Title Page

  • Audit Title

  • Client

  • Jobsite Name

  • Location
  • Select date

  • Superintendent

  • Safety Representative

  • Audit Conducted By

Jobsite Office

  • Safety Manual & HazCom Program

  • Subcontractors' Safety Manual & HazCom Program

  • Fire Extinguisher

  • First Aid & Bloodborne Pathogens Kit

  • OSHA Posters

  • OSHA 300 Log (Feb-April)

  • Visitor PPE Available

Program Administration

  • Emergency Action Plan

  • Emergency Procedures

  • Emergency Numbers & Locations

  • Safety Meetings

  • Safety Audits Completed

  • Pre-Task Hazard Assessments Conducted

  • Other

Aerial Lifts

  • Daily Inspections

  • Operator Certification

  • Proper Fall Protection

  • Chain Latched / Gate Closed

  • Platform Free of Debris

  • Feet Firmly on Platform

  • Other

Barricades

  • Setup, Maintained & Removed (end of work)

  • Signage In Place

  • Roadways, Sidewalks, & Stairs Protected

  • Traffic Controls in Place

  • Floor & Wall Openings

  • Unattended Trenches & Excavations

  • Special Hazards Work Protected

  • Other

Concrete and Masonry

  • Impalement Hazards Protected

  • Limited Access Zones Established

  • Forms Installed & Braced Properly

  • Adequate Shoring: Plumbed, Braced, & Inspected

  • Form Materials Stored Neatly

  • Protection From Silica Dust

  • Concrete PPE In Use

  • Concrete Wash-Out Area Available & Constructed Properly

  • Other

Confined Space

  • Training For: Attendant, Entrant, & Supervisor

  • Rescue Procedures In Place

  • Air Sampling Completed & Documented

  • Permit Posted & Properly Completed

  • Other

Cranes, Derricks, Hoists, & Rigging

  • Annually Inspected

  • Inspection & Maintanence Logs Up To Date

  • Crane Operator - CCO

  • Signalman Designated & Trained

  • Equipment Firmly Supported, Outriggers Fully Extended

  • Swing Radius Barricaded

  • Rigging Equipment Inspected

  • Proper Rigging Techniques Used

  • Rigging Used Within Capacity

  • Tag Lines In Use

  • Other

Demolition

  • Written Plan In Place

  • Emergency Egress Maintained

  • Dust & Falling Debris Control

  • Adjacent Structures Shored or Guarded

  • Other

Electrical & Utilities

  • Live Electrical Panels Labeled "HOT"

  • Energized Parts Protected

  • GFCI Protection Utilized at Power Source

  • LO/TO Procedures Utilized

  • Insulation and Prongs Intact

  • Extension Cords Out of Walkways / Suspended by Non-Conductive Material

  • Temporary Lighting Guarded & All Bulbs in Place

  • Temporary Lighting Suspended by Mounting Point on Cage with Non-Conductive Material

  • Adequate Lighting Provided

  • Safely Working Around Power Lines

  • Underground Utilities Marked

  • Other

Environmental

  • Posting of Temporary Waste Area Properly

  • Hazardous Waste Management - S.E.P.O. & Program

  • Hazardous Waste Storage: Covered, Diked, Overflow/Spill Basin

  • Other

Fall Protection

  • Fall Protection Plan in Place (Precast/Residential)

  • 100% PFAS Utilized

  • PFAS in Good Working Condition

  • Sufficient Anchorage Points

  • Fall Protection Methods in Accordance to Roof Pitch

  • Leading Edges Protected

  • Guardrails Constructed Properly

  • Perimeter Cable Installed in Compliance & Flagged Every 6'

  • Warning Lines Properly Installed

  • Ironworkers with Subpart R Provisions

  • Floor Holes Covered, Marked & Secured

  • Other

Fire Prevention/Protection

  • Fire Extinguishers Every 3,000 sq.ft, within 50 ft. Horizontally, Locaded in Stairways

  • Fire Extinguisher Readily Available for Hot Work Operations

  • Fire Extinguishers Inspected Annually & Monthly

  • Sprinkler System Live

  • Other

Fuel Storage

  • Approved Containers and Potable Tanks Used & Labeled Properly

  • Not Closer than 20' to a Building

  • No More than 25 Gallons Stored Inside or Stored in an Approved Cabinet

  • Fire Extinguisher Not Less than 20-B, Locaded within 25-75'

  • Double Containment for Tanks > 50 Gallons

  • Protected by Dikes or Barricades from Vehicular Collision/Damage

  • Proper Labels and Signage in Place

  • Other

Gas Cylinders

  • Cylinders Upright, Secured & Caps On

  • Oxygen & Flammables Properly Stored

  • Guages Removed & Caps On When Not in Use

  • Other

Hand & Power Tools

  • Proper Tool for the Job

  • Tools in Good Operating Condition

  • Mechanical Guards in Place

  • Tools Inspected Prior to Use

  • Manufacturer's Recommended PPE In Use

  • Cords in Good Condition

  • Tools Properly Stored

  • Air Compressors have Pressure Reducing Device

  • Other

Health Hazards

  • Asbestos

  • Lead

  • Silica

  • Other

Heavy Equipment

  • Operator Properly Trained

  • Regularly Inspected

  • Seat Belts Worn when Rollover Protection is in Place

  • Glass is Free from Distortion

  • Alarms and Lights Functioning Properly

  • Other

Housekeeping & Sanitation

  • Site Free of Slip, Trip, Fall Fall Hazards

  • Trash in Containers

  • Aisle, Stairs and Passageways Clear

  • Enclosed Chute Used for Drops > 20'

  • 1 Toilet Per 10 Employees. Sanitation Station Available.

  • Other

Ladders & Stairways

  • Correct Ladder and Properly Used for the Task

  • Ladders in Good Condition

  • Extension Ladders Extend at Least 36' Above the Upper Landing

  • Secured and at a 4:1 Pitch

  • Spreader Bars Fully Open

  • Steps or Ramps at Elevation Breaks >19"

  • Rails at Stairs and Landings with 4 or More Risers or 30" High

  • Risers are Uniform Height

  • Platforms Extend at Least 20" Past Door Swing Radius

  • Other

Material Storage

  • 10' From Exterior & 6' From Interior Leading Edges

  • Material Stacked to Prevent Sliding, Falling, or Collapse

  • Nails Pulled from Lumber

  • Materials No Closer than 3' of Live Electrical Equipment

  • Other

Personal Protective Equipment

  • Hard Hats - Overhead Hazard

  • Safety Glasses - Task Specific

  • Faceshield - Task Specific

  • Work Boots Worn

  • Gloves Worn - Different Types Available Per Task

  • Hearing Protection Available/Utilized

  • High Visibility Clothing

  • Respirators or Dust Masks Utilized

  • Other

Scaffolds

  • Competent Supervision: Erecting, Altering, & Dismantling

  • Scaffold Tagging Procedure Utilized

  • All Parts is Good Condition

  • Locking Wheels, Base Plates or Mud Sills Provided

  • Plumb & Square with all Bracing

  • Toprails & Midrails in Adequate and Ends Protected

  • Working Deck Complete & Correctly Erected

  • Plank Cracks/ Splits No Longer than the Width

  • Working Areas Free of Debris, Snow & Ice

  • Falling Object Protection Provided

  • Proper Access to Platforms

  • Tied into Structure when Over 4 Times is Width

  • Other

Trenching & Excavations

  • Inspected by a Competent Person

  • Proper Protection Per Soil Type

  • Equipment Kept at a Safe Distance from Edge

  • Proper Access and Egress

  • Spoil Piles at Least 2' from Edge

  • Adjacent Structures Shored

  • Underground Utilities Located and Marked

  • Equipment Access Ramp Adequate

  • Other

Welding, Cuttting & Grinding

  • Proper PPE Utilized

  • Fire Extinguisher Readily Available

  • Flashback Arrestors on Torches

  • Boots on Welding Lugs

  • Leads in Good Condition

  • Combustibles 35' Away or Cover with Fire Blankets

  • Other

Additional Contractor Notes

  • #1 Other

  • #2 Other

  • #3 Other

Additional Subcontractor Notes

  • #1 Other

  • #2 Other

  • #3 Other

  • Inspection Reviewed With

  • Audit Completion

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.