Safety Audit

• Document No.

• Keithly Electric Site Audit

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 Safety Planning

• 1.1 Has the last inspection been reviewed?<br>

  Yes

  No

  N/A

• 1.2 Are there any outstanding actions?

  Yes

  No

  N/A

• 1.3 Is JSA being used?

  Yes

  No

  N/A

2.0 Fire Prevention

• 2.1 Extinguishers located near by?<br>

  Yes

  No

  N/A

• 2.2 Building alarms identified?

  Yes

  No

  N/A

• 2.3 Flammable liquids are in storage containers and labeled appropriately?

  Yes

  No

  N/A

3.0 Electrical Safety

• 3.1 GFCI used for all portable hand tools?<br>

  Yes

  No

  N/A

• 3.2 Electrical cords inspected and in good condition?

  Yes

  No

  N/A

• 3.3 Temporary lights protected with plastic guards?

  Yes

  No

  N/A

• 3.4 Lockout/tag out procedures used?

  Yes

  No

  N/A

• 3.5 Electrical panels labeled appropriately?

  Yes

  No

  N/A

• 3.6 Electric power tools are regularly inspected and maintained?

  Yes

  No

  N/A

• 3.7 All mechanical safeguards in use?

  Yes

  No

  N/A

4.0 Housekeeping

• 4.1 Work areas orderly?

  Yes

  No

  N/A

• 4.2 Adequate lighting?<br>

  Yes

  No

  N/A

• 4.3 Waste containers provided and used?

  Yes

  No

  N/A

5.0 Personal Protective Equipment

• 5.1 Safety glasses, face shield and/or goggles available and being used?

  Yes

  No

  N/A

• 5.2 Hand protection available and used as required?

  Yes

  No

  N/A

• 5.3 Proper foot protection being used?

  Yes

  No

  N/A

• 5.4 Hearing protection provided and being used?

  Yes

  No

  N/A

• 5.5 Hard hats worn when falling object hazard are present?

  Yes

  No

  N/A

• 5.6 Safety harness and lanyards inspected and maintained?

  Yes

  No

  N/A

• 5.7 Are respirators and masks available and being used as needed?

  Yes

  No

  N/A

• 5.8 Are hi-viz vest provided and being used as needed?

  Yes

  No

  N/A

6.0 Ladders

• 6.1 Ladders are safe and inspected and used as appropriate?

  Yes

  No

  N/A

• 6.2 Extension and straight ladders extend 3' beyond landing? Are they tied and blocked?

  Yes

  No

  N/A

• 6.3 Step ladders and only used in open position?

  Yes

  No

  N/A

• 6.4 Siderails extend 36" above landing?

  Yes

  No

  N/A