Safety Audit Report

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

JOB INFORMATION

• OSHA 300 forms complete and posted from February 1 - April 30?<br>

  Yes

  No

  N/A

• OSHA and DOL posters posted?

  Yes

  No

  N/A

• Emergency phone numbers posted?

  Yes

  No

  N/A

• Tool box safety talks log up to date?

  Yes

  No

  N/A

• MSDS filed?

  Yes

  No

  N/A

• Work areas properly signed and barricaded?

  Yes

  No

  N/A

HOUSEKEEPING

• Work areas neat?

  Yes

  No

  N/A

• Projecting nails or screws bent over or removed?

  Yes

  No

  N/A

• Waste containers provided and used?

  Yes

  No

  N/A

• Passageways and walkways clear?

  Yes

  No

  N/A

• Cords and leads off the floor?

  Yes

  No

  N/A

FIRE PREVENTION

• Adequate fire extinguishers, checked and accessible?

  Yes

  No

  N/A

• Phone no. of Fire Department posted?

  Yes

  No

  N/A

• "No Smoking" posted and enforced near flammables?

  Yes

  No

  N/A

ELECTRICAL

• Extension wires with bare wires or missing ground prongs taken out of service?

  Yes

  No

  N/A

• Ground fault interrupters being used?

  Yes

  No

  N/A

• Terminal boxes equipped with required covers?

  Yes

  No

  N/A

HAND, POWER & POWDER ACTUATED TOOLS

• Tools and equipment shall be inspected prior to use.

  Yes

  No

  N/A

• Tools and equipment shall be used for the appropriate task.

  Yes

  No

  N/A

• Guards and safety mechanisms shall not be damaged or removed.

  Yes

  No

  N/A

• Damaged tools and equipment shall be tagged "out of service" until they are repaired.

  Yes

  No

  N/A

• Proper lockout/tagout procedures shall be used when necessary to isolate an energy source.

  Yes

  No

  N/A

• Only trained and authorized personnel are allowed to operate skid steers, forklifts, and cranes.

  Yes

  No

  N/A

FALL PROTECTION

• Safety rails and cables secured properly?

  Yes

  No

  N/A

• Safety harnesses worn properly?

  Yes

  No

  N/A

• Fall protection shall be used when work is performed at heights exceeding 6 feet above the next lowest level. Guard rails and personal fall arrest system shall be the primary means of fall protection.

  Yes

  No

  N/A

• Employees below protected from falling objects?

  Yes

  No

  N/A

LADDERS

• Ladders extended at least 36" above landing?

  Yes

  No

  N/A

• Ladders are secure to prevent slipping, sliding or falling?

  Yes

  No

  N/A

• Ladders with split or missing rungs taken out of service?

  Yes

  No

  N/A

• Stepladders used in fully open position?

  Yes

  No

  N/A

• No step at top two rungs of stepladder?

  Yes

  No

  N/A

SCAFFOLDING

• All scaffolding inspected daily?

  Yes

  No

  N/A

• Erected on sound rigid footing?

  Yes

  No

  N/A

• Tied to structure as required?

  Yes

  No

  N/A

• Guardrails, intermediate rails, toe boards and screens in place?

  Yes

  No

  N/A

• Planking is sound and sturdy?

  Yes

  No

  N/A

• Proper access provided?

  Yes

  No

  N/A

• Employees below protected from falling objects?

  Yes

  No

  N/A

FLOOR & WALL OPENINGS

• All floor openings planked over or barricaded?

  Yes

  No

  N/A

• Perimeter protection in place?

  Yes

  No

  N/A

• Deck planks secure?

  Yes

  No

  N/A

• Materials stored away from edge?

  Yes

  No

  N/A

TRENCHES, EXCAVATION & SHORING

• Competent person identified and present?

  Yes

  No

  N/A

• Excavations are shored and sloped back?

  Yes

  No

  N/A

• Materials are stored at least 2' away from trench?

  Yes

  No

  N/A

• Ladders provided every 25' in trench?

  Yes

  No

  N/A

• Equipment is at a safe distance from edge of trench or excavation?

  Yes

  No

  N/A

MATERIAL HANDLING

• Materials properly stored or stacked?

  Yes

  No

  N/A

• Employees using proper lifting techniques?

  Yes

  No

  N/A

• Tag lines used to guide loads?

  Yes

  No

  N/A

• Proper number of workers for each operation?

  Yes

  No

  N/A

WELDING AND BURNING

• Gas cylinders stored upright?

  Yes

  No

  N/A

• Proper separating distances between fuels & oxygen?

  Yes

  No

  N/A

• Goggles or shields used?

  Yes

  No

  N/A

• Fire extinguishers readily available?

  Yes

  No

  N/A

• Hoses in good condition?

  Yes

  No

  N/A

CRANES

• Outriggers extended and swing radius barricade in place?

  Yes

  No

  N/A

• Operator is familiar with load charts?

  Yes

  No

  N/A

• Hand signal charts on crane?

  Yes

  No

  N/A

• Crane operator logs up to date?

  Yes

  No

  N/A

• Employees kept from under suspended loads?

  Yes

  No

  N/A

• Chains and slings inspected and tagged as required?

  Yes

  No

  N/A

CONCRETE CONSTRUCTION

• When dry cutting concrete, HEPA filter (3M 6200 Series - P100) respirator will be worn.

  Yes

  No

  N/A

• Exposed skin covered?

  Yes

  No

  N/A

• Runways are adequate?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Hard hats shall be worn at all times.

  Yes

  No

  N/A

• Appropriate eye protection shall be worn at all times. Employees wearing prescription glasses shall wear side shields. When cutting or grinding metal, a face shield shall be worn in addition to glasses. Goggles shall be worn when applying glue in the wall and roof build stations.

  Yes

  No

  N/A

• Respirators used when Required?

  Yes

  No

  N/A

• Hearing protection worn when required?

  Yes

  No

  N/A

• Shoes in good working order, with covered toes, and adequate soles for traction and stability.

  Yes

  No

  N/A

• Traffic vests or high visibility clothing material being worn?

  Yes

  No

  N/A

Sign Off

• Date & Time

  Date

• Comments

• Additional Media

  Media

• Company Representative

• Company Representative's signature

  Sign

• Safety Auditor

• Safety Auditor's signature

  Sign