Safety Field Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

LSR-Control of Work

• Are Life Saving Rules available?

  Yes

  No

  N/A

• Is there a written JSA available for each task?

  Yes

  No

  N/A

• Are hazards, including hand and finger hazards, adequately identified?

  Yes

  No

  N/A

• Are mitigations identified for each hazard listed?

  Yes

  No

  N/A

• Is there an emergency plan/procedure in place with emergency contact information readily available?

  Yes

  No

  N/A

• Are permits in place for all work requiring a permit?

  Yes

  No

  N/A

• Are muster areas and smoking areas designated?

  Yes

  No

  N/A

• Is a first aid kit/blood borne pathogen kit available?

  Yes

  No

  N/A

• Are SDS forms available, if applicable?

  Yes

  No

  N/A

• Are all personnel wearing minimum PPE requirements (hard hat, safety glasses, steel toe shoes, FR clothing)?

  Yes

  No

  N/A

• Are employees wearing H2S monitors in the appropriate breathing area?

  Yes

  No

  N/A

• Are fire extinguishers available and current on monthly and yearly inspections?

  Yes

  No

  N/A

• If mobile equipment such as forklifts, manlifts, cranes, etc., are in use, have they been properly inspected?

  Yes

  No

  N/A

• Do all employees have the proper orientations to work on client's work site?

  Yes

  No

  N/A

LSR-Isolations

• Are LOTO procedures being followed?

  Yes

  No

  N/A

• Did the authorized person verify the isolation procedure during the JSA?

  Yes

  No

  N/A

• Are those who use LOTO trained to the authorized and affected level?

  Yes

  No

  N/A

• Lock out/tag out permits completed?

  Yes

  No

  N/A

• Tags properly labeled?

  Yes

  No

  N/A

LSR-Lifting

• Are straps, slings, etc., in safe working conditions and stored properly?

  Yes

  No

  N/A

• Were tag lines or other tools that help manage a load used properly?

  Yes

  No

  N/A

• Is the operator of the lifting equipment certified and fit for duty?

  Yes

  No

  N/A

• Has the load weight been assessed to ensure the proper lifting equipment is used?

  Yes

  No

  N/A

• Is there a trained spotter assisting with the lift and transport of the load?

  Yes

  No

  N/A

• Are there barriers in place to prevent anyone from walking under a suspended load?

  Yes

  No

  N/A

LSR-Driving

• Is vehicle clean and orderly?

  Yes

  No

  N/A

• Does the driver have a valid driver's license and is there a current insurance card on hand?

  Yes

  No

  N/A

• Are emergency tools such as a fire extinguisher and first aid kit available and up to date?

  Yes

  No

  N/A

• Are loose objects secure to prevent injury in case of abrupt stops?

  Yes

  No

  N/A

LSR-Working at Height

• Is fall arrest equipment such as full body harnesses and lanyards in safe working condition and properly stored?

  Yes

  No

  N/A

• If a manlift is being utilized, is the proper documentation in place such as a manlift JSA, equipment inspection form, and rescue plan?

  Yes

  No

  N/A

• Are employees working at height properly tied off at 100% and using appropriate anchor points?

  Yes

  No

  N/A

• Are appropriate barriers in place to minimize injuries caused by dropped objects?

  Yes

  No

  N/A

LSR-Confined Space

• Has the confined space been properly identified (permit required or non-permit required)?

  Yes

  No

  N/A

• Are employees involved in confined space entry properly trained?

  Yes

  No

  N/A

• If required, is there a permit in place and are all the requirements being satisfied?

  Yes

  No

  N/A

LSR-Ground Works

• Is an excavation permit in place and are its requirements being satisfied?

  Yes

  No

  N/A

• Are located properly marked?

  Yes

  No

  N/A

• Is the Wood Group Ground Disturbance Checklist utilized to ensure all risks have been assessed thoroughly?

  Yes

  No

  N/A

• Are heavy equipment operators certified?

  Yes

  No

  N/A

LSR-Fit to Work

• Do employees appear rested as well as physically and mentally prepared for work?

  Yes

  No

  N/A

• Are employees properly trained in the tasks that are being performed?

  Yes

  No

  N/A

General Safety

• If hot work is being performed within 75 feet of a hydrocarbon source, is there a permit in place and requirements being met?

  Yes

  No

  N/A

• Are fire extinguishers readily available in hot work areas?

  Yes

  No

  N/A

• If respiratory protection is required to be worn, are employees current on their annual fit test?

  Yes

  No

  N/A

• Is respiratory equipment properly stored and in safe working condition?

  Yes

  No

  N/A

• Are the correct tools being used properly for each task?

  Yes

  No

  N/A

• Are employees taking into account hand and finger hazards by using appropriate gloves and using safe hand placement?

  Yes

  No

  N/A

• Is the work area free of slip and trip hazards or have they been mitigated?

  Yes

  No

  N/A