Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Enter address
  • Select date

General Jobsite Information

  • Posters and safety sign warnings?

  • Safety meetings held periodically?

  • First aid kit available at site and adequately stocked?

  • Job site safety training conducted?

  • Accident reporting procedure established?

  • Injury records being kept?

Housekeeping and Sanitation

  • Regular disposal of waste and trash?

  • Pasaageways and walkways demarcated?

  • Adequate lighting on site?

  • Nails, boards, debris removed?

  • Adequate potable water supply?

Excavation

  • Warning signs in place?

  • Excavated site barricaded/protected?

  • Precaution taken on roads near excavated site?

  • Are daily inspections conducted by supervised persons

  • Proper lighting at excavated sites?

Fire Prevention

  • Adequate number of fire extinguishers available?

  • Fire prevention training given?

  • Phone numbers of fire department posted?

  • Evacuation plan established?

Electrical

  • Electrical equipment properly maintained?

  • Equipments properly grounded?

  • Electrical dangers posted?

  • Equipment provided to workers to work with electricity? (Rubber gloves)

  • Workers given training to deal with electronic devices?

Personal Protective Equipment?

  • Is PPE being used?

  • Employees issued PPE where needed?

  • Employees trained to use PPE?

  • Are inspection being done periodically before and after use?

  • Adequate fall protection provided?

  • Adequate eye protection provided?

  • Adequate face protection privided?

  • Hearing protection?

  • Respiratory and masks provided?

  • Is head protection provided?

  • Hand and foot protection?

Ladders

  • Ladders inspected regularly and before use?

  • Ladder is chosen according to the type of work?

  • Ladders secured to prevent slipping, sliding or falling?

  • Proper maintenance and storage?

  • Do fixed ladders in excess of 20 feet have fall protection?

Scaffoldings

  • Erection properly supervised

  • All members free from defects and meet safety factor?

  • Are scaffolds erected on solid footing?

  • Is scaffold tied to structure?

  • Are workers protected from falling debris?

  • Are ropes and cables in good condition?

  • Fall protection available and in use?

  • Scaffolding inspection happens regularly?

Heavy equipment

  • Are annual inspection conducted on equipments?

  • Are operators properly tested? Qualified operators?

  • Equipments properly maintained?

  • Signalmen where needed?

  • Alarms working and audible

  • Speed limit on heavy vehicles?

  • Reverse alarm of heavy vehicles checked regularly?

Concrete construction

  • Forms properly installed and braced?

  • Caps on rebars provided?

Fall Protection

  • Workers working above 6 feet using fall protection?

  • All holes covered and laballed?

  • Safety nets provided?

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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.