Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Previous Recommendations

  • Was recommendation 1, from last safety review, implemented?

  • Was recommendation 2, from last safety review, implemented?

  • Was recommendation 3, from last safety review, implemented?

Injury And Illness Prevention Program

  • Is the written Injury and Illness Prevention Program in the safety Policy manual?<br>

  • Do you have a person who is responsible and has authority for overall activities of the Injury and Illness Prevention Program?

  • Do you have a system for identifying and evaluating your workplace hazards?

  • Do you maintain an ongoing safety training program?

  • Do you have a system in place that ensures employees will be recognized for safe and healthful work practices?

  • Will employees be disciplined for unsafe safety or health acts?

  • No late reporting of injuries?

  • Is there a labor-management safety committee? (10 or more employees)

  • Is the unit achieving EIF Target?

  • Is the unit achieving SIF Target?

Employer Posting

  • Is the OSHA poster Safety and Health Protection on the Job displayed in a prominent location where all employees are likely to see it?

  • Weekly safety message displayed?

  • Do employees know the weekly safety message?<br>

  • Emergency telephone numbers posted where they can be found in a emergency?

  • Where employees may be exposed to toxic substances, Material Safety Data Sheets been posted or made readily available?

  • Safety Board established and maintained?

Housekeeping and Sanitation

  • Ventilation and illumination adequate in all areas.

  • Aisles and passageways clear and unobstructed.

  • Adequate water provided.

  • Sanitary facilities furnished/maintained.

  • Storage and equipment rooms clean and orderly.

  • All waste materials deposited in proper containers.

  • Compressed gas cylinders secured properly in vertical position?

Material Handling

  • Mechanical lifts used where practical.

  • Material staged to minimize lifting and carrying.

  • Rigging equipment in good condition.

  • Employees do not bend over to lift heavy items?

  • Employees do not twist when lifting and lowering materials. (Turn their whole body instead)

  • Carts not overloaded?

  • Is there safe clearance for equipment through aisles and doorways?

  • Are aisle ways designated, permanently marked, and kept clear to allow unhindered passage?

  • Do employees know ways to prevent lifting injuries?

Slip/Trip/Fall Prevention

  • General trades - 6 foot fall rule applies.

  • Employees tied to adequate anchorage points.

  • Active use or posting of wet floor hazard barricades when mopping or stripping?

  • Harness/lanyards in good condition.

  • Standard guardrails in compliance.

  • Skylights properly guarded.

  • Openings to lower level properly guarded.

  • Floor opening covered, secured and marked.

  • Ice Melt / Salt available in winter?

  • Inspect ladder before use?

  • Are all ladders maintained in good condition, joints between steps & side rails tight, hardware & fittings securely attached & movable parts operating freely without binding or undue play?

  • Are non-slip safety feet provided on each ladder?

  • Are ladder rungs and steps free of grease and oil?

  • Is it prohibited to place a ladder in front of doors opening toward the ladder except when the door is blocked open, locked or guarded?

  • Is it prohibited to place ladders on boxes, barrels, or other unstable bases to obtain additional height?

  • Step ladders used only in the open position.

  • Do employees know ways to prevent slip, trip, fall injuries?

Personal Protective Equipment and Clothing

  • Eye protection worn 100% of the time.

  • Head protection worn 100% of the time.

  • Hearing protection worn in designated areas.

  • Face shield and safety glasses worn when grinding.

  • Respirators worn with prior approval.

  • Suitable filter lenses worn when welding or cutting.

  • Eye protection worn under welding hood.

  • Proper foot wear worn when required.

  • Do employees know how often to inspect PPE?

Electrical

  • Temporary wiring systems installed/protected.

  • Covers installed on "hot" panels.

  • Electrical danger signs posted.

  • Proper lockout/tagout procedures used.

  • GFCI protection used.

  • Extension cords in good condition.

  • Extension cords routed to eliminate trip hazards.

  • Temporary lighting bulbs protected.

  • Temporary outlets not overloaded.

Trench and Excavation

  • One call made for location of existing utilities.

  • Utilities have been identified.

  • Competent person performs daily inspections

  • Proper slope/bench/shoring if 5 feet or deeper.

  • Proper access/egress provided if 4 feet or deeper.

  • Access/egress points within 25 feet of employees.

  • Adequate barricades in place.

  • Stop logs/warning system in place for vehicles.

  • Spoil pile back at least 2 feet from excavation edge.

Scaffolding

  • Competent person on site when in use.

  • Scaffold inspected and tagged by competent person.

  • Guardrails and toe boards on scaffolds over ten feet high.

  • Ladder provided for access to scaffold platform.

  • Platform is fully decked and is of scaffold grade.

  • Scaffold free of visible damage.

  • All pins and braces in place and locked.

  • Wheels locked on rolling scaffold when in use.

  • Scaffold erected on firm and substantial surface.

Motor vehicle and Earth moving equipment

  • Alarm or spotter used if obstructed view to the rear.

  • Side by side dumping prohibited.

  • Seatbelts being worn.

  • Bi-directional machines have operative horn.

  • Maintains clear distance from dumping trucks.

  • Company vehicles travel at safe speeds

Crane and Rigging Safety

  • At least 10 foot clearance (electrical lines 50 kV or less).

  • Outriggers properly placed and used for all lifts.

  • Matting placed under each outrigger float.

  • Documented inspections (annual, monthly, daily).

  • Load capacity chart posted in cab of crane.

  • Proper barricade around swing radius of crane.

  • Slings, hooks, and chokers are in good condition.

  • Signal person used when crane is moving.

  • Employees are not under suspended loads.

Aerial Lifts

  • Employees standing firmly on platform.

  • Harness and lanyard worn on articulating lifts.

  • Lanyard attached to anchor point inside of lift.

  • At least 10 foot clearance (electrical lines 50 kV or less).

Tools - hand and power

  • Proper use of tool.

  • No visible damage to tool.

  • Cord not damaged and ground pin in place.

  • GFCI protection used.

  • Proper shields and guards in place.

  • Certification for powder actuated tool operation.

  • Safety clips or pins in place on air hose connections.

  • Proper PPE is being used.

  • Do employees know what to do when they have a broken tool?<br>

Chemical Safety

  • Are employees trained in the safe handling practices of hazardous chemicals?

  • Are eyewash fountains and safety showers provided in areas where corrosive chemicals are handled?

  • Flammable liquids stored in approved containers.

  • Are all containers, such as vats, storage tanks, etc., labeled as to their contents, e.g., "CAUSTICS"?

  • Are all employees required to use personal protective clothing and equipment when handling chemicals? (gloves, eye protection, respirators, etc.)

  • Oxygen cylinders stored 20 feet from fuel gas cylinders.

  • Cylinders labeled either empty of full.

  • LP cylinders are not stored in buildings.

  • Are flammable or toxic chemicals kept in closed containers, and below eye level when not in use?

  • Have standard operating procedures been established and are they being followed when cleaning up chemical spills?

  • Do employees know the location of the MSDS sheets?

  • Do employees know what to do when they find a chemical bottle that is not labeled?<br>

Emergency Action Plan

  • Do you have an emergency action plan?

  • Have emergency escape procedures and routes been developed and communicated to all employers?

  • Complete first aid kit accessible?

  • Do the employees know their responsibilities: For reporting emergencies? During an emergency? For conducting rescue and medical duties?

Exiting

  • Are there sufficient exits to permit prompt escape in case of emergency?

  • Do the exit doors open from the direction of exit travel without the use of a key or any special knowledge or effort when the building is occupied?

  • Where panic hardware is installed on exit door, will it allow the door to open by applying a force of 15 pounds or less in the direction of the exit traffic?

Fire Protection

  • Fire extinguishers of proper size and type for each location properly charged. Within 100 feet of work.

  • Does not block or obstruct fire exits, extinguishers or electrical panels?

  • No smoking rule enforced in restricted areas.

  • Monthly visual inspections of portable fire extinguishers.

  • Heaters are a safe distance from combustibles.

  • Hot work permit issued when required.

Work Zones

  • Signs in good condition/non-conflicting/clear view/proper position.

  • Message sign - appropriate message/proper position.

  • Flaggers certified/visible/properly positioned/ flagging correctly/advanced warning signs.

  • Misc. - adequate buffer/material and equipment properly stored/work area protected/evidence of accidents.

Environmental

  • SWPPP measures intact.

  • Storm water properly disposed.

  • Spill kit available.

  • With above ground storage tanks, is fire extinguisher present.

  • Tanks are more than 20 feet from building.

  • Spill kits and extinguisher located on trucks with auxiliary fuel tanks.

Masonry

  • Protruding rebar guarded or protected.

  • PPE provided for employees.

  • Wash stations near working area.

  • Compressed air concrete pumping hoses equipped with joint connectors.

  • Non-conductive bull float handles used where electrical exposure might occur.

  • Shoring erected per drawings and inspected before/during/after concrete placement.

  • Formwork not removed until concrete has gained sufficient strength.

  • Precast concrete sections adequately supported until permanent connections are made.

  • Embedded lifting inserts capable of supporting 2 times maximum load.

  • Lifting hardware capable of supporting 5 times maximum intended load.

  • Restricted employee access under precast concrete members.

  • Limited access zone established for masonry wall construction

  • Masonry walls over 8 foot adequately braced.

Safety Education

  • Superintendent or other Unit Manager successfully completed 30-Hour OSHA construction Training Course. Must substantiate by presenting U.S. Department of Labor OSHA Completion Card or Certificate.

Employee Recommendations

  • Do employees have concerns or recommendations?

Recommendations

  • Recommendation 1

  • Recommendation 2

  • Recommendation 3

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.