Audit

ALL OBSERVATIONS MUST BE ANNOUNCED

Type of Observation
Personal Protection

Is the employee wearing PPE when performing task?

Head

Work Vest

Eyes

Ears

Harness / Lanyard

Hands

Feet

Respiratory

Slips, Trips, & Falls

Is there anything that can cause the employee to Slip, Trip, or, Fall?

Housekeeping

Ladders

Stairs

Open Holes

Walkways

Balance / Grip

Material Handling

Is the employee handling materials/cargo at risk or desirably?

Manual Lifting

Mechanical Lift

Body Position

Communications

Inspections

Line of Fire

Pinch Points

Tools & Equipment

Is the employee using tools at risk or desirably?

Proper Tool

Proper Use

Inspection

Guards

Condition

Lockout / Tagout

Secured

Pinch Point

Line of Fire

Personnel Transfer

Is the employee transferring other or himself at risk or desirably?

Personnel

Transfer

Swing Rope

Gangway

Vessel to Vessel

Procedures

Did the employee follow procedures?

Pre-Job

Product Transfer

Confined Space

Hot Work

Environmental

Comments

Did you call a time out?

Did you correct the At Risk Activity? (Explain)

Observer's Name and Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.