Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Program Administration

  • OSHA Postings

  • Emergency numbers / contacts posted

  • Safety Program on site

  • Competent Person Forms

  • Toolbox talks

  • MSDS from all subcontractors

  • Plenty of Documents (Safety Reports, Accident Reports, Ect.)

First Aid and Emergency

  • First aid kit fully stocked

  • Employees aware of personnel trained in first aid?

  • Employees aware of emergency procedures

  • Map to nearest emergency center

Housekeeping

  • General neat appearance of all work areas

  • Passageways and walkways clear

  • Are liquids and spills removed quickly

  • Tools not in use kept in place

  • Adequate lighting

  • No projecting nails and screws

  • Regular site cleanup and trash disposal

  • Materials stored/stacked in orderly and safe manner

Fire Prevention

  • Proper number of Fire Extinguishers provided and charged

  • "No Smoking" posted and enforced

  • Extinguishers clear of obstructions

  • Combustibles > 10' from building

  • Exits clear of obstructions

  • Approved safety cans for gasoline

Electrical

  • Terminal boxes equipped with required covers

  • Electrical panels labeled "Danger" and kept covered when not in use

  • GFCI's in place

  • Lockout procedures utilized

  • All extension cords are 3-wire with grounded pin in place and in good condition

  • No power leads across walkways

  • All electric tools and machinery have ground pin in place on power cable

  • Exposed light bulbs equipped with protective cage

Tools, Hand and Power

  • GFCI or grounded

  • All guards in place

  • Handles in good condition - not splintered

  • Tools and cords in good condition

  • Inspected and maintained

Stairways and Ladders

  • Inspected and in good condition

  • Properly secured

  • Side rails extended 36" above top of landing

  • Ladder available for access to scaffolding

  • Guardrails provided for stairway landings

  • Handrails provided for stairways with four or more risers

  • Competent person periodically inspect ladders

Scaffolding

  • Properly erected and supervised by competent person

  • Scaffolding tied to structure

  • Scaffolding plumb with cross bracing in place

  • Fully planked with toe boards in place

  • Base plates used (no cinder blocks)

  • Ladder access provided

Hoist, Cranes and Derricks

  • Inspection of cables, slings, chains, hooks, eyes by competent person

  • Inspection logs maintained

  • Load capacity chart on machine

  • Swing radius protected (360 degrees)

  • Power lines deactivated, removed, protected or at a safe distance

  • Proper hand signals used

Excavations

  • Shoring adequate for soil and depth

  • Support system in place for adjacent structures

  • Spoil bank set back at least 2 feet

  • Equipment sufficient distance form excavation

  • Ladders provided

  • Competent person on site

  • Underground utilities located prior to excavation

  • Air samples taken prior to entry in underground tunnels/openings

Welding and Cutting

  • Personnel qualified

  • Gas cylinder secured in upright position

  • Screens, shields, goggles and gloves

  • Fire extinguisher

  • Electrical equipment grounded

  • Valve protection caps in place when gas not in use

  • Fire watch provided 30 min subsequent to welding near flammable/combustibles

Concrete and Masonry

  • Proper scaffolding

  • Fall protection used

  • Safe hoisting equipment

  • All protruded rebar guarded

  • Guard rails on all open floors

  • Masonry walls over 8 ft. braced

  • Limited access zone established

Highway/Work Zone

  • Competent Flagmen wearing reflective garments, and instructed

  • Correct amount of warning signs and markers

  • Dust control

  • Proper lighting

  • Work Zone of Heavy Equipment protected from pedestrians and other traffic

  • Equipment inspected daily

  • Back up alarms and horns operational

  • Traffic control through construction area

Equipment

  • Breaks, lights, signals, windshield, tires and horn inspected daily

  • Fire extinguishers in place and fully charged

  • Seat belts worn

  • PPE being used in ariel lift

Fall Protection

  • Floor openings protected/secured/marked

  • Wall openings/roof openings protected/secured/marked

  • Leading edges securely guarded

  • Safety harnesses provided and used

  • Guardrails in place/replaced after receiving each load

General

  • Hard hats worn

  • Proper foot wear

  • Ear Protection

  • Eye Protection

  • Gloves being worn

  • Respirators and mask being utilized

  • Potable water

  • Unusual exposures identified and controlled

Additional Information

  • Notes

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.