Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

JOB INFORMATION

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

  • OSHA and DOL posters posted?

  • Emergency phone numbers posted?

  • Tool box safety talks log up to date?

  • MSDS filed?

  • Work areas properly signed and barricaded?

HOUSEKEEPING

  • Work areas neat?

  • Projecting nails or screws bent over or removed?

  • Waste containers provided and used?

  • Passageways and walkways clear?

  • Cords and leads off the floor?

FIRE PREVENTION

  • Adequate fire extinguishers, checked and accessible?

  • Phone no. of Fire Department posted?

  • "No Smoking" posted and enforced near flammables?

ELECTRICAL

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

  • Ground fault interrupters being used?

  • Terminal boxes equipped with required covers?

HAND, POWER & POWDER ACTUATED TOOLS

  • Tools and equipment shall be inspected prior to use.

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

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

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

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

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

FALL PROTECTION

  • Safety rails and cables secured properly?

  • Safety harnesses worn properly?

  • 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.

  • Employees below protected from falling objects?

LADDERS

  • Ladders extended at least 36" above landing?

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

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

  • Stepladders used in fully open position?

  • No step at top two rungs of stepladder?

SCAFFOLDING

  • All scaffolding inspected daily?

  • Erected on sound rigid footing?

  • Tied to structure as required?

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

  • Planking is sound and sturdy?

  • Proper access provided?

  • Employees below protected from falling objects?

FLOOR & WALL OPENINGS

  • All floor openings planked over or barricaded?

  • Perimeter protection in place?

  • Deck planks secure?

  • Materials stored away from edge?

TRENCHES, EXCAVATION & SHORING

  • Competent person identified and present?

  • Excavations are shored and sloped back?

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

  • Ladders provided every 25' in trench?

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

MATERIAL HANDLING

  • Materials properly stored or stacked?

  • Employees using proper lifting techniques?

  • Tag lines used to guide loads?

  • Proper number of workers for each operation?

WELDING AND BURNING

  • Gas cylinders stored upright?

  • Proper separating distances between fuels & oxygen?

  • Goggles or shields used?

  • Fire extinguishers readily available?

  • Hoses in good condition?

CRANES

  • Outriggers extended and swing radius barricade in place?

  • Operator is familiar with load charts?

  • Hand signal charts on crane?

  • Crane operator logs up to date?

  • Employees kept from under suspended loads?

  • Chains and slings inspected and tagged as required?

CONCRETE CONSTRUCTION

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

  • Exposed skin covered?

  • Runways are adequate?

PERSONAL PROTECTIVE EQUIPMENT

  • Hard hats shall be worn at all times.

  • 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.

  • Respirators used when Required?

  • Hearing protection worn when required?

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

  • Traffic vests or high visibility clothing material being worn?

Sign Off

  • Date & Time

  • Comments

  • Additional Media

  • Company Representative

  • Company Representative's signature

  • Safety Auditor

  • Safety Auditor's signature

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.