Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

Emergency Procedures

  • Emergency numbers and plan posted on site?

  • First Aid Kit Available on site?

Personal Protective Equipment

  • Hard hats in use per S&A policy?

  • Safety Glasses in use when required?

Housekeeping and Safe Access

  • Safe Access into the house?

  • Ramps used for access at least 18" wide?

  • No steps or breaks in elevation greater than 19"?

  • Stairs and walkways clear of debris, trash and materials?

  • Trash and debris removed from site regularly?

Floor Openings and Stairwells

  • Handrails installed on stairs with 4 or more risers?

  • Guard rails installed on open stairways or around floor openings?

  • Floor openings covered as required?

Ladders

  • Ladders in good condition and being used properly?

Scaffolding

  • Scaffold competent person erecting scaffold? Or supervising the erection process?

  • Scaffold built properly? Good foundation, base plates, adequate mud sills? Crossbracing?

  • Fall protection in use on scaffolds over 10'?

  • Safe access?

Fall Protection

  • Written fall protection plan provided and followed?

  • PFAS in use as required for roofing work?

  • Fall protection equipment in good condition and used properly?

Excavations and Trenches

  • Existing utilities located prior to digging?

  • Proper access and egress for excavations 4' or more in depth?

  • Competent person? Soil analysis completed? Excavation inspected daily and as needed?

  • Protective measures in place for excavations greater than 5'? Boxes, benching, sloping..

  • Spoil pile in safe location?

  • Excavation protected when not on site?

Power Tools and Hand Tools

  • Tools in good condition with guards in place?

  • Properly grounded or double insulated?

  • Used properly?

Electrical

  • Cords in good condition, no damaged insulation, ground prong in place?

  • GFCI in use or Assured Grounding Program in place?

  • Lockout tagout in place as necessary?

  • Temporary lighting adequate and in good condition!

  • Generators used properly in accordance to manufacturing specs? (Some require GFCI, some require grounding, depends on size and manufacturer)

Fire Protection and Prevention

  • Fire extinguisher on site?

  • Gas cylinders kept outside building?

  • Flammable liquids stored properly?

  • Temporary heaters kept in good condition?

  • Fire extinguishers located near ignition sources?

Motor Vehicles and Heavy Equipment

  • Seat belts in use and in working condition?

  • Backup alarms and signals working properly?

  • Operators properly licensed and trained?

Materials

  • Materials stored in a safe location?

  • Proper lifting techniques used? Working smarter, not harder?

Administrative Procedures

  • Tool box topic or safety meeting held?

  • MSDS on site?

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.