Audit

Work Performed

Location

Percentage Complete

Location

Percentage Complete

Location

Percentage Complete

Location

Percentage Complete

Location

Percentage Complete
Safety

Toolbox Topic

Injuries

Near Miss

Visits

PAL

Name

Agency

OSHA

DOB

DEC

FDNY

EPA

SCA

MTA

Name and Title of Visitor(s)

Decon Area - Mixing Area

Floor Clean and Not Wet

Charged Fire Extinguisher

First Aid Kit

Signs Posted

Personal Protective Equipment

Head

Respirator

Eye

Gloves

Coveralls

Work Boots

Harness

Ladder(s)

Proper Size

Used Properly

Inspected-Good Condition

Scaffold

Pipe

Baker

Suspended-Hanging

Inspected - Good Condition

Lift

Boom

Scissor

Inspected-good Condition

Tools or Equipment

Missing?

Condition

Warehouse

Received

Good Condition (if NOT, why)

Returned

Good Condition (if NOT, why)

Signature
Photos
Draw Information
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.