Information

  • Audit Title

  • Job Name and Number

  • Conducted on

  • Prepared by

  • Location
  • Superintendent/Project Manager

Accident Prevention

  • Are OSHA and State/Federal poster being displayed.

  • I certify that the item above was corrected.

  • Hard Hats and Visitor signs posted.

  • I certify that the item above was corrected.

  • Are sub-contractors foreman holding weekly safety meetings.

  • I certify that the item above was corrected.

  • Are sub-contractors weekly safety meetings being recorded.

  • I certify that the item above was corrected.

  • Project safety meetings with subs on-site being held.

  • I certify that the item above was corrected.

  • Accident reporting procedure being used.

  • I certify that the item above was corrected.

  • Emergency medical numbers posted.

  • I certify that the item above was corrected.

  • First Aid kits supplies well stocked.

  • I certify that the item above was corrected.

  • Trained First-Aid person on jobsite.

  • I certify that the item above was corrected.

  • Name of First-Aid person on job site.

  • Photo of current certification

Personal Protective Equipment

  • Everyone wearing hard hats

  • I certify that the item above was corrected.

  • Eye and face protection provided and used properly

  • I certify that the item above was corrected.

  • Hearing protection provided where required.

  • I certify that the item above was corrected.

  • Appropriate respiratory protection.

  • I certify that the item above was corrected.

  • Proper clothing, boots, gloves used.

  • I certify that the item above was corrected.

  • Jack hammer operator wearing ear/foot protection.

  • I certify that the item above was corrected.

  • Full body harnesses provided and used where required.

  • I certify that the item above was corrected.

  • Is fall protection being inspected and documented.

  • I certify that the item above was corrected.

Floor and Wall Openings & Stariways

  • Floor and roof openings protected with guardrail or covers.

  • I certify that the item above was corrected.

  • Wall openings and shafts protected with guardrails.

  • I certify that the item above was corrected.

  • Open floors, platforms, runways equipped w/guardrail.

  • I certify that the item above was corrected.

  • Stairways/landings equipped with railings and handrails.

  • I certify that the item above was corrected.

Barricades & Traffic Control

  • Hazard control measures on public sidewalks/access.

  • I certify that the item above was corrected.

  • Advance signage to approach work areas.

  • I certify that the item above was corrected.

  • Correct wording/message on signs.

  • I certify that the item above was corrected.

  • Job site fence maintained.

  • I certify that the item above was corrected.

  • All traffic controls in place for job site.

  • I certify that the item above was corrected.

Housekeeping & Sanitation

  • General housekeeping of job site.

  • I certify that the item above was corrected.

  • Passageways/Walkways clear of debris, snow , ice, etc.

  • I certify that the item above was corrected.

  • Trash and debris are being removed on a regular basis.

  • I certify that the item above was corrected.

  • Adequate lighting in work areas, passageways, and stairways.

  • I certify that the item above was corrected.

  • Electrical cords/Air hoses in all work areas being managed.

  • I certify that the item above was corrected.

  • All materials properly stored/ stacked.

  • I certify that the item above was corrected.

  • Drinking water provided/furnished.

  • I certify that the item above was corrected.

  • Adequate toilet facilities provided and cleaned on a regular basis.

  • I certify that the item above was corrected.

Ventilation

  • Air quality monitored where needed.

  • I certify that the item above was corrected.

  • Harmful dusts, fumes, mist, vapors, or gases controlled.

  • I certify that the item above was corrected.

  • Proper respiratory protection being used where needed.

  • I certify that the item above was corrected.

Hazard Communication

  • Hazardous materials inventoried and recorded.

  • I certify that the item above was corrected.

  • Employees trained in hazard communication and PPE.

  • I certify that the item above was corrected.

  • Hazardous communication signs in place.

  • I certify that the item above was corrected.

  • Empty containers properly disposed.

  • I certify that the item above was corrected.

  • SDS sheets on hazardous materials on hand.

  • I certify that the item above was corrected.

  • Hazardous materials labeled properly.

  • I certify that the item above was corrected.

Concrete & Masonry Construction

  • Forms and walls tied and adequately braced.

  • I certify that the item above was corrected.

  • Stacked material secured to prevent items from falling.

  • I certify that the item above was corrected.

  • Reinforcing/protruding steel protected.

  • I certify that the item above was corrected.

Cranes

  • Daily Crane inspections completed.

  • I certify that the item above was corrected.

  • Counterweight swing radius barricaded.

  • I certify that the item above was corrected.

  • Outriggers used and properly cribbed.

  • I certify that the item above was corrected.

  • Rigging equipment in good condition.

  • I certify that the item above was corrected.

  • 20 foot distance from power lines maintained, or lines de-energized.

  • I certify that the item above was corrected.

Excavation

  • Properly sloped, shored, or benched.

  • I certify that the item above was corrected.

  • Utilities contacted and located before digging.

  • I certify that the item above was corrected.

  • Spoils, tools, and equipment stored at least 2 ft. from the edge.

  • I certify that the item above was corrected.

  • If 20 ft. or more deep, protective system designed by a RPE.

  • I certify that the item above was corrected.

  • Means of access and egress provided if trench is 4 ft. or deeper.

  • I certify that the item above was corrected.

  • Ladder in the trench at intervals of at least 50 ft.

  • I certify that the item above was corrected.

  • Competent person on site.

  • I certify that the item above was corrected.

  • First and Last name of competent person.

  • Sides of excavation for building shored or protected.

  • I certify that the item above was corrected.

  • Public protected from exposure to open excavation.

  • I certify that the item above was corrected.

Fire Protection/Prevention

  • Portable extinguishers provided in trailers and work areas.

  • I certify that the item above was corrected.

  • Clear access provided to all fire fighting equipment.

  • I certify that the item above was corrected.

  • Portable fire extinguishers inspected monthly.

  • I certify that the item above was corrected.

  • "Flammable" and "No Smoking" signs posted.

  • I certify that the item above was corrected.

  • All flammable and combustible liquids properly stored.

  • I certify that the item above was corrected.

Demolition

  • Safe procedures being used to wreck forms.

  • I certify that the item above was corrected.

  • Forming/shoring erected according to plan.

  • I certify that the item above was corrected.

  • Forming/shoring inspected by competent person.

  • I certify that the item above was corrected.

  • First and Last name of competent person.

  • Floor openings covered and secured or guard railed.

  • I certify that the item above was corrected.

  • Stairways provided with handrails.

  • I certify that the item above was corrected.

  • Public protection in place.

  • I certify that the item above was corrected.

  • Dust protection in place.

  • I certify that the item above was corrected.

  • Structural members protected.

  • I certify that the item above was corrected.

Hand and Power Tools

  • Operative guards on all power tools.

  • I certify that the item above was corrected.

  • All hand held power tools equipped with proper switch.

  • I certify that the item above was corrected.

  • Electric tools rounded or double insulated (Are cords in good condition.)

  • I certify that the item above was corrected.

  • Person using powder actuated tools certified.

  • I certify that the item above was corrected.

  • First and Last name of certified operator.

  • Abrasive wheels and tools equipped with guards.

  • I certify that the item above was corrected.

  • Air hoses equipped with safety clips.

  • I certify that the item above was corrected.

  • Tools and equipment used correctly and in safe condition.

  • I certify that the item above was corrected.

  • Woodworking tools properly equipped and used.

  • I certify that the item above was corrected.

Welding and Cutting

  • Placing of cylinders for welding or cutting on carts.

  • I certify that the item above was corrected.

  • Cylinders stored secured, upright, and capped when not in use.

  • I certify that the item above was corrected.

  • Welder inspected work area for fire hazards before starting work. (Wood dust, plastic, cardboard)

  • I certify that the item above was corrected.

  • Oxygen stored separated from acetylene, at least 20 ft., when not in use.

  • I certify that the item above was corrected.

  • Fire extinguishers available near welding operators in case of fire.

  • I certify that the item above was corrected.

  • Respiratory protection provided and used when needed.

  • I certify that the item above was corrected.

  • Adequate ventilation provided and used when needed.

  • I certify that the item above was corrected.

  • Arc welding machine is grounded.

  • I certify that the item above was corrected.

  • All parts of arc welding leads/outfit properly insulated.

  • I certify that the item above was corrected.

Electrical & Temporary Lighting

  • Extension cords three-wire type and heavy duty type.

  • I certify that the item above was corrected.

  • Extension cords inspected for broken insulation/plugs.

  • I certify that the item above was corrected.

  • All extension cords equipped with ground pin.

  • I certify that the item above was corrected.

  • Approved GFCI's in use (non-residential type)

  • I certify that the item above was corrected.

  • Distribution boxes covered and marked.

  • I certify that the item above was corrected.

  • Circuits properly identified.

  • I certify that the item above was corrected.

  • Temporary lighting properly installed.

  • I certify that the item above was corrected.

  • Temporary lighting protected and light bulb guards in place.

  • I certify that the item above was corrected.

  • Sufficient light intensity in all work areas.

  • I certify that the item above was corrected.

Scaffolds

  • All scaffolding operations performed under a competent person.

  • I certify that the item above was corrected.

  • First and Last name of competent person.

  • Proper scaffolding footings are in place.

  • I certify that the item above was corrected.

  • Scaffold fully braced, anchored, and plumb.

  • I certify that the item above was corrected.

  • Damaged and weakened scaffold parts removed.

  • I certify that the item above was corrected.

  • Only scaffold grade lumber used for planking.

  • I certify that the item above was corrected.

  • Scaffolds are fulling planked, where work is being preformed.

  • I certify that the item above was corrected.

  • Proper fall protection is in place when guardrails are absent.

  • I certify that the item above was corrected.

  • Access ladder provided for scaffold.

  • I certify that the item above was corrected.

Ladders

  • In safe condition, right for the job, and used correctly.

  • I certify that the item above was corrected.

  • Extended 36 in. to 42 in. above upper landings.

  • I certify that the item above was corrected.

  • Properly secured to prevent movement, and angled to a 4 to 1 ratio.

  • I certify that the item above was corrected.

  • "Belt Buckle" rule applied to sides and up

  • I certify that the item above was corrected.

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.