Safety Report - duplicate

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

• Weather

• Scope of work

1.0 Pervious Inspection

• 1.1 Has the last inspection been reviewed

  Yes

  No

  N/A

• 1.2 Are there no outstanding actions

  Yes

  No

  N/A

2.0 - Fire Prevention

• 2.1 - Evacuation plan displayed and understood by all employees

  Yes

  No

  N/A

• 2.2 - Fire extinguishers in place clearly marked

  Yes

  No

  N/A

• 2.3 - Extinguishers recently serviced

  Yes

  No

  N/A

• 2.4 - Extinguishers clear of obstacles

  Yes

  No

  N/A

• 2.5 - Adequate "No smoking" signs displayed

  Yes

  No

  N/A

• 2.6 - Exits clear all obstructions

  Yes

  No

  N/A

• 2.7 - Are exit signs displayed

  Yes

  No

  N/A

• 2.8 Is gasoline,chemicals and flammable material properly stored

  Yes

  No

  N/A

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3.0 General

• 3.1 Hard hats

  Yes

  No

  N/A

• 3.2 Safety boots<br><br><br>

  Yes

  No

  N/A

• 3.3 Eye protection

  Yes

  No

  N/A

• 3.4 Proper attire

  Yes

  No

  N/A

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4.0 Housekeeping

• 4.1 General condition of floors

  Safe

  At Risk

  N/A

• 4.2 Floor surfaces even and uncluttered

  Yes

  No

  N/A

• 4.3 Stair and risers kept clean/clear

  Yes

  No

  N/A

• 4.4 Piles of debris

  Yes

  No

  N/A

• 4.5 Outside grounds, sidewalk and Pedestrian walkways clean

  Yes

  No

  N/A

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5.0 Guardrails

• 5.1 Guardrails/Toe broads in place

  Yes

  No

  N/A

• 5.2 Stair rails

  Yes

  No

  N/A

• 5.3 Guardrails able to withstand min load of 200 lbs

  Yes

  No

  N/A

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6.0 Scaffold

• 6.1 Over 40'

  Yes

  No

  N/A

• 6.2 Under 40'

  Yes

  No

  N/A

• 6.3 Permit

  Yes

  No

  N/A

• 6.4 Drawings on-site

  Yes

  No

  N/A

• 6.5 Tag signed off

  Yes

  No

  N/A

• 6.6 Condition

  Safe

  At Risk

  N/A

• 6.7 Guardrails/Toe board installed

  Yes

  No

  N/A

• 6.8 Plank tied down

  Yes

  No

  N/A

• 6.9 Netting installed

  Yes

  No

  N/A

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7.0 Electrical

• 7.1 adequate lighting

  Safe

  At Risk

  N/A

• 7.2 GFCI Being used

  Yes

  No

  N/A

• 7.3 Power cords

  Safe

  At Risk

  N/A

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8.0 Ladders

• 8.1 Are Ladder in good condition

  Yes

  No

  N/A

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9.0 Fall protection

• 9.1 Harness being worn<br>

  Yes

  No

  N/A

• 9.2 Life lines provided

  Yes

  No

  N/A

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Action Items

Comments

Sign Off

• Sal Bruno Safety Manager

  Sign

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