Safety Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 Personal Protective Equipment

• Rate the crew's compliance with the following OSHA standards for personal safety

• 1.1 Hard Hats

  Yes

  No

  N/A

• 1.2 Eye Protection

  Yes

  No

  N/A

• 1.3 Ear Protection

  Yes

  No

  N/A

• 1.4 Respirators/Face Shields

  Yes

  No

  N/A

• 1.5 Footware (No Tennis Shoes)

  Yes

  No

  N/A

• 1.6 Hand Protection

  Yes

  No

  N/A

• 1.7 Safety Vests

  Yes

  No

  N/A

2.0 Housekeeping

• 2.1 Exits & stairs clear

  Yes

  No

  N/A

• 2.2 Debris consolidated

  Yes

  No

  N/A

• 2.3 Lunch trash disposed of properly

  Yes

  No

  N/A

3.0 Ladders

• 3.1 Ladder Type 1 or 1A in good working condition

  Yes

  No

  N/A

• 3.2 Ladder Secured from displacement and being used properly

  Yes

  No

  N/A

4.0 Scaffolds

• Rate the crew's compliance with proper set-up, installation, and use of scaffolding equipment

• 4.1 Railings & end rails

  Yes

  No

  N/A

• 4.2 Tied to structure / compression blocks

  Yes

  No

  N/A

• 4.3 Planks & platforms

  Yes

  No

  N/A

• 4.4 Access ladder(s)

  Yes

  No

  N/A

• 4.5 Base plates / mud sills in place

  Yes

  No

  N/A

• 4.6 Pump jack scaffolds

  Yes

  No

  N/A

5.0 Fall Protection

• 5.1 Harness / lanyards / anchors

  Yes

  No

  N/A

• 5.2 Fall protection scaffold erected

  Yes

  No

  N/A

• 5.3 Holes covered / guarded

  Yes

  No

  N/A

• 5.4 Guard rails--stairs & balconies

  Yes

  No

  N/A

• 5.5 Rebar caps in place

  Yes

  No

  N/A

6.0 Tools

• 6.1 Proper tools / guards

  Yes

  No

  N/A

• 6.2 Proper power cords / good condition

  Yes

  No

  N/A

• 6.3 Temporary power boxes

  Yes

  No

  N/A

7.0 Trenching & Excavations

• 7.1 Properly sloped, benched, or shored

  Yes

  No

  N/A

• 7.2 Ladder in trench >4', spoils 2' back

  Yes

  No

  N/A

• 7.3 Daily trench logs being kept

  Yes

  No

  N/A

8.0 Heat Illness, First Aid & Training

• Does the Trade satisfactorily answer the following questions?

• 8.1 Where can you replenish water?

  Yes

  No

  N/A

• 8.2 How much water should you drink?

  Yes

  No

  N/A

• 8.3 Do you have a Heat Illness plan onsite?

  Yes

  No

  N/A

• 8.4 Do you have a Code of Safe Practices onsite?

  Yes

  No

  N/A

• 8.5 Are you aware of your company's IPPA?

  Yes

  No

  N/A

• 8.6 Is someone in your crew First Aid Trained?

  Yes

  No

  N/A

• 8.7 Did you have a tail gate meeting this week?

  Yes

  No

  N/A