Information

  • Conducted on

Audit Conducted By:

Location

Job number

Shift (Enter 1,2, or 3)

  • Are they any subcontractors on site? If yes, list below.

  • 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

  • Hard hats

  • Safety shoes

  • Hearing protection

  • Eye protection

  • Safety belts

  • Boots

  • Rain wear

  • Fire extinguishers

  • First aid kits

  • Head and ear protection

  • Dust respirators

  • Lighting

  • Communications

  • Ventilation

  • Signs/power

  • Stretcher

  • Gas and oxygen detector

  • Housekeeping

  • Additional violations/observations

Vehicles and Trailors

  • Fire extinguishers

  • First aid kits

  • Emergency information

  • Log books

  • Pre-trip inspection (completed)

  • Registration and insurance

  • Housekeeping

  • Additional observations and corrections

Confined Space

  • Tripod

  • SRL wench

  • Hoisting wench

  • Harness

  • Ventilation blower

  • Gas monitor

  • Perimeter protection

  • Traffic protection

  • Hose/piping

  • Signs/power

  • Trenching

  • Housekeeping

  • Additional observations and corrections

Traffic

  • Flashers

  • Barricades

  • Signs

  • Flags/cones

  • Vests

  • Additional observations and corrections

General

  • Weekly toolbox meeting

  • Fuel containers

  • Stairways/ladders

  • Material storage

  • Safety hooks

  • Whip checks

  • Electrical (general)

  • Signs

  • Heating

  • Housekeeping

  • Lighting for night work

  • Additional observations and corrections

Comments

Signature

  • Site Supervisor

  • Inspector

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.