STEPS Safety Audit

• Document No.

• Self Safety Audit

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• HouseKeeping?

  Safe

  At Risk

  N/A

• Does the site gang box contain an accident kits?

  Yes

  No

  N/A

• Lighting ?

  Safe

  At Risk

  N/A

• Material Storage?

  Safe

  At Risk

  N/A

• Material separated and categorized?

• Material is separate from other trades?

• Material is not blocking any means of egress?

• Barricades?

  Safe

  At Risk

  N/A

• Are there any physical deficiencies with the ladders?

  Safe

  At Risk

  N/A

• What height ladders are being used

• How many ladders are on site?

• Fire Extinguisher?

  Yes

  No

  N/A

• Puncture Hazards?

  Safe

  At Risk

  N/A

• Floor Opening / Hole

  Safe

  At Risk

  N/A

• Overhead Hazard

  Safe

  At Risk

  N/A

• Lock out Tag out

  Safe

  At Risk

  N/A

• Scaffolding

  Safe

  At Risk

  N/A

• GFCI

  Safe

  At Risk

  N/A

• Electrical Cords

  Safe

  At Risk

  N/A

• Slip, Trips , Falls

  Safe

  At Risk

  N/A

• Is there a hospital, clinic, or infirmary for medical care near your workplace or is at least one employee on each shift currently qualified to render first aid?<br>

  Yes

  No

  N/A

• Other

  Safe

  At Risk

  N/A

• Hard Hat(s)

  Yes

  No

  N/A

• Safety Glasses / Eye Protection

  Yes

  No

  N/A

• Hearing Protection

  Yes

  No

  N/A

• High Visibility Clothing

  Yes

  No

  N/A

• Foot Protection

  Yes

  No

  N/A

• Fall Protection

  Yes

  No

  N/A

• Fall Arrest system free from physical wear/tear

  Yes

  No

  N/A

• Respirator

  Yes

  No

  N/A

• Protective Garments

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

• All handheld power tools have guards

  Yes

  No

  N/A

• Electrical power tools cord?

  Safe

  At Risk

  N/A

• Dust collectors are being used?

  Yes

  No

  N/A

• All tools are Listed and approved?

  Yes

  No

  N/A

• Employe stated that he/she has no knowledge of physical deficiencies of the supplied tools?

• Employe locks tools at the end of each shift?

• Lifting

  Safe

  At Risk

  N/A

• Bending & Twisting

  Safe

  At Risk

  N/A

• Extreme Temperatures

  Safe

  At Risk

  N/A

• Fall Hazard

  Safe

  At Risk

  N/A

• Hazardous Haterial Handling

  Safe

  At Risk

  N/A

Confined Space

• Does the Confined Space require a permit?

  Yes

  No

  N/A

• Permit requirements complied with -access, gas monitoring isolation and housekeeping?

  Yes

  No

  N/A

• Preventers briefing conducted ?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Right Tool for the job?

  Yes

  No

  N/A

• Tools used correctly?

  Yes

  No

  N/A

• Used In Safe Conditions ?

  Yes

  No

  N/A

• If hazard found please supply photo

  Media

• Guard functioning & being utilized?

  Yes

  No

  N/A

• Three points of contact when using ladders ?

  Yes

  No

  N/A

• Correct use of ergonomics ?

  Yes

  No

  N/A

• Speed at which the employee is working?

  Fast

  Normal

• PPE is being utilized?

• Auditor/ Supervisor

  Sign

• Job site Forman

  Sign