Safety Inspection Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Equipment

Equipment

• Equipment number

• Functional backup alarm

  Yes

  No

  N/A

• Fire extinguisher mounted and charged

  Yes

  No

  N/A

• Seat belts in use

  Yes

  No

  N/A

• Inspection is after working hours

  Yes

  No

  N/A

• Equipment is secured against theft

  Yes

  No

  N/A

• Tracks cleaned at end of shift

  Yes

  No

  N/A

PPE

• Safety glasses

• Face shield

• Hearing protection

• Hand protection

• Hard hats

• Respiratory protection

• Required PPE is being used correctly

  Yes

  No

  N/A

• Who does not have proper PPE?

Person

• What PPE is missing or misused?

Item

Confined Space

• Are confined spaces present on this site?

  Yes

  No

  N/A

• Gas detectors in use

  Yes

  No

  N/A

• Gas Detector Number

Equipment

• Calibration Date

  Date

• Ventilation blower in use

  Yes

  No

  N/A

• Designated outside attendant

  Yes

  No

  N/A

• Retrieval system on site and in use

  Yes

  No

  N/A

Housekeeping and General Safety

• Accumulation of trash and waste material

  Safe

  At Risk

  N/A

• Equipment and material stored in orderly manner

  Safe

  At Risk

  N/A

• Cab glass clean and floor free of debris

  Safe

  At Risk

  N/A

• First aid kits fully stocked with non-expired products

  Yes

  No

  N/A

• Employees bending at the knees or using team lifts

  Yes

  No

  N/A

Fire Prevention & Protection

• Fire extinguishers present and charged

  Yes

  No

  N/A

• Fuel stored in OSHA/D.O.T. compliant containers

  Yes

  No

  N/A

Hand and Power Tools

• Power cords in good condition

  Yes

  No

  N/A

• GFCI in use for all electric tools

  Yes

  No

  N/A

• Safety guards in place and operable

  Yes

  No

  N/A

• Defective tools are tagged and removed from service

  Yes

  No

  N/A

• Tools are being used correctly

  Yes

  No

  N/A

Ladders, Steps and Platforms

• Ladders and steps are in good condition

  Yes

  No

  N/A

• Ladders are properly blocked at base and secured at the top

  Yes

  No

  N/A

• Step ladders are open to correct position

  Yes

  No

  N/A

• Extension ladders extend 3 feet above upper level

  Yes

  No

  N/A

• Ladder rungs and steps kept free of mud and grease

  Yes

  No

  N/A

Fall Protection

• Fall protection required

  Yes

  No

  N/A

Excavation

• Utilities are marked and located by hand

  Yes

  No

  N/A

• Excavation inspection is documented

  Yes

  No

  N/A

• Sloping or trench box utilized according to soil classification

  Yes

  No

  N/A

• Spoil pile, material & equipment placed a minimum of 2' from the edge

  Yes

  No

  N/A

• Means of egress every 25'

  Yes

  No

  N/A

• Open excavations barricaded off at end of shift

  Yes

  No

  N/A

Job Site Control

• Traffic control required

  Yes

  No

  N/A

• Warning devices are in place

  Yes

  No

  N/A

• Class 2 vests worn when working within 25' of roadway

  Yes

  No

  N/A

• Work zone is protected from traffic

  Safe

  At Risk

  N/A

• Overhead power lines have been identified

  Yes

  No

  N/A