Safety Audit

• Project

• Location
  Address

• Conducted on

  Date

• Prepared by

• Crew

1. Personal Protective Equipment

• 1.1. Hard Hats

  Safe

  At Risk

  N/A

• 1.2. Eye Protection

  Safe

  At Risk

  N/A

• 1.3. Respirators

  Safe

  At Risk

  N/A

• 1.4. Footwear

  Safe

  At Risk

  N/A

2. Scaffolds

• 2.1. Support Braces

  Safe

  At Risk

  N/A

• 2.2. Railings & End Rails

  Yes

  No

  N/A

• 2.3. Planks

  Safe

  At Risk

  N/A

• 2.4. Wheel Brakes

  Safe

  At Risk

  N/A

• 2.5. Tied to Structure or Outriggers

  Safe

  At Risk

  N/A

3. Ladders

• 3.1. Ladder Condition

  Safe

  At Risk

  N/A

• 3.2. Proper Ladder Use

  Safe

  At Risk

  N/A

• 3.3. Ladder Secured - 4:1 lean ratio

  Safe

  At Risk

  N/A

4. Housekeeping

• 4.1. Exits & Stairs

  Safe

  At Risk

  N/A

• 4.2. Scrap Consolidation

  Safe

  At Risk

  N/A

• 4.3. Mud Box Consolidation

  Safe

  At Risk

  N/A

• 4.4. Excessive Mud on Floor

  Safe

  At Risk

  N/A

• Lunch Trash

  Safe

  At Risk

  N/A

5. Fall Protection

• 5.1. Guard Rails @ Stairs & Balconies

  Safe

  At Risk

  N/A

6. Tools

• 6.1. Condition

  Safe

  At Risk

  N/A

• 6.2. Power Cords

  Safe

  At Risk

  N/A

7. SWPPP

• 7.1. -

  Safe

  At Risk

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• Auditor's signature

  Sign

• On site representative

  Sign