SAFETY INSPECTION

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Job Site Requirements

• Goodman safety program on site

  Safe

  At Risk

  N/A

• Tool box talks complete

  Safe

  At Risk

  N/A

• SDS on site

  Safe

  At Risk

  N/A

• First Aid Kits on site

  Safe

  At Risk

  N/A

• Emergency numbers posted

  Safe

  At Risk

  N/A

• Accident reports available

  Yes

  No

  N/A

• Fire Extinguishers checked

  Yes

  No

  N/A

• State & Federal posters up

  Safe

  At Risk

  N/A

PPE

• Safety glasses, Hardhats, Work boots, Gloves, Safety Vests, being used

  Yes

  No

  N/A

• Respirator fit testing done

  Yes

  No

  N/A

• Harness/Lanyards checked and stored properly

  Yes

  No

  N/A

Housekeeping

• Clean up on daily basis

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A