Information

  • Branch Location

  • Conducted on

  • Prepared by

  • Location
  • Auditor

  • Employees on site:

Client information:

Work Tasks

General

  • Emergency contact numbers available?

  • First-aid supplies available?

  • Required signage posted?

  • Safe access to work areas?

  • Proper vehicle access?

Site Specific

  • Proper sign in completed?

  • Employee aware of site specific muster point?

  • Employee in compliance with client hot work permit requirements?

  • Site specific hazards identified?

  • Laptop and flow meters used in compliance with hot work regulations?

  • Client site specific training completed?

  • SPL JSA properly completed?

Personal Protective Equipment

  • Hard hats worn by employees?

  • Eye and face protection used where required?

  • Steel toe boots worn?

  • Hearing protection used where required?

  • Respiratory protection used where required?

  • Gloves used when required?

  • H2S monitor in place and in good working condition?

  • Other required PPE used when required?

  • Flame Resistant Clothing in use as outermost layer of clothing?

  • PPE in good condition?

  • PPE appropriate for the work?

Housekeeping

  • Walkways clear of material and debris?

  • Trash and debris cleaned up?

  • Extension cords and hoses kept out of walkways?

  • Liquid spills cleaned up and disposed of properly?

  • Material storage areas kept orderly and clean?

  • Trash receptacles available where required?

Fire protection

  • Fire protection equipment available?

  • Fire extinguishers charged properly?

  • Flammable materials stored properly?

  • Combustible trash cleaned up properly?

  • Proper liquid collection containers used?

Hand and power tools

  • Guards in place where required?

  • Power tools grounded properly?

  • Power tools cords in good condition?

  • Broken or defective tools taken out of service when required?

  • Hand tools in proper working condition?

  • Proper tools being used for the task?

Electrical

  • GFCI's in use?

  • Extension cords free of damage and repairs?

  • LOTO in place where required?

  • Electrical equipment grounded properly?

Operations

  • Metal collection bucket used?

  • Equipment properly grounded?

  • SOP followed?

  • Proper lifting techniques used?

  • Are all hoses and connections in good working order?

  • Proper cylinder labeling?

  • Proper Bill of Lading completed for cylinder transport?

Environmental

  • Spill control measures in place?

  • Waste collected properly?

  • Waste disposal on site?

  • Have all client waste requirements been met?

Vehicle Inspection:

  • Vehicle backed in?

  • Spill kit available?

  • Fire extinguisher available and in good working order?

  • First Aid kit available and properly stocked?

  • Vehicle condition acceptable?

  • Vehicle maintenance up to date?

  • Vehicle interior clean and organized?

  • Accident reporting forms available?

  • Emergency response book available?

Comments

  • Comments

Signature

  • Add signature

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.