Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Site access

  • Adequate stairs

  • Clean level ground?

  • Adequate ramps

  • Adequate ladders

  • Add media

Fire protection

  • Inspected

  • Extinguishers where required

  • Fully charged

  • Visible

  • Add media

Personal protective equipement

  • Fall protection

  • Head protection

  • Hearing protection

  • Skin protection

  • Eye and face protection

  • Respiratory protection

  • Add media

Guardrails and barricades

  • Located where required?

  • Properly constructed

  • Adequately secured

  • Add media

Ladders

  • Proper angle

  • Secured top and bottom

  • Proper size and type

  • Good condition

  • Workers following best practices

  • Add media

Public pathway

  • Minimum height and width requirements

  • Good location

  • Covered where required

  • Railing on street side

  • Lighting

  • Add media

Housekeeping

  • Clean work areas

  • Clear walkways

  • Add media

Fall protection

  • Properly worn

  • Approved fall equipement

  • Inspected prior to use

  • Control zone

  • Guardrails

  • Fall plan

  • Fall training

  • Add media

Scaffold

  • Properly planked

  • Properly imstalled

  • Properly secured

  • Toe boards

  • Acceptable loading

  • Guardrails

  • Access and egress

  • Inspected with tag in place

  • Add media

Power tools

  • Cords good condition

  • Good condition

  • Guards in place

  • Add media

Electrical safety

  • Aerial lines tagged and secured

  • LOTO

  • GFI being used

  • Locates conducted

  • Add media

Gas cylinders

  • Caps on and gauges off when stored

  • Secured properly

  • Properly hooked upworker education

  • Properly moved or lifted

  • Properly secured

  • Properly located

  • Add media

Workers requirements

  • Right to refuse

  • Responsible to report

  • Hazard identification

  • WHMIS training

  • Injury reporting

  • Add media

First aid

  • First aid kit

  • First aid personnel

  • First aid room

  • Add media

Cranes and Hoists

  • Safe set up

  • Maintenance log available

  • Trained operator

  • Condition of rigging

  • Safety catches on all hooks

  • Proper use of tag lines

  • Trained rigger

  • No one under loads

  • Communications

  • Add media

Traffic control

  • Properly located

  • Appropriate delimitation and sinage

  • High visibility

  • Traffic plan

  • Trained traffic controllers

  • Add media

Welding

  • Rods and cylinders labeled properly

  • MSDS available

  • Properly secured ground cables

  • Proper eye protection

  • Proper exhaust system

  • Proper screening

  • Cylinders secure

  • Fire extinguishers available

  • Hot work permit

  • Add media

Elevated work platform

  • Worker training

  • Proper use

  • Inspected prior to use

  • Acceptable loading

  • Manufactures operating manual

  • Fall protection used

  • Fall protection plan

  • Fall protection training

  • Add media

Electricity

  • Locates for buried survices

  • Overhead services flagged and guarded

  • Limits of approach

  • LOTO

  • Worker training

  • Signs and control zones

  • Add media

Signs and print material

  • Regukations

  • Safety posters

  • SDS

  • Warning signs

  • Emergency phone list

  • Add media

Material storage

  • Properly located

  • Safely piled,stacked,bundled

  • Properly moved or lifted

  • Properly labeled

  • Add media

Trenching and excavations

  • Properly sloped

  • Soil placed properly

  • Proper shoring

  • Access egress

  • Material stored above trench

  • Add media

Confined space

  • Proper access

  • Air tested prior to entry

  • Rescue equipement

  • Safety harness, lifeline properly anchored and used

  • Safety wach

  • Ongoing monitoring

  • Enters permit

  • Control zone

  • Confined space training

  • Add media

Scaffod

  • Competent worker installation

  • Fall protection

  • Sills properly imstalled

  • Screw jacks being used

  • Base plates and screw jacks connected to the frame and in contact with the sills

  • Scaffold level and plum

  • Scaffold leg braced

  • Guardrails in place

  • All clamps secure

  • Scaffold secured

  • Control zone

  • Planks 12" minimum overlap and extend beyond 6"

  • Toe boards

  • Access and egress

  • Scaffold Inspection. Tag in place

  • Engineers drawings

  • Add media

Mobile equipement

  • Pre trip inspection

  • Workers wearing high visibility

  • Control zones

  • Certified operator

  • Add media

  • Add signature

  • Add signature

  • 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.