Title Page
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Audit Title
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Conducted on
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Prepared by
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Location
Housekeeping
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Material stacked and orderly
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Debris properly removed (building materials, litter, nails, ect.)
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Free access/egress maintained
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Trash cans present in work area
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Restrooms available near work areas
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Slip, trip of fall hazards removed
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Other
Environmental
Personal Protective Equipment
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Hard hats
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Safety glasses
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Substantial footwear
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Appropriate high visibility
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Gloves
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Hearing protection
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Respirators
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Face shields
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Other
Tools
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Adequate guards in place
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Tools stored properly
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Right tools for job
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Tools inspected and properly uses
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Other
Electrical
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GFCIs used
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Cords in good condition and protected from traffic
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Energized parts protected
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Proper temporary/ task lighting
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Energy secured, lock out/tag out in place
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Other
Ladder/Stairs
Fall Protection
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- Action
- Safe
- On
- Off
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Fall protection plan signed and understood
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Predetermined rescue plan in place
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Fall protection at 4' on walking/working surfaces, ramps and runways
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Personal fall protection equipment inspected and in a good, working order
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Guardrail system adequate (floor, wall and roof openings guarded)
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Anchorage points in place
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Warning lines in place
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Overhead protection in place
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Implement hazards protected
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Other
Fire Protection/Hot Work
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Fuel in approved containers and stored properly
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Fire extinguishers charged and inspected
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Fire extinguishers immediately available near hot work/adequate number on site
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Hot Work permits completed and posted near hot work areas
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Combustible materials removed or shielded from hot work areas
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Appropriate PPE for workers performing welding/torching
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Other
Framing
Scaffolds
Mechanized Equipment
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Equipment inspected daily and documented prior to use
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Owners manual on hand and followed
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Workers trained
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Safety devices functioning
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Seat belts used/chain gates closed
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Back up alarms audible
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Spotters used when needed
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Other
Hoisting/Rigging Equipment
Excavation
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Competent person designated and on site
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Workers trained
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Proper access/egress
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Spoil pile at least 2' from edge
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Excavation checked daily and documented
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Shore/slope/bench (according to soil type)
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Points of access present every 25' on excavations over 4'
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Other
Confined Spaces
Site/Public Protection
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Perimeter fenced or demarcated
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Public Protection signage
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Site secured from unauthorized entry
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Street closure identified/traffic control plan
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Adequate lighting
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Falling object protection
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Other
Administration
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Worker safety orientations completed
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Required posting of (OSHA 300-A, map to hospitals, emergency contacts, safety bulletin board) posted
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First aid kit/ eye wash station are readily available
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Weekly safety safety meeting minutes/attendance roster on file?
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Weekly site inspection filed and dated
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SDS on site
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A site specific safety plan has been prepared for the project
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A site-specific safety plan has been reviewed by Consultant ( per the Contractor's request
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Contractor has verified worker training records for work being performed (per the Contractor's request)
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Other
Follow Up Items
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Other items
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Other Photos
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Outstanding defeciencies
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Pending corrective actions
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Auditor signature
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Personnel Signature
