Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PROGRAM ADMINISTRATION

  • 1.1 OSHA POSTINGS

  • 1.2 Emergency numbers / contacts posted

  • 1.3 Safety manual - Weigand

  • 1.4 Safety manual -subcontractors

  • 1.5 Weekly toolbox talks - Weigand

  • 1.6 Weekly toolbox talks - subcontractors

  • 1.7 First aid kits - job trailer

  • 1.8 First aid kits - field

  • 1.9 Emergency action plan posted / up to date

  • 1.10 Fire extinguisher - trailer

HOUSEKEEPING

  • 2.1 Work areas orderly

  • 2.2 Adequate lighting

  • 2.3 Job site free of slips, trips and fall hazards

  • 2.4 Stairways / walkways clear

  • 2.5 Trash picked up

  • 2.6 Break areas orderly

ELECTRICAL / UTILITY

  • 3.1 Insulation intact on cords and wiring

  • 3.2 Temporary lighting guarded

  • 3.3 Electrical panels labeled HOT and covered

  • 3.4 GFCI protection utilized

  • 3.5 Underground electrical lines marked

  • 3.6 Underground gas lines marked

  • 3.7 Lockout procedures utilized

HAND AND POWER EQUIPMENT

  • 4.1 Hand tools in good working order

  • 4.2 Electrical cords in good working order

  • 4.3 All mechanical safeguards in use

  • 4.4 Handles not broke / splinter free

EQUIPMENT

  • 5.1 Breaks, lights, signals and alarms operative

  • 5.2 Daily log book filled out

  • 5.3 Seat belts worn - LULL

  • 5.4 Aerial lift - PPE being used

  • 5.5 Cranes- swing radius protected - level

  • 5.6 Rigging equipment inspected - tag showing

BARRICADES AND FENCING

  • 6.1 Roadways and sidewalks protected

  • 6.2 Floor openings planked or barricaded

  • 6.3 Wall, roof openings covered or barricaded

  • 6.4 Leading edges guarded

EXCAVATION

  • 7.1 Necessary ladders provided

  • 7.2 Spoil set back at least 2 feet

  • 7.3 Rebar impalement protection

LADDERS

  • 8.1 Ladders in good condition

  • 8.2 Side rails extend 36 inches above landing

  • 8.3 Proper for job and secure

  • 8.4 Step ladders fully open when in use

  • 8.5 Placement of ladder safe

INFECTION CONTROL

  • 9.1 Daily inspection checklist completed

  • 9.2 ILSM current

  • 9.3 Debris covered

  • 9.4 Walk off mats in place / in use

SCAFFOLDING

  • 10.1 All scaffolds plumbed and leveled as erection proceeds

  • 10.2 Are adequate sills and base plates being used

  • 10.3 If electrical power lines are near the scaffold, are necessary precautions being taken

  • 10.4 Do scaffold planks extend past their end supports not less than 6 inches and no more than 12 inches

  • 10.5 Are guardrails and end rails in place

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

  • 10.7 Are frames and panels braced by cross, horizontal or diagonal braces

  • 10.8 Are scaffolds with a (4:1) base to height ratio

  • 10.9 Is fall protection being used in areas where required

  • 10.10 Are scaffolds securely anchored at lease every 30 feet of length and 25 feet in height

  • 10.11 Is their an assess ladder, steps or equivalent safe access to scaffold

  • 10.12 Is the scaffold within its weight capacity

ENVIRONMENTAL CONTROLS

  • 11.1 Silt fence installed and maintained

  • 11.2 Hazardous materials properly stored

  • 11.3 Spill containment kit adequate / on site

FIRE PREVENTION

  • 12.1 Are safety cans being used and properly labeled

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

  • 12.3 Compressed gas cylinders secured- upright- protected from damage

  • 12.4 Fire extinguishers immediately available and inspection current

PPE

  • 13.1 Hard hats worn

  • 13.2 Gloves available - cut resistant for demo

  • 13.3 Face shields being used - mason saw or other operations

  • 13.4 Eye protection

  • 13.5 Hearing protection

  • 13.6 Safety harness and lanyards utilized with adequate anchorage points

  • 13.7 Respirators and masks utilized

  • 13.8 High visible clothing in use

WEIGAND VIOLATIONS

  • Notes

  • Notes

  • Notes

  • Notes

SUBCONTRACTOR VIOLATIONS

  • Notes

  • Notes

  • Notes

  • Notes

  • 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.