Safety Monitor

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Job site hazard analysis

• Does technician have PPE?

  Yes

  No

  N/A

• Are rope guards needed and being used?

  Yes

  No

  N/A

• Do you have security emergency phone number saved?

  Yes

  No

  N/A

• Have safety tape and cones been placed in pedestrian areas?

  Yes

  No

  N/A

• Is your phone operational and are you prepared in case of an emergency to implement the rescue plan?

  Yes

  No

  N/A

Employee anaylisis

• Have all of the rope technicians texted in to main office number?

  Yes

  No

  N/A

• Do any of the rope technicians show any signs of fatigue?

  Yes

  No

  N/A

• Does any of the rope technicians show any mood swings or signs of depression?

  Yes

  No

  N/A

• Have you observed any horseplay?

  Yes

  No

  N/A

• Are rope technicians following safety training protocols?

  Yes

  No

  N/A

STPs, Overall Houskeeping

• Are walkways free of any slip, trip or falls?

  Yes

  No

  N/A

• On a scale of 1 - 10, how are the overall safety operations for the job? (1 being the most danger and 10 the most safe)

• Safety monitor

  Sign