Audit

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
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.