Information
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Conducted on
Audit Conducted By:
Location
Job number
Shift (Enter 1,2, or 3)
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Are they any subcontractors on site? If yes, list below.
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For the following: If item is in compliance, select "yes". If the item is not, select "no." If the item is not in compliance, type the reason in the space provided, followed by the corrective active. If the item is not in compliance and hasn't been in compliance previous to this select "repeat," followed by the reason for violation and corrective action. If item does not apply to job site select "N/A."
Personnel
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Hard hats
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Safety shoes
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Hearing protection
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Eye protection
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Safety belts
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Boots
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Rain wear
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Fire extinguishers
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First aid kits
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Head and ear protection
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Dust respirators
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Lighting
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Communications
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Ventilation
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Signs/power
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Stretcher
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Gas and oxygen detector
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Housekeeping
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Additional violations/observations
Vehicles and Trailors
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Fire extinguishers
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First aid kits
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Emergency information
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Log books
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Pre-trip inspection (completed)
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Registration and insurance
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Housekeeping
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Additional observations and corrections
Confined Space
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Tripod
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SRL wench
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Hoisting wench
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Harness
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Ventilation blower
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Gas monitor
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Perimeter protection
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Traffic protection
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Hose/piping
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Signs/power
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Trenching
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Housekeeping
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Additional observations and corrections
Traffic
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Flashers
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Barricades
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Signs
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Flags/cones
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Vests
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Additional observations and corrections
General
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Weekly toolbox meeting
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Fuel containers
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Stairways/ladders
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Material storage
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Safety hooks
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Whip checks
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Electrical (general)
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Signs
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Heating
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Housekeeping
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Lighting for night work
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Additional observations and corrections
Comments
Signature
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Site Supervisor
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Inspector
