Information

  • Company:

  • OU Number

  • Foreman

  • Who is conducting this audit?

  • Project Number/Name

  • Conducted on

Work Areas

  • Do you wish to examine work areas on this safety walk?

  • Are work area(s) generally neat and clean

  • Is waste and trash regularly disposed of

  • Area passageways and walkways clear

  • Is work area well lit

  • Are waste containers provided and used

  • Are sanitary facilities (porta-johns) adequate and clean and are they staked down

  • Are sides or holes guarded or covered

  • Are impalement hazards addressed in work area (5pts)

  • Severity/Risk of the Hazard:

  • Is the material storage/lay down area neat and tidy

Personal Protective Equipment (PPE)

  • Do you wish to examine PPE on this safety walk?

  • Is designated PPE being worn (Hardhat, vest, safety glasses, gloves, safety-toed boots)

  • Are face-shields/goggles available and worn by crew as needed

  • Is respiratory protection (dust masks) available and worn by crew as needed

  • Is hearing protection available and worn by crew as needed

  • Does PPE appear to be in good condition

  • Is appropriate clothing being worn by employees

Fall Protection Equipment

  • Do you wish to examine fall protection equipment on this safety walk?

  • Is fall protection equipment (PFAS) being used when required (6 foot or greater) (5pts)

  • Severity/Risk of the Hazard:

  • Is fall protection equipment inspected prior to use (harness, SRL, etc.)

  • Are employees using damaged or recalled equipment (5pts)

  • Severity/Risk of the Hazard:

  • Does fall protection equipment fit correctly

  • Are anchor points and tie-off points correct and safe (5pts)

  • Severity/Risk of the Hazard:

  • Proper use of warning line systems

  • Are self-retracting lifelines (SRL's) being used for leading edge work

  • Are horizontal lifelines properly maintained and used

Guardrails/Handrails

  • Do you wish to examine guardrails and/or handrails on this safety walk?

  • Is the top rail 42 inches + or - 3 inches from working surface

  • Is the top rail capable of withstanding 200 pounds of outward force

  • Is the mid rail is at least 21" high

  • Is the mid rail capable of withstanding 150 pounds of downward force

  • Are toe-boards installed to prevent tools or other objects from falling to lower level

Ladders

  • Do you wish to examine ladders on this safety walk?

  • Are ladders well maintained and in satisfactory condition

  • Is the proper ladder being used for the task

  • Are ladders secured to prevent slipping, sliding or falling

  • Are ladders properly maintained and stored

  • Is the ladder at the appropriate angle (4-to-1 Lean Ratio)

  • Is the ladder 3 feet above landing

  • Are manufacturer labels legible?

Tools and Equipment

  • Do you wish to examine tools and equipment on this safety walk?

  • Are the right tools being used for the task

  • Have the tools been inspected daily to ensure good working order

  • Are damaged or malfunctioning tools tagged out until repaired or replaced (5pts)

  • Severity/Risk of the Hazard:

  • Are crew members trained to be competent in the tools appropriate for their work tasks

  • Are modified tools being used

  • Are all wires or cords (if any) in good working condition with no visible damage or electrical modifications

  • Are loose or damaged blades being used on saws

  • Are tools properly grounded (GFCI) or double insulated (5pts)

  • Severity/Risk of the Hazard:

  • Are tool guards in place and used correctly (5pts)

  • Severity/Risk of the Hazard:

  • Are personal or homemade tools being used?

  • Are they in good working condition

Trenching/Excavations

  • Do you wish to examine excavations on this safety walk?

  • Have utilities been located and are marks visible (5pts)

  • Severity/Risk of the Hazard:

  • Are trenches more than 4 feet deep shored, sloped or shielded (5pts)

  • Severity/Risk of the Hazard:

  • Have inspections of the trench/excavation been conducted by the competent person before the shift, during shift and after rainstorms and are they documented

  • Has the competent person classified the soil types i.e. stable rock, Type A soil, Type B soil or Type C soil (Trench Log) (5pts)

  • Severity/Risk of the Hazard:

  • Are structural ramps used for access/egress safe and designed by the competent person

  • Are ladders placed at 4 feet deep or greater with no more than 25 feet of lateral travel for employee

  • Is the ladder extended 3 feet above box or grade and is it secured

  • Are leading edges 6 feet or greater protected to prevent falls

  • Are pot holes covered or fenced off to prevent injuries

  • Are spoil piles, materials and equipment placed a minimum of 2 feet away from trench

  • Are trench boxes inspected and in good condition (including pins and keepers)

  • Is a copy of the tab data for the trench box onsite and readily available

  • Is the trench box set no higher than 2 feet from the bottom of the trench

  • Is the trench box no more than 6 inches from side wall (otherwise backfilled) to prevent lateral movement

  • Has the atmosphere been monitored @ 4 feet when an actual or suspected hazardous atmosphere exists

  • Is water accumulating in trench with workers present

  • Is the probe rod for locating utilities made of non-conductive material

  • If sloping, is the slope at the right angle for soil type (1 1/2:1 for C / 1:1 for B) (5pts)

  • Severity/Risk of the Hazard:

Electrical Safety

  • Do you wish to examine electrical safety on this safety walk?

  • Is electrical equipment properly maintained

  • Are ground fault circuit interrupters (GFCI) used and tested when required (5pts)

  • Severity/Risk of the Hazard:

  • Are extension cords inspected before use

  • Are ground pins missing or damaged present on electrical cords (5pts)

  • Severity/Risk of the Hazard:

  • Are extension cords properly placed so they don't cause trip hazards

  • Are lockout/tagout procedures being followed (if applicable) (5pts)

  • Severity/Risk of the Hazard:

Body Use & Positioning

  • Do you wish to examine Body Use & Positioning on this safety walk?

  • Are proper body mechanics/lifting techniques being used

  • Is the body in line of fire

  • Are appendage(s) in line of fire (arm, hand, leg, foot)

Rigging & Lifting

  • Do you wish to examine Rigging & Lifting on this safety walk?

  • Is the rigging inspected prior to use

  • Is damaged or excessively worn rigging being used

  • Is rigging or equipment too close to power lines (5pts)

  • Severity/Risk of the Hazard:

  • Are tag lines being used on loads

  • Is the rigging equipment capacity known so its not overloaded (5pts)

  • Severity/Risk of the Hazard:

  • Is there adequate communication between operator and spotter

  • Are proper rigging techniques being used

  • Is the weight of the load known

  • Are tags on rigging equipment present and legible (chains, slings, cables, etc.) (5pts)

  • Severity/Risk of the Hazard:

  • Are employees working underneath suspended loads

Personnel

  • Do you wish to check personnel and this safety walk?

  • Is their behavior orderly and professional

  • Is there clear communication between crew members, without needing to shout

Equipment Operations

  • Do you wish to examine Equipment Operations on this safety walk?

  • Is the equipment being inspected (pre and post trip)

  • Are seat belts provided and used by the operator (5pts)

  • Severity/Risk of the Hazard:

  • Are horns and backup alarms working and audible

  • Are proper mounting and dismounting procedures (3 points of contact and facing equipment) being followed (5pts)

  • Severity/Risk of the Hazard:

  • Are operators driving according to the conditions of the site i.e. speed, congestion, weather, etc.

  • Are windows in the equipment clean so operator can see clearly

  • Does the operator verify the bucket is on or off when using the quick connect attachment

  • Are all attachments grounded when the machine is not in use or idle

  • Are operators within 25 feet of machine when left idle

  • Are rubber tired machines working too close to slopes or edges (must be at least 20 foot away)

  • Are employees working underneath a suspended bucket

  • Are ground personnel standing or working in blind spots/swing radius of equipment (5pts)

  • Severity/Risk of the Hazard:

  • Is the equipment shut off when being fueled

  • Is equipment shut off when not being used (no more than 15 minutes)

Concrete & Asphalt

  • Do you wish to examine Concrete & Asphalt practices on this safety walk?

  • Are employees protecting their skin with the proper PPE when needed

  • Is there vinegar & water available to neutralize any skin contact with wet concrete

  • Has silica exposures been eliminated or controlled

  • Are employees exposed to falls greater than 6 feet or working near a leading edge

  • Are proper work practices being used to avoid inhalation of asphalt fumes

  • Are flammable materials and ignition sources kept away from fresh asphalt

  • Is rebar or other impalement hazards covered

People Safety

  • Do you wish to check work crew safety knowledge at this inspection?

  • Approach at least one team member and record their responses to the following. Make clear this is not an assessment of the team member themselves, but rather the safety procedures on site.

  • Team Member
  • Has the team member attended a pre-task meeting today and a toolbox talk within the last week?

  • Does the team member know where the first aid kit is and what to do in case of an emergency?

  • Is the worker able to identify three hazards they may encounter in their tasks today?

  • Team member signature (to verify this interview took place NOT to assess their safety knowledge)

General Comments

  • Any further comments or recommendations arising from this inspection?

  • Add any additional relevant photos

  • Have all required corrective actions been added as Actions to this inspection?

  • Please add any corrective actions to the appropriate questions above before completing this report

Sign Off

  • Name & Signature of Inspector

  • Name & Signature of Site Supervisor / Foreman

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