

  Attention Needed

  N/A

• Seat belts worn when operating forklifts?

  Compliant

  Attention Needed

  N/A

• Audible warning devices (horn/back-up alarm)?

  Compliant

  Attention Needed

  N/A

MOBILE ELEVATED WORK PLATFORMS (Aerial Lift, Scissor Lift, etc.)

• Are mobile elevated work platforms in use?

  Yes

  No

• Operator certified to operate the MEWP?

  Compliant

  Attention Needed

  N/A

• Pre-operational inspection complete?

  Compliant

  Attention Needed

  N/A

• Fall protection worn when operating aerial lifts?

  Compliant

  Attention Needed

  N/A

COMPRESSED GAS CYLINDERS

• Compressed gas cylinders labeled and secured?

  Compliant

  Attention Needed

  N/A

• Compressed gas cylinders 10’ from kettle?

  Compliant

  Attention Needed

  N/A

• Gauges, hoses, and regulators in good condition?

  Compliant

  Attention Needed

  N/A

VEHICLE SAFETY

• Vehicle inspected?

  Compliant

  Attention Needed

  N/A

• Overall housekeeping?

  Compliant

  Attention Needed

  N/A

• Material, tools, etc., secured to prevent displacement?

  Compliant

  Attention Needed

  N/A

SCAFFOLDING

• Is scaffolding in use?

  Yes

  No

• Scaffold inspected by competent person?

  Compliant

  Attention Needed

  N/A

• Erected on sound rigid footing?

  Compliant

  Attention Needed

  N/A

• Tied to structure as required?

  Compliant

  Attention Needed

  N/A

• Guardrails, mid-rails, toe boards and screens in place and installed as required?

  Compliant

  Attention Needed

  N/A

• Proper access provided?

  Compliant

  Attention Needed

  N/A

• Scaffold platform is fully planked?

  Compliant

  Attention Needed

  N/A

• Employees and pedestrians protected from overhead falling objects?

  Compliant

  Attention Needed

  N/A

CRANES

• Are cranes in use?

  Yes

  No

• Crane operator certified to operate crane?

  Compliant

  Attention Needed

  N/A

• Daily inspection performed?

  Compliant

  Attention Needed

  N/A

• Minimum 10’ away from powerlines?

  Compliant

  Attention Needed

  N/A

• Outriggers extended and swing radius barricade in place?

  Compliant

  Attention Needed

  N/A

• Employees kept from under suspended loads?

  Compliant

  Attention Needed

  N/A

• Tag lines used to guide loads?

  Compliant

  Attention Needed

  N/A

• Fully charged fire extinguisher in the cab?

  Compliant

  Attention Needed

  N/A

HAZARD COMMUNICATION

• SDS sheets available/containers labeled?

  Compliant

  Attention Needed

  N/A

• Awareness of chemical hazards observed?

  Compliant

  Attention Needed

  N/A

Brief description of the job details at the time of evaluation:

• undefined

Foreman Signature

• Add signature

  Sign