Title Page
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Audit Title
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Client
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Jobsite Name
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Location
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Select date
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Superintendent
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Safety Representative
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Audit Conducted By
Jobsite Office
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Safety Manual & HazCom Program
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Subcontractors' Safety Manual & HazCom Program
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Fire Extinguisher
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First Aid & Bloodborne Pathogens Kit
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OSHA Posters
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OSHA 300 Log (Feb-April)
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Visitor PPE Available
Program Administration
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Emergency Action Plan
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Emergency Procedures
- EVAC Route
- Notifications/Communications
- Rally Points
- Posted Conspicuously
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Emergency Numbers & Locations
- Occupational Health Clinic
- Hospital ER
- Police/Fire/Ambulance
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Safety Meetings
- Tool Box Talks
- New Hire Orientation
- Site Safety Meetings
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Safety Audits Completed
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Pre-Task Hazard Assessments Conducted
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Other
Aerial Lifts
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Daily Inspections
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Operator Certification
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Proper Fall Protection
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Chain Latched / Gate Closed
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Platform Free of Debris
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Feet Firmly on Platform
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Other
Barricades
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Setup, Maintained & Removed (end of work)
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Signage In Place
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Roadways, Sidewalks, & Stairs Protected
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Traffic Controls in Place
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Floor & Wall Openings
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Unattended Trenches & Excavations
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Special Hazards Work Protected
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Other
Concrete and Masonry
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Impalement Hazards Protected
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Limited Access Zones Established
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Forms Installed & Braced Properly
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Adequate Shoring: Plumbed, Braced, & Inspected
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Form Materials Stored Neatly
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Protection From Silica Dust
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Concrete PPE In Use
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Concrete Wash-Out Area Available & Constructed Properly
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Other
Confined Space
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Training For: Attendant, Entrant, & Supervisor
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Rescue Procedures In Place
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Air Sampling Completed & Documented
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Permit Posted & Properly Completed
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Other
Cranes, Derricks, Hoists, & Rigging
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Annually Inspected
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Inspection & Maintanence Logs Up To Date
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Crane Operator - CCO
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Signalman Designated & Trained
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Equipment Firmly Supported, Outriggers Fully Extended
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Swing Radius Barricaded
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Rigging Equipment Inspected
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Proper Rigging Techniques Used
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Rigging Used Within Capacity
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Tag Lines In Use
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Other
Demolition
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Written Plan In Place
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Emergency Egress Maintained
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Dust & Falling Debris Control
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Adjacent Structures Shored or Guarded
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Other
Electrical & Utilities
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Live Electrical Panels Labeled "HOT"
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Energized Parts Protected
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GFCI Protection Utilized at Power Source
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LO/TO Procedures Utilized
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Insulation and Prongs Intact
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Extension Cords Out of Walkways / Suspended by Non-Conductive Material
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Temporary Lighting Guarded & All Bulbs in Place
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Temporary Lighting Suspended by Mounting Point on Cage with Non-Conductive Material
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Adequate Lighting Provided
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Safely Working Around Power Lines
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Underground Utilities Marked
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Other
Environmental
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Posting of Temporary Waste Area Properly
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Hazardous Waste Management - S.E.P.O. & Program
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Hazardous Waste Storage: Covered, Diked, Overflow/Spill Basin
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Other
Fall Protection
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Fall Protection Plan in Place (Precast/Residential)
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100% PFAS Utilized
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PFAS in Good Working Condition
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Sufficient Anchorage Points
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Fall Protection Methods in Accordance to Roof Pitch
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Leading Edges Protected
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Guardrails Constructed Properly
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Perimeter Cable Installed in Compliance & Flagged Every 6'
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Warning Lines Properly Installed
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Ironworkers with Subpart R Provisions
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Floor Holes Covered, Marked & Secured
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Other
Fire Prevention/Protection
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Fire Extinguishers Every 3,000 sq.ft, within 50 ft. Horizontally, Locaded in Stairways
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Fire Extinguisher Readily Available for Hot Work Operations
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Fire Extinguishers Inspected Annually & Monthly
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Sprinkler System Live
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Other
Fuel Storage
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Approved Containers and Potable Tanks Used & Labeled Properly
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Not Closer than 20' to a Building
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No More than 25 Gallons Stored Inside or Stored in an Approved Cabinet
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Fire Extinguisher Not Less than 20-B, Locaded within 25-75'
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Double Containment for Tanks > 50 Gallons
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Protected by Dikes or Barricades from Vehicular Collision/Damage
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Proper Labels and Signage in Place
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Other
Gas Cylinders
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Cylinders Upright, Secured & Caps On
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Oxygen & Flammables Properly Stored
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Guages Removed & Caps On When Not in Use
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Other
Hand & Power Tools
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Proper Tool for the Job
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Tools in Good Operating Condition
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Mechanical Guards in Place
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Tools Inspected Prior to Use
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Manufacturer's Recommended PPE In Use
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Cords in Good Condition
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Tools Properly Stored
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Air Compressors have Pressure Reducing Device
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Other
Health Hazards
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Asbestos
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Lead
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Silica
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Other
Heavy Equipment
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Operator Properly Trained
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Regularly Inspected
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Seat Belts Worn when Rollover Protection is in Place
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Glass is Free from Distortion
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Alarms and Lights Functioning Properly
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Other
Housekeeping & Sanitation
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Site Free of Slip, Trip, Fall Fall Hazards
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Trash in Containers
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Aisle, Stairs and Passageways Clear
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Enclosed Chute Used for Drops > 20'
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1 Toilet Per 10 Employees. Sanitation Station Available.
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Other
Ladders & Stairways
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Correct Ladder and Properly Used for the Task
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Ladders in Good Condition
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Extension Ladders Extend at Least 36' Above the Upper Landing
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Secured and at a 4:1 Pitch
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Spreader Bars Fully Open
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Steps or Ramps at Elevation Breaks >19"
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Rails at Stairs and Landings with 4 or More Risers or 30" High
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Risers are Uniform Height
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Platforms Extend at Least 20" Past Door Swing Radius
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Other
Material Storage
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10' From Exterior & 6' From Interior Leading Edges
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Material Stacked to Prevent Sliding, Falling, or Collapse
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Nails Pulled from Lumber
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Materials No Closer than 3' of Live Electrical Equipment
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Other
Personal Protective Equipment
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Hard Hats - Overhead Hazard
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Safety Glasses - Task Specific
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Faceshield - Task Specific
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Work Boots Worn
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Gloves Worn - Different Types Available Per Task
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Hearing Protection Available/Utilized
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High Visibility Clothing
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Respirators or Dust Masks Utilized
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Other
Scaffolds
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Competent Supervision: Erecting, Altering, & Dismantling
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Scaffold Tagging Procedure Utilized
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All Parts is Good Condition
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Locking Wheels, Base Plates or Mud Sills Provided
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Plumb & Square with all Bracing
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Toprails & Midrails in Adequate and Ends Protected
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Working Deck Complete & Correctly Erected
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Plank Cracks/ Splits No Longer than the Width
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Working Areas Free of Debris, Snow & Ice
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Falling Object Protection Provided
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Proper Access to Platforms
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Tied into Structure when Over 4 Times is Width
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Other
Trenching & Excavations
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Inspected by a Competent Person
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Proper Protection Per Soil Type
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Equipment Kept at a Safe Distance from Edge
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Proper Access and Egress
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Spoil Piles at Least 2' from Edge
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Adjacent Structures Shored
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Underground Utilities Located and Marked
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Equipment Access Ramp Adequate
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Other
Welding, Cuttting & Grinding
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Proper PPE Utilized
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Fire Extinguisher Readily Available
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Flashback Arrestors on Torches
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Boots on Welding Lugs
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Leads in Good Condition
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Combustibles 35' Away or Cover with Fire Blankets
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Other
Additional Contractor Notes
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#1 Other
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#2 Other
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#3 Other
Additional Subcontractor Notes
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#1 Other
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#2 Other
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#3 Other
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Inspection Reviewed With
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Audit Completion