Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PROGRAM ADMINISTRATION

  • OSHA POSTINGS

  • Emergency numbers / contacts posted

  • Safety Manual - Available

  • Safety Forms Current

  • Weekly safety meetings/toolbox talks

  • First aid kits onsite and adequately supplied

  • List all sub-contractors and verify pre-qualification

  • Emergency action plan posted / up to date

  • Are documented safety audits available onsite

HOUSEKEEPING

  • Work areas orderly

  • Adequate lighting

  • Job site free of slips, trips and fall hazards

  • Are all cords and welding leads out of walkways and work areas

  • Stairways / walkways clear

  • Trash picked up

  • Break areas orderly

ELECTRICAL / UTILITY

  • Insulation intact on cords and wiring

  • Temporary lighting guarded

  • Electrical panels labeled and covered

  • GFCI protection utilized

  • Lockout / tagout procedures utilized

HAND AND POWER TOOLS

  • Hand tools in good working order

  • Power Tools in good working condition and quarterly inspection complete.

  • Electrical cords in good working order and have quarterly inspection?

  • All mechanical safeguards in use

  • Handles not broke / splinter free

EQUIPMENT

  • Brakes, lights, signals, and alarms operative

  • Daily inspections filled out

  • Seat belts worn - LULLS, FORK TRUCKS, ETC.

  • Aerial lift - Harnesses and lanyards being used

  • Cranes - proper setup including distance to power lines

  • Cranes - ground conditions verified and safe for operation (underground wells, vaults, etc.)

  • Cranes- swing radius protected - barricaded

  • Rigging equipment inspected - tag showing

BARRICADES

  • Barricades affixed with proper signage

  • Floor openings planked or barricaded

  • Wall, roof openings covered or barricaded

  • Leading edges guarded

EXCAVATION

  • Underground electrical lines marked

  • Underground gas lines marked

  • Excavation daily checklist completed

  • Adequate benching, sloping, and/or trenching in place

  • Access and egress means provided

  • Spoil set back at least 2 feet

  • Is the excavation more than 4ft if so, is it adequately protected and has a confined space permit been filled out

LADDERS

  • Ladders in good condition

  • Side rails extend 36 inches above landing

  • Proper for job and secure

  • Step ladders fully open when in use

  • Placement of ladder safe

SCAFFOLDING

  • All scaffolds plumb and level

  • Are adequate sills and base plates being used

  • Are metal scaffold planks installed correctly with none extending past their end supports

  • Are wooden scaffold planks installed past their end supports no less than 6 inches and no more than 12 inches

  • Are guardrails including top and mid rail in place

  • To protect from falling objects, are toe boards or area barricaded below

  • Is fall protection being used in areas where required

  • Is there a scaffold tag and has it been inspected

  • Is their a safe access ladder, steps or equivalent means for safe access to the scaffold

  • Is the scaffold rated for the proper weight capacity

FIRE PREVENTION

  • Are hot work permits in order

  • Fire extinguishers immediately available and inspection tags current

  • Is a fire watch monitoring the area

  • Propane tanks - barricade installed - labeled -( flammable,no smoking, fuel type)

  • Compressed gas cylinders secured- upright- protected from damage

PPE

  • Hard hats worn

  • Gloves being worn and adequate for the work activity

  • Face shields being used where required

  • Welding hoods being worn in conjunction with safety glasses

  • Eye protection being worn and adequate for the work activity

  • Hearing protection

  • Safety harness and lanyards utilized with adequate anchorage points

  • Respirators and masks utilized, when needed

  • High visible clothing in use, when needed

CONFINED SPACES

  • Proper permits filled out

  • Permits posted at entry

  • Atmosphere tested and results documented

  • Entry Supervisor has classified confined space and authorized entry

  • Everyone has been properly trained

H+M Industrial EPC Violations

  • Notes

SUBCONTRACTOR VIOLATIONS

  • Notes

Site Superintendent signature

  • Site Superintendent

Auditor

  • Auditor Signature

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.