Title Page
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Project Name:
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Project Manager:
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Foreman / Onsite Representative:
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Subcontractors:
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Construction Manager / Owner:
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Number of employees on site?
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Prepared by:
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Date:
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Division:
- Cleveland
- Toledo
- Technologies
- Akron
- Mansfield
- Dayton
- Firelands
Jobsite Documents
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Corporate Safety Program Manual
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SDS Book
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Site Emergency Action Plan
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Pre-Task Plan
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Toolbox Talks
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First Aid Kit / Eyewash
General Conditions
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Jobsite orderly
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Slip / trip hazards controlled
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Exits marked and unobstructed
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Traffic hazards controlled
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Adequate lighting
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Rebar capped
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Rigging & tools in good condition
Competent Person
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First Aid / CPR
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Aerial Lift / Scissors Lifts
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Scaffolds
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Energized Work
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Confined Space
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Mobile Equipment
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Crane / Rigging
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Powder Actuated Tools
PPE
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Hard hats correct
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Proper eye protection
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Proper gloves for the task
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Proper foot protection
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Proper clothing - FR or high visibility
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Arc flash PPE
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Face protection as required
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Hearing protection as required
Electrical
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Lockout procedure followed
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All outlets / tools GFCI
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Panels covered, locked and labeled
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Openings in cabinets or boxes covered
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Conductors secured properly
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Temp splices covered
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Temp lights elevated & lamps caged
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Energized Work Plan / Permit used
Fall Protection
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Protection from openings / edges / holes
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Guardrail systems correct
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Fall arrest systems used properly
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Retractable below 17 feet
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Protection from falling objects
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Tie-off in aerial lifts
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Lifts inspected & operator trained
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Scaffold inspected and used properly
Fire Protection
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Fire extinguisher inspected & available
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Fire control systems unobstructed
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Hot Work Permit where required
Ladders
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Ladders in good condition
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Properly set up
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Properly used
Confined Space
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Employees trained
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Permit followed
Excavations
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Utilities located (OUPS)
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Inspected by a competent person
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Notes / Comments?
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Person conducting the audit:
