Administrative

  • Posters and safety signs/warnings posted where necessary?

  • HSE Manual on-site?

  • Site Specific Safety Plan completed?

  • SSSP acknowledged and signed by all personnel?

  • Personnel demonstrates knowledge of information in SSSP?

  • Toolbox safety meetings held prior to work and post-break?

  • Job Safety Analysis (JSA) completed?

  • JSA list job steps that align with work being performed?

  • Crew partcipated in interactive discussion during JSA meeting?

  • All affected employees reviewed and signed JSA?

  • Control measures in place to mitigate hazards?

  • JSA's being submitted in a timely manner?

  • Bump test being performed weekly on single gas meters?

  • Does documentation support bump tests frequency required?

  • Bump test being performed daily on multi gas meters?

  • Does documentation support daily bump tests on multi gas meters when required?

  • Visitor PPE available?

  • Job related safety training completed?

  • Personnel compliant in DISA?

  • Injuries and Illnesses reporting procedures followed?

  • Traffic routes identified?

  • Safe Work Permit procedures followed?

  • Confined Space Permit procedures followed?

  • Vehicle inspections being conducted and documented?

  • Forklift inspections being conducted and documented?

  • Inspection forms being submitted in a timely manner?

  • Heat stress illness logs being completed and submitted?

Behavioral

  • Blatant disregard to SES/Client policies and requirements?

  • Employees knowledgeable of current operation and plan?

  • Employees handling material and equipment in a safe manner?

  • Employees in the line of fire?

  • Employees using tools as intended and in a safe manner?

  • Do personnel rotate positions to prevent repetitious movement/positioning?

  • Are employees following SES and Client cell phone policy?

  • Employees using proper lifting techniques?

  • Behavioral based observations being conducted and cards submitted?

Compressors and Equipment

  • Hoses and lines inspected periodically?

  • Are compressors inspected and maintained by competent person?

  • Fittings, clamps and connectors in good condition and approved by manufacturer?

  • Whip checks/safety devices in place at couplings/connection of hoses?

  • Compressors equipped with pressure relief valves and pressure gauges?

  • Are all safety devices checked frequently?

  • Are employees prohibited from using highly compressed air for cleaning purposes?

  • Air receiver provided with a drainpipe and valve for the removal of accumulated oil and water?

Confined Space Operations

  • Area secured?

  • Signage present?

  • Attendant present and knows duties/roles?

  • Authorized entrants present and understand duties/roles?

  • Entry Supervisor present?

  • Employees trained and certified in roles fulfilled?

  • Entry equipment inspected?

  • Fire equipment available near the confined space?

  • Air monitoring sufficient?

  • Air assessment conducted and documented?

  • Ventilation adequate for the hazard?

  • Clean air flow provided?

  • Respiratory protection used when necessary?

  • Respiratory protection adequate for the hazard?

  • Rescue plan established and updated as necessary?

  • Affected employees are familiar with rescue plan?

  • Rescue plan adequate?

  • Rescue equipment inspected and inventoried periodically?

  • Confined Space protected using blocking/blanking/LOTO?

  • Training up to date for all employees working in confined space?

Electrical

  • High voltage equipment tagged with SES HV tag?

  • Electrical equipment properly maintained?

  • Equipment properly grounded?

  • Assured equipment ground program established?

  • GFCI used and tested where required?

  • Are terminal box covers being used?

  • Are circuits labeled in terminal boxes?

  • Electrical cords show signs of damage?

  • Electrical cords free of exposed wiring?

  • Electrical lines and tools used in wet areas protected?

  • Circuit breakers labeled properly?

Emergency Response

  • Emergency Action Plan on file?

  • Employee notification system in place?

  • Emergency action plan communicated to employees?

  • Employees with duties trained?

  • Exit markings/lighting adequate?

  • Number of exit routes adequate?

  • Means of egress free of obstructions?

  • Exit routes meet height and width requirements?

  • Evacuation drill conducted?

  • Spill kits available/accessible?

Fall Protection

  • Is fall protection equipment provided and adequate for work being performed?

  • Employees working at 6ft above a lower level protected?

  • Are anchor points adequate?

  • Does equipment appear to be in good condition?

  • Equipment inspected prior to each use by the user?

  • Equipment inspected by a competent inspector per manufacturer’s guidelines?

  • Are open holes, pits, sumps adequately protected?

Fire Protection

  • Adequate number and type of fire extinguisher(s) available?

  • Employees trained in fire prevention and extinguisher use?

  • SES owned fire extinguisher inspected monthly?

  • SES owned fire extinguisher(s) inspected annually?

  • Fire extinguishers provided on rental equipment inspected monthly?

  • Fire Extinguishers provided on rental equipment inspected annually?

  • Phone number of local fire dept. posted?

  • Fire extinguisher(s) provided on appropriate equipment?

  • Fire alarm available/evacuation plan established?

  • “No Smoking” signs posted and enforced?

  • Fire hydrants accessible?

Flammable Liquids and Materials

  • Are flammable/combustible liquids in approved containers and correctly labeled?

  • Empty containers removed?

  • Containers stored in approved and appropriate areas?

  • Outside storage bermed for containment?

  • Containers closed while not in use to prevent spillage?

  • Storage tanks properly grounded, bonded and pressure relief provided?

  • Cylinders stored/secured in upright position?

Fueling Operations

  • Equipment shut down prior to refueling?

  • Fuel supplies protected from accidental impact?

  • Is equipment bonded when necessary prior to refueling?

  • Is smoking/hot work prohibited near fueling operations?

  • Fueling operations done in a manner to have minimal spillage?

  • When spillage occurs, spilled fuel cleaned up completely?

  • Proper PPE being utilized during fueling operations?

Hand and Power Tools

  • Proper tool used for the job?

  • Tools being used properly?

  • Handles free of cracks and attached to tool properly?

  • Inspections and proper maintenance accomplished?

  • Neatly stored, safely carried?

  • Power cords in good condition?

  • Tools in good condition?

  • Guards in place and used correctly?

  • Tools grounded properly or double insulated?

  • Damaged or malfunctioning tools tagged out until repaired or replaced?

  • Power tools used in dry place?

HAZCOM

  • Written program available to personnel?

  • SDS’s available and current?

  • Control and disposal measure(s) established?

  • Material stored accourding to manufacturer's guidelines?

  • Log of all chemicals on site available?

  • Containers labeled?

  • Labels legible?

  • Proper signage in use?

  • Employees trained in HAZCOM?

Heat Stress Management

  • Potable drinking water adequate/available?

  • Water kept cool/ice

  • Heat stress monitoring procedures being followed?

  • Breaks taken when necessary?

  • Adequate clothing worn?

  • Employees trained on heat stress signs and prevention?

Hoisting Equipment

  • Annual inspection current?

  • Operator training current?

  • Daily inspections current?

  • Load rating posted and not exceeded?

  • Load properly secured?

  • Notification device functional?

  • Operator appears competent?

  • Rigging inspected/rated?

  • Safety latches in good condition and used?

  • Crane supported and level?

  • Means of communication adequate?

  • Outriggers extended/cribbed

  • Swing radius barricaded?

  • Tag lines used properly?

  • Weight of load verified?

Housekeeping and Sanitation

  • General neatness of work area(s)?

  • Procedures to handle hazardous waste?

  • Passageways and walkways clear?

  • Adequate lighting?

  • Waste containers provided and used?

  • Waste containers have tight fitting covers?

  • Waste containers emptied regularly?

  • Sanitary station/ facilities adequate and clean?

  • Toilet facilities adequate and accessible?

  • Adequate potable water supply and drinking cups?

  • Miscellaneous equipment, boards, debris removed?

  • Slip/Trip fall hazards protected/removed?

  • Material stacked and stored properly?

  • Eye flushing facility adequate and accessible?

  • Emergency wash down shower adequate and accessible?

Ladders and Stairs

  • Extension ladders 3’ above landing?

  • Clear of debris/materials?

  • 4:1 pitch for extension ladder?

  • Inspected prior to use?

  • Ladders secured in position?

  • Landings and treads in good condition?

  • Safe work distance from potential hazards?

  • Ladder being used for it’s intended purpose?

  • Fixed ladders/stairways in good condition?

Lockout / Tagout

  • Written LOTO procedures posted on machinery?

  • Proper use of locks for LOTO?

  • Proper use of tag for LOTO?

  • All sources of energy have been isolated?

  • All energy sources have proper shut off device?

  • Start button tested to verify shut off?

  • Training for affected employees conducted?

  • Training for authorized employees conducted?

  • Adequate number of locks issued to authorized employees?

Machine Guarding

  • One or more method of guarding in place to protect employees?

  • Point of operation protected?

  • Emergency stop buttons functional?

  • Proper signage in use?

  • Employees trained to inspect machine prior to use?

  • Process in place to replace all guarding after maintenance or repairs are complete?

Medical

  • First Aid cabinet readily accessible?

  • First Aid cabinet inspected and adequately stocked?

  • Personnel Trained in First Aid, CPR, and AED?

  • Map to medical facility adequate?

  • Means of communication adequate and functional?

  • Bloodborne Pathogen exposure plan in place?

  • Universal precautions in place?

  • PPE utilized as necessary?

  • Hepatitis B vaccination made available to employees?

  • Post exposure follow up made available?

  • BBP training provided to employees?

  • Medical records kept for duration of employment +30 years?

  • Training records kept for 3 years?

  • Bloodborne Pathogen kits available/accessible?

Motorized Equipment

  • Regular inspection and maintenance being conducted?

  • Daily inspections current?

  • Daily inspections align with condition of equipment?

  • Deficiencies corrected/repaired in a timely manner?

  • Operators trained, competent and authorized?

  • Brakes, lights, warning devices operative?

  • Weight limits and load stress controlled?

  • Personnel carried in correct manner?

  • All glass in good condition?

  • Backup signals provided?

  • Fire extinguisher(s) installed?

  • Spotter used when necessary?

  • Equipment used safely?

  • Equipment chocked when necessary?

  • Area barricaded if necessary?

  • Proper fall protection used in aerial lift?

  • Proper anchor point used in aerial lift?

  • Training documentation current?

Noise

  • Noise assessment conducted and documented by work area?

  • Written hearing conservation program in place?

  • Engineering and Administrative controls in place to reduce noise levels?

  • Hearing protection is available for employees?

  • Hearing protection training is provided?

  • Hearing protection postings/signage adequate?

  • Audiometric testing conducted annually on all affected employees?

  • Audiometric testing resulting in a threshold shift have been listed on the OSHA log?

Personal Protective Equipment

  • Protective equipment adequate for exposure?

  • Employees issued PPE where needed?

  • Is PPE being used when required?

  • Employees trained in the use of PPE?

  • Are inspections being accomplished periodically/before and after each use?

  • Adequate maintenance and sanitary storage available/utilized?

  • Eye protection?

  • Face protection (glasses, goggles, shields)?

  • Hearing protection?

  • Respirators and masks?

  • Is respiratory protection adequate for exposure?

  • Head protection?

  • Hand protection adequate for task being performed?

  • Work boots- steel toe/safety toe

  • Physicals accomplished as required?

  • FR clothing in good condition?

  • PPE in good condition?

Respiratory Equipment

  • Assessment conducted/documented?

  • Medical evaluations conducted?

  • All personnel's fit test up to date (annually testing required)?

  • Employee training documented?

  • Respirators are NIOSH approved?

  • Respirators are adequate for the hazard?

  • Employees trained on changing cartridges?

  • Respirators in good condition?

  • Respirators stored adequately?

  • Employees knowledgeable in pre-use inspection?

  • Employees trained annually?

Spill Prevention

  • Are funnels used with necessary to prevent spillage?

  • Are sensory walks being conducted around the site to ensure leaks or spills are not occurring?

  • Spill containment berms in place where required?

  • Are spill containers drained of rain water regularly?

  • Are berms erected fully?

  • Are periodic walk-arounds being conducted to ensure berms are erected?

  • Are hoses, lines and piping crossing berms chocked securely?

  • Are hoses, lines and/or piping pressing on berm, eliminating the spill containment?

  • Are hot/steam lines a safe distance from berms?

  • Do berms show signs of excessive wear, causing the sides not to fully erect?

  • Do berms show signs of damage/holes that are not repaired?

  • Are personnel aware of status/location of open ended system?

  • Open ended systems in-service being monitored effectively?

  • Are open ended systems not in-service isolated from process operation?

Walking and Working Surfaces

  • Adequate lighting provided?

  • Walkways provided in high traffic areas over piping, lines, and/or cables?

  • Floor dry and clean?

  • Covers and guardrails in place where required?

  • Hatchway and floor opening guarded?

  • Scaffolding load capacity verified?

  • Scaffolds properly braced?

  • Damaged scaffold parts removed from service?

  • Scaffold properly tagged?

Summary

  • Additional Notes

  • Auditor Signature

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