Safety Audit Template 2-8-23

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

JOB SITE INFORMATION

• OSHA poster and other jobsite warning posters

  Yes

  No

  N/A

• Adequate first aid equipment and stretchers available

  Yes

  No

  N/A

• Forms for jobsite injury and accident records posted

  Yes

  No

  N/A

• Emergency telephone numbers conspicuously posted

  Yes

  No

  N/A

• Tool Box and Project Safety meetings held and/or documented

  Yes

  No

  N/A

• OSHA 300 log if jobsite is over 12 months

  Yes

  No

  N/A

• SWPPP inspection documentation

  Yes

  No

  N/A

• Prevailing Wage rates posted, if applicable

  Yes

  No

  N/A

HOUSING AND SANITATION

• General neatness of working areas

  Yes

  No

  N/A

• Adequate supply of drinking water and cups

  Yes

  No

  N/A

• Adequate lighting

  Yes

  No

  N/A

• Trash cart available

  Yes

  No

  N/A

• First aid kid stocked

  Yes

  No

  N/A

• Sanitary supplies stocked (toilet paper, hand sanitizer)

  Yes

  No

  N/A

• PPE Station Stocked

  Yes

  No

  N/A

• Fire extinguisher; good condition; current inspection tag; within 50’

  Yes

  No

  N/A

• Eye wash available

  Yes

  No

  N/A

• Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Hard hats in use by all personnel

  Yes

  No

  N/A

• Eye protection in use by all personnel

  Yes

  No

  N/A

• Hearing protection in use, where required

  Yes

  No

  N/A

• Proper foot gear and protective clothing

  Yes

  No

  N/A

• Respirators/face masks in good condition and used as required

  Yes

  No

  N/A

• Fall protection being used, where required

  Yes

  No

  N/A

TOOLS AND EQUIPMENT

• Tools and equipment in good condition (guards intact, warning lights and alarms working)

  Yes

  No

  N/A

• Electrical equipment connected properly, grounded and in good condition; GCFI; automatic magnetic cut-off for wood working tools

  Yes

  No

  N/A

• Machine guards/pinch points identified/protected

  Yes

  No

  N/A

• Clearance, proper mounting, and ventilation for temporary heating

  Yes

  No

  N/A

• Perimeter guards on elevated floors (safety rails sturdy)

  Yes

  No

  N/A

• Ladders in good condition; tied back; extended 3ft beyond landing

  Yes

  No

  N/A

• Scaffolding with guard rails, toe boards and access ladder

  Yes

  No

  N/A

• Safety railings withstanding 200lbs horizontal load

  Yes

  No

  N/A

• Yes

  No

  N/A

5. HEAVY EQUIPMENT

• Daily inspection completed

  Yes

  No

  N/A

• Fire extinguisher mounted, in good condition, monthly inspection

  Yes

  No

  N/A

• Seatbelt worn during operation

  Yes

  No

  N/A

• All Brennan owned and rented equipment has locked tanks

  Yes

  No

  N/A

• Backup alarm and lights operable. Guide used

  Yes

  No

  N/A

6. HAZARDOUS CHEMICALS/AIR CONTAMINANTS

• Hazard communication-right to know poster/written program onsite

  Yes

  No

  N/A

• List of hazardous materials on job

  Yes

  No

  N/A

• Material Safety Data Sheets

  Yes

  No

  N/A

• Employees are familiar with the program

  Yes

  No

  N/A

• Proper containers in use with correct labels

  Yes

  No

  N/A

7. GENERAL

• Safe access to work area

• Good housekeeping and material storage

  Yes

  No

  N/A

• Barricades/debris protection/warning signs in place

  Yes

  No

  N/A

• Excavation/trenches properly protected

  Yes

  No

  N/A

• Shoring properly installed; engineers stamp on drawings

  Yes

  No

  N/A

• Trucks; safe/good condition; DOT regulation compliance

  Yes

  No

  N/A

• Job site notes:

• Sign:

  Sign