Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PPE -Personal Protective Equipment

  • Hard hats worn properly.

  • Safety glasses, goggles, face shields worn properly.

  • Gloves worn properly.

  • High visibility clothing worn, where appropriate.

  • Hearing protection worn, where appropriate.

  • Respirators/ dust masks worn, where appropriate.

Falls

  • Housekeeping

  • Ladders and stairways used properly.

  • Scissors lifts and boom lifts

  • Scaffolding

  • Fall protection -general -guard rails.

  • Fall protection -wall and floor openings protected.

  • Fall protection - Roof.

Electrical Safety

  • Assured grounding - turtle cords & extension cords.

  • GFCI checked and marked.

  • Panel covers for live panels - Energized panel signs.

  • No exposed live parts - open J Box, KO

  • Lockout/tag out is proper.

  • Temporary Lighting

  • Temporary Power

Trenching & Excavation.

Confined Space Entry

Forklifts/ Trucks/ Mobile Equipment/Cranes.

Conduit Stub Protection

Hand & Power Tools

Air Quality

  • Silica, Lead, Asbestos, Paint Exposures controlled

Flammable Liquid Storage - Container Labeling

Fire Extinguisher in Trailer

First Aid Kit & Biohazard Kit

Traffic Control

Dealing with Public

Misc Hazards -Not Otherwise Classified

Safety Program Elements

  • Tool Box Talks, Day by Day cards

  • Job Site Postings & OSHA Log

Positive Observations/Comments

  • 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.