Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1. Job Information
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1. Phone numbers of nearest medical center posted?
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2. Weekly safety meetings up to date?
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3. Is JHA being done and review with the crew?
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4. Are work areas properly signed and barricade?
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5. Is each employee instructed in the recognition and avoidance of unsafe condition?
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6. Are first aid supplies accessible?
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7. Are maps and telephone numbers for clinics at the job site?
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8. Are potable drinking water and toilet facilities at the job site?
2. Housekeeping
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1. General neatness of work areas?
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2. Projecting nails removed or bent over?
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3. Waste containers provided and use?
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4. Passageways and walkways clear?
3. Fire Prevention
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1. Adequate fire extinguisher, checked and accessible?
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2. Fire extinguishers have been inspected?
4. Electrical
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1. Extension cords with bare wires, missing ground prongs or damaged are taken out of service?
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2. Ground fault circuit interrupters being use?
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3. Terminal boxes equipped with required boxes?
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4. Are flexible cords and cables protected from damage?
5. Hand, power and powder actuated tools
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1. Hand tools inspected regularly?
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2. Guards in place on machine, such as chop saws, circular saws and grinders?
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3. Are employees wearing ear, eye protection when using a powder actuated tool?
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4. Is powder actuated tool loaded and unattended?
6. Fall Protection
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1. Safety rails and cables are secure properly?
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2. Are employees working 4'above a lower level protected by guard rails or personal fall arrest system?
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3. Employes below are protected from falling objects?
7. Ladders
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1. Extension ladders extend at least 36" above the landing and have a 4:1 ratio?
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2. Ladders are secured to prevent slipping, sliding, or falling?<br>
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3. Step ladders are used in fully open position?<br>
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4. Top two steps not being use?<br><br>
8. Scaffolding
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1. Is all scaffolding inspected daily?<br><br>
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2. Erected in solid rigid footing or caster being lacked?
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3. Tied to structure as required?<br>
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4. Guard rails, intermediate rails, toe boards and screens in place?<br>
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6. Proper access provided?<br>
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7. Employees below are protected from falling objects?
9. Floor and wall openings
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1. All floor or deck openings are planked over or barricaded?<br>
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2. Perimeter protection is in place?<br>
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3. Deck planks are secured and marked “HOLE” with visible paint?
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4. Materials are stored away from edge?
10. Material Handling
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1. Stretch and flex being done?
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2. Materials are properly stored or stacked?
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3. Employees are proper lifting methods?
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4. Tag lines are used to guide loads?
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5. Proper number of workers for each operation?
11. Personal protective equipment (PPE)
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1. Hardhats are being worn?
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2. Safety glasses are being worn?
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3. Respirators are used when required?
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4. Hearing protection worn when required?
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5. Traffic vests being worn?
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6. Are gloves and cut resistant sleeves being worn?
12. Equipment such as scissor lifts, boom lifts and all terrain fork lift
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1. Do all terrain fork lift equipment with an obstructed view to the rear have a back up alarm or used with an observer?
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2. D all terrain fork lift have seat belts and are they used><br>
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3. Boom lifts and scissor lift being use properly?
13. Miscellaneous
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1. Is a written Hazard Communication Program on site including MSDS, Material list, Container labeling, employee training?
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2. Is exposure to lead controlled?
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3. Exposure to silica controlled?<br>
Corrective Actions
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Enter any corrective actions that will be undertaken
Sign Off
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On site representative
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Add signature
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