Information
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Audit Title
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Conducted on
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Prepared by
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Location
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Personnel
Housekeeping
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Material stacked in orderly fashion
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Debris properly removed
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Free access/egress maintained
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Trash cans present in work areas
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Restrooms available near work areas
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Safe from slip, trip and fall hazards
Personal Protective Equipment
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Hard Hats
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Safety Glasses
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Leather Work Boots
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High Visibility Clothing
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Gloves
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Hearing Protection
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Respirators
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Face Shields
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Burning Goggles
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Welding Hood and Gloves
Tools
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OEM guards in place
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Cords in safe condition
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Tools in safe condition
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Tools stored properly
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Right tools for the job
Electrical
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GFCIs used
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Cords in safe condition
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Cords protected from traffic
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Energized parts protected
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Signage present
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Proper temporary/task lighting
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Electrical room secured
Ladders/stairs
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3' above landing for access
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4':1' ratio kept with extension ladders
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Ladders secured
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Proper use of ladders
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Inspected for defects/stickers
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Rails at stairs/landings
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Clear of debris/materials
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Slip, trip exposure eliminated
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Stairs illuminated
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Job made ladders built to specifications
Fall Protection
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Harness and lanyards
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Horizontal lifeline/yoyos
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Guardrail system
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Floor openings guarded
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Roof opening guarded
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Wall openings guarded
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Warning lines in place
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Impalement hazards protected
Fire Protection
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Fuel in approved containers and stored properly
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Fire extinguishers charged and inspected monthly
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Fire extinguishers within 25' of hot work/adequate number on site
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Hot work permits completed and posted near hot work areas
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Combustible materials removed from hot work areas
Scaffolds
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Planking secured
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Sections properly pinned
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Ladder access to scaffolding
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Handrail in place on scaffolding
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Screw jacks and base plates in place
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Components undamaged
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Scaffolding inspected and tagged
Pump Jack Scaffolds
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Proper bracing in place at top and bottom of poles
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Fall protection in use while working above 10'
Mobile/Heavy Equipment
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Workers trained
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Equipment inspected
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Seat belts used/chain gate closed
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Back up alarms audible
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Spotters used when needed
Hoisting/Rigging Equipment
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Qualified rigger named
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Daily crane inspection information on site
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Safety latch on hook checked
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Tag lines in use
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Cranes flagged off
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Power lines marked off or delineated
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Sling/chokers stored
Excavation
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Competent person named
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Workers trained
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Proper access/egress
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Spoil pile at least 2' from edge
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Excavation checked daily
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Shore/slope/bench
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Points of access present every 25' on excavations over 4' deep
Confined Spaces
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Entrants have proper training
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Permit filled out and posted at entry if needed
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Air monitoring being performed
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Adequate ventilation provided
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Attendant present at permit controlled space with proper training
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Permits closed out daily
Site/Public Protection
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Perimeter fencing
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Public protection signage
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Security system in place
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Street closure identified/traffic control plan
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Adequate lighting
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Proper caution/danger tape being used
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Barricades installed properly
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Excavations protected
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Falling object protection
Prework
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Required postings posted
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First aid kit/eye wash station are on site
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Weekly safety meeting minutes/attendance roster on file?
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Weekly site inspection filed and dated?
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MSDS/SDS on site
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Hot work program in use
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Lock out/Tag out program in use
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Site Safety Plan from subcontractors on site
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Employee training records available for work being performed
Corrective Actions
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Other notes
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Other Photos
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Pending corrective actions
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Corrective actions that will be undertaken
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Auditor signature
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Personnel Signature
