Title Page

  • Safety Audit

  • Jobsite:

  • Jobsite Picture:

  • Date of Inspection:

  • Weather (Take Screenshot from Heat Index App)

  • Project Superintendent

  • Number of Employees

  • Audit Performed By:

1. GENERAL SAFETY & HEALTH

  • 1.1 Government / All-In-One Posters Up to Date (English & Spanish)

  • 1.2 Safety Meetings / Pre-Task / Equipment Inspections Up to Date

  • Stretch & Flex Completed

  • 1.3 SDS Current / Binder Available

  • 1.4 Chemical Contents Clearly Labeled as to Contents / Form Oil / Diesel / Gasoline / Curing Compound

  • 1.5 Muster / Rally Point Identified & Communicated to Workers

  • 1.6 Green Tape on Hard Hat (New Hire Employee)

  • 1.7 Red Tape on Hard Hat (Transferred Employee)

  • 1.8 Workers Aware of Earbuds / Cellphone Use

  • 1.9 UFI Site Specific Orientation completed

  • 1.10 Name of one Employee Questioned About the Morning's Pre-Task Meeting.

2. FIRST AID

  • 2.1 First Aid Kit Readily Available and Stocked Properly

  • 2.2 First Aid / CPR Personnel - Training Current / 2 Person Minimum

  • 2.3 Place Designated for Cooling Off - Workers Understand the Signs of Heat Exhaustion

3. SITE / PUBLIC PROTECTION

  • 3.1 Ground Level Barricades / Signs / Cones / Cone Poles in Place Where Needed

  • 3.2 Orange Netting in Place / Active Deck

  • 3.3 Orange Netting in Place / Permanent Guardrail

  • 3.4 Traffic Control / Training / Stop Slow Paddle / Hi-Viz Garments

  • 3.5 Diesel Tank Double Wall with Berm / Barricaded / No Smoking Sign / Bonding Strap

  • 3.6 55 Gallon Drums Stored on Pallet and Secured

4. PERSONAL PROTECTIVE EQUIPMENT - INCLUDING SUBCONTRACTORS

  • 4.1 Hearing Program Followed Where Required / Pans / Grinding / Chipping /

  • 4.2 Functional and in Good Repair. Employees Wearing Appropriately / Glasses / Hard Hats

  • 4.3 Clear Glasses being used Inside Building

  • 4.4 Respiratory Protection Program Followed Where Required (water, vacuum, OSHA Table 1)

  • 4.5 Full Body Harness Worn Correctly

  • 4.6 Retractable Lifelines Removed from Service if Defective

  • 4.7 Hand Protection - Task Specific

  • 4.8 Face Protection - Task Specific

  • 4.9 Foot Protection (Sturdy work boots, cover heal)

  • 4.10 Proper Clothing, Hi-Viz Vests or Shirt

  • 4.11 Eye-Wash Station Available During Concrete Pour

5. CONCRETE CONSTRUCTION

  • 5.1 Post Tension Cable Pulling Operations Protected with Barricades & Signs

  • 5.2 Rebar Caps or Wood Box Covers Protection In Place

6. HOUSEKEEPING

  • 6.1 Work Space Clean & Free From Excess Trash / Nails / Debris from Cutting Wood / Banding

  • 6.2 Materials Stored and Stacked on Firm Foundation at Least 10 Feet from Edge of Slab

  • 6.3 Garbage can available outside office / emptied at regulars intervals?

  • 6.4 Water Kegs / Sanitary / Cups / Trash Receptacle

  • 6.5 Task Lighting / Daylight / Night Time Pours Walkways & Ladders

7. LADDERS & STAIRWAYS

  • 7.1 Extension Ladder / Secured / Orange Walk-Thru Hand Grab Bars (temporary deck access only)

  • 7.2 Extension Ladder - Rubber Feet in Place

  • 7.3 A-Frame Ladders / Used Correctly / Decals in Place

  • 7.4 More Than One Ladder for 25 or People on any Level

  • 7.5 Safe Access to Dumpsters / Flatbed Trucks / Concrete Buckets

  • 7.6 Stairways Equipped with Handrails Installed Between 30-37"

  • 7.7 Job Made Ladders / Pull Up Rope / Steal Grab Bars

  • 7.8 Job Made Ladder Rungs 12" on Center & Side Rails 16"-20" Apart Properly Constructed (2x6 Minimum Side rail). Common Nails Used on Rungs.

  • 7.9 Ladders Side Rail Extends 36" - 42" Above Landing Area and Secured

  • 7.10 Stair landings lighted with clear and clean access?

  • 7.11 Job Made Ladder 3-point Contact Sign in Place

  • 7.12 Workers Observed Using 3-point Contact

  • 7.13 Area Around Top & Bottom of Ladders Kept Clear

8. FALL PROTECTION

  • 8.1 Adequate Temporary Guardrails Installed Properly

  • 8.2 Adequate Permanent Guardrails Installed Properly / Wood & Cable

  • 8.3 Stairs / Ramps / Walkways

  • 8.4 Elevator Shafts Protected

  • 8.6 Holes 2 Inches or Wider Covered / Secured / Labeled

  • 8.7 Hand Rails Installed Properly up to Leading Edge Barricades

  • 8.8 Horizontal Lifelines Installed Properly

9. SIGNS, SIGNALS & BARRICADES

  • 9.1 Stripping Signs Posted with area Barricaded

  • 9.2 Fall Hazard Areas Barricaded Properly with Signage

  • 9.3 Lower Level Controlled Access Zone Set up Properly During Stripping Process

10. TOOLS & EQUIPMENT

  • 10.1 Broken Tools Removed from Service / Tagged Out

  • 10.2 Hand Tools Observed in Good Shape

  • 10.3 Air Compressor Have a Shut Off Valve on Blow Pipe

  • 10.4 Air Compressor Hose Condition

  • 10.5 Safety Retainers on Air Compressor Hoses to Prevent Accidental Disconnect

  • 10.6 Extension Cords / Power Tool Cords / Knicks / Ground Pin

  • 10.7 Hammer Head in Good Shape with no Grinder Cuts

  • 10.8 Side Handles & Guards In Place on Grinders and Drills

  • 10.9 Saw Horse in Use / Top Plate Inspected / Saw Blade Adjustment

11. SHORES, RESHORES, STRIPPING & STRIPPING NETS

  • 11.1 Perimeter Lacing Installed on all Unsecured Shores to Prevent Accidentally Falling Out of Place

  • 11.2 Stripping Nets in Good Shape / On Site (order when framing material is shipped)

  • 11.3 Shoring Scaffolding with a Height to Base Ratio Greater than 4 to 1 is Restrained from Tipping by Guy Wires, Bracing or Equivalent Means

12. FIRE PROTECTION

  • 12.1 Generator(s) - 10# Fire Extinguisher Mounted on Stand with Red Flag / Certification Current

  • 12.2 Plywood placed under generator while being using on ground level (keeps oil from going into dirt)

  • 12.3 Diesel Tank - 20# Fire Extinguisher Mounted on Stand with Red Flag / Certification Current / 25 to 75 Feet Range

  • 12.4 Chopsaw or Torch - 10# Fire Extinguisher Mounted on Stand with Red Flag

  • 12.5 Torch Set / Gauges / Flash Back Arrestors / Hose Condition / Storage of Tanks

  • 12.6 Flammable Storage Tank

13. SHORING SCAFFOLD / STRIPPING WAGON

  • 13.1 Leveled / Footing

  • 13.2 Pins / Laced Properly

  • 13.3 OSHA Planks Being Used

  • 13.4 Guardrails / Employees Tied Off

14. EXCAVATIONS

  • 14.1 Spoil Piles at Least 2 Feet Minimum From Excavation

  • 14.2 Proper Entry & Exit in Place

  • 14.3 Properly Barricaded

  • 14.4 Employee Training Completed / Pre-Task Plan Completed

  • 14.5 Ladder Provided if Deeper than 4 Feet

  • 14.6 Heavy Equipment Inspections Completed with Qualified Operator & Evaluation

15. CRANE, RIGGING & LIFTING EQUIPMENT

  • 15.1 Chain Sling condition (tag in place and legible, hooks)?

  • 15.2 Tag Lines of Proper Length for Specific Tasks

  • 15.3 Port-A-John with Proper Rigging Being Utilized

  • 15.4 Crane Swing Radius Barricades in Place

  • 15.5 Nylon Straps Condition (red yarn, legible ID Tag)?

  • 15.6 Skip Pan / Wire Rope / Shackles / Weight Limits Legible

  • 15.7 Crane Radius Plan Available

  • 15.8 Tag on Wire Rope Concrete Deadman

  • 15.9 Forklift Inspections Completed

  • 15.10 Qualified Crane Signal Person/Rigger Identified with Orange Brim Guard

  • 15.11 Qualified Forklift Operator with Approved Training Credentials and Equipment Evaluation Completed

  • 15.12 Concrete Column Bucket (wire rope, tag legible, shackle cotter pin)

16. OUTRIGGER

  • 16.1 Guardrail systems are in place and at proper height?

  • 16.2 Plywood installed on sides - top to bottom

  • 16.3 Double 2x4 stop block in place and secured at the end of outrigger?

  • 16.4 Tie off anchors identified and in place?

  • 16.5 Orange cones and plastic cone bars in place around outrigger?

  • 16.6 Shackles screw pin type with the pin fixed from rotation by either a cotter pin or ‘mousing’ with tie wire?

  • 16.7 Fall protection required beyond this point in place at entry?

  • 16.8 Blue Notice Sign 5,000 Pound cart load in place?

undefined

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.