Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Personal Protection Equipment

  • Are Team Members wearing approved safety glasses?

  • Are Team Members wearing hard hats properly?

  • Are Team Members wearing fall protection?

  • Is 100% fall protection being received?

  • Jewelry/hair/clothing do not present potential hazard?

  • Are Team Members wearing proper gloves for the task?

  • Are face-shields being utilized?

  • Are respirators being utilized as required?

  • Are Team Members dressed properly (FRC, good condition, etc.)?

  • Are Team Members wearing approved work shoes?

  • Approved eye protection used during grinding?

  • Are ear plugs being utilized in appropriate areas?

Housekeeping

  • Are wastes being removed from site and disposed of properly?

  • Are walkways/ladders accessible?

  • Are hoses, cords, and welding leads organized?

  • Are flammable/chemical material stored properly and labeled?

  • Are trash containers provided? Plastic bags?

Job Setup

  • Was a pre-job safety meeting (JSA) held before starting work?

  • Are all blind tags (client/STARCON) in place as required?

  • Are areas barricaded properly?

  • Are open holes guarded?

  • Are fire extinguishers available?

  • Excavation over 4 feet deep, is it properly shored, slopped, ladder access?

  • Are scaffolds erected properly?

  • Materials stored properly?

  • Are ladders being utilized properly?

  • Are ladders in good condition and appropriate for the work being performed?

  • Sanitary facilities available and properly maintained? Potable water?

Tooling

  • Are tools/equipment in good condition?

  • Are tools/equipment being utilized properly?

  • Are walking/working areas near equipment clear of instructions?

  • Are air and water hoses secured properly?

  • Are compressed gas cylinders secured/stored properly?

  • Are tools, equipment, and material stored properly?

Rigging -Cranes - Equipment

  • Is rigging in good condition on marked with current inspection?

  • Daily pre-task paperwork and equipment inspections performed?

  • Are proper rigging practices being utilized?

  • Insulation is removed from picking points?

  • All TM properly trained to updated crane and rigging standard?

  • Standard hand signals are being used?

Electrical

  • Are Lock-Out/Tag-Out/Try-Out procedures being followed?

  • Are cords protected from vehicles and pedestrian traffic?

  • Are welding leads in good condition?

  • Are Ground Fault Circuit Interrupters (GFCI) being utilized?

  • Are electrical tools/cords in good condition (color coded)?

Permits

  • Are all Team Members aware of permit conditions?

  • Are gas monitors being utilized properly?

  • Are all conditions on the permit being adhered to?

Evacuation Routes

  • Are Team Members aware of proper evacuation routes?

Site Conditions

  • Are weather related hazards being compensated for?

  • Is proper lifting being utilized?

  • Rotating equipment hazards compensated for?

  • Spray/splash hazards compensated for?

  • Vehicle/pedestrian traffic is not creating an unsafe condition?

Ergonomics - Posture

  • Excessive force is not exerted.

  • Pinch points being compensated for?

  • TM is in comfortable/natural position to complete task.

Confined Space

  • Adequate ventilation in use?

  • Stand by attendant performing required functions?

  • Entry log properly filled out?

  • Permit at site and all conditions being met for safe entry?

Miscellaneous/Additional

  • Any additional observations or corrections made?

  • Time/Date of Audit Review with Site Representative

  • Auditor Signatures

  • Site Representative

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.