Slips, Trips, and Falls Checklist

• Document No.

• Audit Title

• Subcontractor

  Off

  On

• Company Name

• Conducted on

  Date

• Prepared by

• Project Supervisor/Foreman

• Location
  Address

1. General Housekeeping

• 1a) Are the floors and walkways clear of obstructions and trip hazards?

  Safe

  At Risk

  N/A

• 1b) Are holes in the walking surface repaired or otherwise made safe through the use of barriers or safety signs?

  Safe

  At Risk

  N/A

• 1c) Are there any spillages and is there a system in place to ensure that all spills are reported and cleared up immediately?

  Safe

  At Risk

  N/A

• 1d) Are the walking surfaces cleaned on a regular basis?

  Safe

  At Risk

  N/A

• 1e) Are changes of direction or elevation readily identifiable?

  Safe

  At Risk

  N/A

• 1f) Are aisles and stairways free from holes, obstructions, tripping and slipping hazards? (electrical cords, materials)

  Safe

  At Risk

  N/A

• 1g) Is there adequate lighting?

  Safe

  At Risk

  N/A

• 1h) Are there protruding objects such as nails, sharp corners, rebar, and electrical wires

  Safe

  At Risk

  N/A

• 1i) Are safe lifting and carrying practices used?

  Safe

  At Risk

  N/A

2. Sanitation

• 2a) Waste containers provided and used?

  Safe

  At Risk

  N/A

• 2b) Is trash and debris laying around the jobsite?

  Safe

  At Risk

  N/A

• 2c) Are restrooms available and clean?

  Safe

  At Risk

  N/A

3. Storage

• 3a) Are materials stacked securely?

  Safe

  At Risk

  N/A

• 3b) Are materials stored in areas that do not obstruct aisle ways, stairways, exits, or fire extinguishers?

  Safe

  At Risk

  N/A

4. Equipment & Company Vehciles

• Are cabs clean?

  Safe

  At Risk

  N/A

• All items in cab secured to prevent unsafe operation of the equipment or vehilce?

  Safe

  At Risk

  N/A

Summary

• Additional Pictures

  Media

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  Date

• Tim Swaringam

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