Information
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Document No.
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University Job Number
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Building
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Conducted on
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Prepared by
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Location (floor, room, etc.)
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Other Personnel Conducting Audit
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Project Title and Number
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Housekeeping (trash, clear paths, access, trip hazards, floor openings, etc.)
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Concern
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No Comment
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Comment
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PPE (hard hat, eyewear, safety vests, appropriate shoes, etc.)
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Concern
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No Comment
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Comment
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Work Position (fall protection, ergonomics, confined space, etc.)
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Concern
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No Comment
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Lift/Hoisting (preplan & meeting, notifications, company check list)
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Concern
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No Comment
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Scaffolding (pedestrian protection, toe boards, daily inspections - red/green tag, access, engineering, etc.)
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Concern
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No Comment
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Excavations (One Call, trench safety, spoil/material management, access)
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Concern
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No Comment
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Equipment & Procedures (lockout/tagout, arch flash, construction signage, correct tools, supervision, equip condition, etc.)
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Concern
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No Comment
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Additional General Comments:
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