Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Personnel
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Truck/Trailer #
JRA/JSA
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Is the document completed and on location?
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Have all employees signed, supervision has approved the procedure.
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Document contains: step by step analysis of the signed tasks.
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All hazards associated with job steps have been identified I document.
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Have controls been identified. (Engineering, administration, PPE)
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PPE assessment has been done according to hazards and has been placed on document.
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Employee competent of job steps, hazard identification, and controls.
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Had a muster point been identified and contact information provided on the document.
Site conditions
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Designated parking, eating, and smoking areas are established; and are enforced.
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Trash/Debris not accumulating.
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Restrooms/sanitation had been assessed.
Tools/Equipment
PPE
Hazcom
LOTO
Working at heights
Electrical
Confined space
Hot work
Lifting/Rigging
Contractor service work
Comments
