Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Documentation/Supplies

  • 1.1. Company safety manual accessible?

  • 1.2. Safety Data Sheets on file or in binder?

  • 1.3. First aid kit available and adequate?

  • 1.4. Job safety and health protection poster?

  • 1.5. Site evacuation procedures posted? (If applicable)

  • 1.6. Emergency Telephone numbers posted including name and number of closest medical facility?

  • 1.7. Workers comp carrier notification?

  • 1.8. OSHA 300 log posted ( feb 1- April 30)

  • 1.9. Orientation program in place?

2. Hand and Power Tools

  • 2.1. Tools maintained in safe condition?

  • 2.2. Guards in place and operable?

  • 2.3. Cords and hoses protected from damage?

3. Scaffolds

  • 3.1. Scaffold erected by qualified workers?

  • 3.2. Scaffold safe and complete?

  • 3.3. Scaffold inspected per protocol?

  • 3.4. Scaffold components are compatible and meet OSHA?

  • 3.5. Safe Work Load (SWL) not exceeded? (tools, stored materials, number of persons)

4. Lifting Equipment

  • 4.1. Rigging and lifting equipment in safe condition and in good working order?

  • 4.2. Loads not lifted over persons, close proximity to obstacles incl. overhead power lines?

  • 4.3. Rigging and lifting equipment being maintained and inspected per protocol?

  • 4.4. Load capacity visible on lifting equipment?

  • 4.6. Safe rigging practices being utilized?

  • 4.7. Riggers have been trained to standard?

  • 4.8. Rigging and lifting equipment stored properly?

5. Fall Protection and Prevention

  • 5.1. Harness utilized where needed?

  • 5.2. Fall arrest system in safe condition?

  • 5.3. Harness worn properly?

  • 5.4. Employees trained in the use, limitation, and care of fall protection?

  • 5.5. Floor hole coverings installed properly?

  • 5.6. Anchorage point capable of supporting falling load forces?

  • 5.7. Leading edge protected from falls?

6. Ladders

  • 6.1. Ladder in safe condition?

  • 6.2. Ladder positioned correctly?

  • 6.3. Ladder properly secured?

  • 6.4. Ladder suitable for job? (e.g. nonmetal ladder used for electrical work)

7. Signage and Warning Equipment

  • 7.1. Warning signs in place, visible and in good condition?

  • 7.2. Emergency exits clearly marked and visible?

  • 7.3. Traffic control signs in place, visible and in good condition?

  • 7.4. Safe load limits marked on shelves and platforms?

  • 7.5. Accident prevention tags used as needed?

8. Fire Prevention

  • 8.1. Proper flammable storage in place and utilized?

  • 8.2. Secondary spill containment equipment provided where needed?

  • 8.3. Chemical and flammable segregated from incompatibles?

  • 8.4. Storage areas marked and posted?

  • 8.5. Flammable liquids stored properly?

  • 8.6. Flammable gases stored properly?

  • 8.7. Adequate means of ventilation for storage provided?

  • 8.8. Fire extinguisher inspected, fully charged with seal and tag?

  • 8.9. Fire equipment accessible and clear of debris

  • 8.10. Fire extinguisher tags clearly marked over fire extinguishers?

9. Emergency Response

  • 9.1. Employees aware of procedure for reporting incidents?

  • 9.2. Eye wash/safety shower available when necessary?

  • 9.3. Adequate communication equipment available?

  • 9.4. Trained first aid and CPR personnel provided?

10. Sanitation, Lighting, and Drinking Water

  • 10.1. Bathroom facilities adequate and maintained?

  • 10.2. Hand wash facilities provided as required?

  • 10.3. Work area provided with sufficient lighting?

  • 10.4. Drinking water containers labeled and sealed?

  • 10.5. Water coolers regularly filled and cleaned?

11. Personal Protective Equipment (PPE)

  • 11.1. Hard hats worn correctly and in good condition when needed?

  • 11.2. Eye protection worn correctly and in good condition when needed?

  • 11.3. Proper glove selected and worn for the task being performed?

  • 11.4. Proper respiratory protective equipment selected and used?

  • 11.5. Proper foot protection selected and being used?

  • 11.6. Hearing protection used in required areas?

12. Housekeeping

  • 12.1. Work areas clean and free of excess trash and debris?

  • 12.2. Walking and working surfaces clear of clutter to allow safe passage?

  • 12.3. Items maintained in elevated work areas to prevent falling to areas below?

  • 12.4. Exposed rebar ends protected?

13. Electrical Hazards

  • 13.1. GFCI used at power source when required.

  • 13.2. Temporary lighting in good condition and guards in place?

  • 13.3. Electrical panels and disconnects clear of debris and/or materials?

  • 13.4. Live parts covered or guarded?

  • 13.5. Outlets not over loaded?

  • 13.7. Electrical equipment not near water?

  • 13.8. Electrical equipment not near flammables?

  • 13.9. Electrical cords protected from moving equipment or damage?

  • 13.12. Lock-out/tag-out (LOTO) procedures in place for electrical equipment?

14. Environmental

  • 14.1. Environmental Management plan (EMP) in place where needed?

  • 14.2. Dust suppression system adequate where needed?

  • 14.3. Spill clean up material available where needed?

  • 14.4. Drums labeled and in good condition?

15. Excavations and Trenches

  • 15.1. One call made prior to soil disturbance?

  • 15.2. Safe means of access provided at required intervals?

  • 15.3. Excavation free of cracks, sloughing material or water?

  • 15.4. Spoil pile located at least 2' from edge of excavation or trench?

  • 15.5. Excavation or trench stepped, sloped or shored as per soil classification?

  • 15.6. Trench box positioned correctly and providing adequate protection?

  • 15.7. Shoring installed correctly and providing adequate protection?

  • 15.8. Excavation protected from vehicular traffic?

  • 15.9. Proper barricades and warning signs/lights installed when required?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.