Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
General
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Weekly safety inspection available for review?
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Daily JSA forms for each crew available for review?
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Drinking water and cups available?
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Adequate temporary lighting in work areas?
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First aid kit stocked?
Housekeeping
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Cut hazards such as Projecting nails or screws bent over or removed?
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Walkways and passages clear to walk?
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Is material stacked and stored properly?
Personal Protective Equipment
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Employees wearing safety glasses at all times?
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Employees wearing face shield when using chop saw or angle grinder?
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Employees wearing hard hats?
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Employees wearing gloves when exposed to cut hazards?
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Employee wearing proper clothing and footwear?
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Hearing Protection worn by employees when required?
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Warning sign posted for laser?
Electrical
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GFCI protection in use on power sources?
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Employees not working in wet area with electrical equipment?
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Extension cords in good condition?
Hand and Power Tools
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Power Tools free from damage (switches, cords, and guards)?
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Hand tools free from damage ( shaft, head, splinters, etc.)?
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PAF operator have training card available for review.
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Are sanders, vacuums, hoses and bags functioning properly?
Public Protection
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Are warning signs placed to alert public (floors, trip hazards, wet paint, etc.)?
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Barricades placed to protect public from hazards?
Fire Protection
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Adequate number of fire extinguishers in place?
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Flammable materials removed from job site properly?
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Only NFPA approved containers used for fuel?
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Liquid fuel stored properly?
Ladders
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Employee using step ladder properly?
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Are spreader bars locked on step ladders?
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Are ladders being used free from damage?
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Do extension or job built ladders extend 36 inches above landing?
Rolling Scaffolding
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Rolling scaffold wheels locked when used?
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Rolling scaffold have handrails at 6 feet or above?
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Outriggers installed if double sacked?
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Does scaffold have proper access?
Fall protection
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When above 6 ft some form of fall protection is utilized, either guard rails or harness, lanyard and anchor?
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Guard rails are at appropriate heights and of sufficient strength?
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Harness and lanyard are in good shape and safe to use?
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Proper anchor points are being used?
Review
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Have any safety concerns not in our scope been brought to controlling entity and/or supervising entities attention?
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Superintendent signature
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Safety Director signature