Information

  • Audit Title

  • Client / Site

  • Location
  • Conducted on

  • Prepared by

Millenium Interiors Daily Hazard Assessment/Inspection

  • Names of workers

Worksite Environment Hazards

  • Weather

  • Area Cleanliness

  • Confined Space

  • Slips/Trips

  • Cuts/Scrapes

  • Eye Injury Risks

  • Lighting

  • Noise Level

  • Air Quality

  • Electrical Hazards/Power Lines

  • Open Pits/Excavations

  • Holes In Floor

  • Workers/Vehicles In Area

  • Welding/Cutting/Grinding In Area

Ergonomic Hazards

  • Repetitive Motions

  • Heavy Lifting

  • Awkward Body Positioning

Equipment/Power Tools

  • Guards On Saws/Grinders

  • Training Powder Actuated Tools

  • Cords In Good Condition

  • Scaffolding/Bakers

  • Tagged/Visual Inspection

  • Braces

  • Wheels

  • Decks

  • Special Conditions/Comments

Working At Heights

Please review Fall Protection Plan when: ~ Arriving at a new site ~ Environment changes require alternate plan ~ Close call occurs

  • Training In Fall Protection

  • Fall Hazards Identified

  • Workers Above/Below

  • Ladders Angle/Tied Off/Good Shape

Elevated Platforms

  • Training To Operate Lift

Inspection

  • Tires

  • Hydraulic Lines/Wires (do not use hands to inspect)

  • Joints/Lubrication/Pads

  • Labels Readable

  • Anchor Points

  • Controls Working Properly

  • Fuel Level Percentage

  • Comments

Hazards

  • Protrusions From Structure

  • Curbs

  • Power Lines/Distance

  • Manholes/Distance

  • Ground Conditions

  • Comments

Personal Protective Equipment

  • Safety Boots

  • Hard Hat

  • Safety Glasses

  • Face Sheild

  • High Visibility Vest/Clothing

  • Hearing Protection

  • Gloves

Emergency

  • Muster Point Identified

  • Evacuation Route Plan

  • First Aid Station/Personnel Identified

  • Closest Hospital

  • Add signature

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.