Safety Walk Checklist

• Audit Title

• Client / Site

• Conducted on

  Date

• Document No.

• Prepared by

• Location
  Address

• Personnel

Project Information

• Project Name & Entity

• Project EA Number

Site Location

• Building name, floor level, department name and/or room number

Site Details

• Use this audit to assess the following aspects of this site as Safe, At Risk or Not Applicable. Unsafe response indicate that attention is required to bring items to a satisfactory standard. Notes and photos should be attached where appropriate, particularly to At Risk items.

Work Areas

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

  Yes

  No

  N/A

• General Housekeeping (neat, tidy, dust free)

  Safe

  At Risk

  N/A

• Walkways (free of debris and obstructions)

  Safe

  At Risk

  N/A

• Work Surfaces (clear of clutter and dust)

  Safe

  At Risk

  N/A

• Sides or Holes (safety guards or covered)

  Safe

  At Risk

  N/A

• Impalement Hazards (none present, or adequately marked)

  Safe

  At Risk

  N/A

• Material Storage/Lay Down (neat and tidy)

  Safe

  At Risk

  N/A

Personal Protective Equipment (PPE)

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

  Yes

  No

  N/A

• Hard Hats (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Safety Glasses with Side Shields (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Face Shield / Goggles (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Respiratory Protection (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Hearing Protection (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Appropriate Clothing (in safe condition)

  Safe

  At Risk

  N/A

• Gloves (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Foot Protection (fit for task, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

Fall Protection Equipment

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

  Yes

  No

  N/A

• Fall protection equipment inspected inspected regularly and before use

  Safe

  At Risk

  N/A

• Appropriate for task and used properly by crew where applicable

  Safe

  At Risk

  N/A

• Suitable Anchorage Points

  Safe

  At Risk

  N/A

Ladders

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

  Yes

  No

  N/A

• Ladders are well maintained and in satisfactory condition

  Safe

  At Risk

  N/A

• Ladder base, footing and set up is to standard

  Safe

  At Risk

  N/A

• Proper Ladder for Task

  Safe

  At Risk

  N/A

Tools and Equipment

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

  Yes

  No

  N/A

• General condition of tools

  Safe

  At Risk

  N/A

• Tools and Equipment inspections take place and are recorded

  Safe

  At Risk

  N/A

• Right tools are being used for tasks

  Safe

  At Risk

  N/A

• Crew members are trained to be competent in the tools appropriate for their work tasks

  Safe

  At Risk

  N/A

Excavations

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

  Yes

  No

  N/A

• Access/Egress is safe and frequency of egress is acceptable

  Safe

  At Risk

  N/A

• Shoring/Shielding/Sloping is safe

  Safe

  At Risk

  N/A

• Barricades are in place as required

  Safe

  At Risk

  N/A

• Spoil Pile

  Safe

  At Risk

  N/A

Electrical Safety

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

  Yes

  No

  N/A

• Ground fault circuit interrupters in use

  Safe

  At Risk

  N/A

• Extension Cords are not causing trip hazards or used inappropriately

  Safe

  At Risk

  N/A

• Power Tools are undamaged and being used fit for purpose

  Safe

  At Risk

  N/A

Personnel

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

  Yes

  No

  N/A

• Behavior is orderly and professional

  Safe

  At Risk

  N/A

• Clear communication is possible without needing to shout

  Safe

  At Risk

  N/A

• Proper lifting technique demonstrated

  Safe

  At Risk

  N/A

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

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

  Yes

  No

  N/A

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

Sign Off

• Name & Signature of Inspector

  Sign