Title Page
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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
Electrical power
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Power lines close
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High voltage signs posted
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Distance to power line .
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Is a buffer line in place
Cranes and hoisting
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Annual inspection current
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Anti two block device active
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Boom angle indicator
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Cert or verify training
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Crane supported and level
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Daily inspection current
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Dist power lines/ de-ener
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Fire ext in crane
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Flagman identified
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Lift plan on file
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Load chart posted
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Loads properly secured
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Means of communication
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Operator manual in crane
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Rig insp./rated/
Confine space
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Entry super/monitor/entrant
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Is permit required
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Rescue plan/emerg#'s map
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Training docs
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Regular insp./air monitor
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Harness/extraction equipment
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Ventilation
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Electrical/fire prevention
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Electrical/ fire protection
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Comm/secure area/ signage
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Atmospheric conditions
Welding and cutting
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Bottles upright/cap/secured
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Flash protection available
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Torches good condition
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Weld machine ventilated
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Leads in good condition
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Prop PPE in use
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Gauges working properly
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Flashback arresters installed on torches
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Fire Tex. present
Steel erection
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Anchorage points meet req
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CDZ training/utilized
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EE above 30'protected
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Fall protection training provided
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Erector notified of modification
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Falling object protection
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EE between 15-30' fall protection present
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Multi lift procedure utilized
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Multi lift proceed utilized
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Written approved concrete strength
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Struct flooring requirements
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Site layout /sequence plan
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Proper anchor of columns
Site/public protection
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Barricades installed properly
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Company rep present
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Excavations protected
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Fall object protected
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Perimeter fences installed
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Public protection signage posted
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Security system in place
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Street closure identified
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Traffic control plan
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Adequate lighting
Scissor/Arial liftsi
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Equipment loaded properly
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Gate or chain secured
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Harness while in boom lifts
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Nothing to increase height
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Operating on flat surface
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Safe working distances
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Operator training
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Surfaces free of holes
Scaffolding
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Bracing and pins in place
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Compatible components used
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Planking/toe boards in place
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Prop secured to structure
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Proper access to platform
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Inspected daily
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Sills,plates,jacks installed
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Proper loading of material
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Guardrails in place @6'
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Safe work distances
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Working surface in safe condition
PPE
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All req'd PPE
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Safe5y glasses
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Facesheild
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Gloves
Motorized equipment
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Flag an used if applicable
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Glass free of obstructions
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Seat belts begin used
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Operator appears competent
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Training docs available
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Horn functioning
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Back up arlarm
Hazard communication
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Inventory list
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SDS (site specific)
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Proper labels on containers
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Employees trained
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Copy of program
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Readily available
Fire protection
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Fire suppression equip avail
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Fire watch present
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Proper signs in stored areas
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Proper fuel containers
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Ext.charged and inspected
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Emergency vehicle
Fall Protection
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Fall protection at 6
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Floor/wall openings
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For covers adequate, secured,labele
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Fall protection plan
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Stair/ramp/walkway protected
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Ext/isn't guardrails
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Safety harness and lanyard
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Roof edge protected
Housekeeping
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Post tension-protection
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Demolition area of for work protected
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Clear access to bldg/site
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Trash being dispose of into the proper containers?
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Proper access to work arear
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Material stack neatly
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Demolition area of structure protected
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Implement protection
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Slip,trip,fall hazards
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Roadway around project clear
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Walkways cleard
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Protruding nails removed
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Proper material storage
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Proper use of "CAZ" I'd
Hand and power tools
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Tool in good condition
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Saw horses used
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Proper tool for the job
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Info label on tool
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Guards in place
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Ground prong in place
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Cord in good condition
Ladders/stairways
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Rails at stairs/landings
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Slip and trips exposure eliminated
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Safe work distance from hazards
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Proper use of ladders
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Landings and treads filled
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Ladders secured
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Clear of debris/materials
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Extension ladders at 4to 1 pitch
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Job-bot ladders const correctly
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Access break >19"
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3' above landing
Medical/Emergency
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1st Aid/CPR on site
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1st aid kit present
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Map to Medical facility posted
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Eye wash station in place
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Emergency numbers posted
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Emergency prods supplies
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Emergency action plan in place
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Team contact numbers
