Information
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Audit Title
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Job Name and Number
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Conducted on
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Prepared by
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Location
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Superintendent/Project Manager
Accident Prevention
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Are OSHA and State/Federal poster being displayed.
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I certify that the item above was corrected.
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Hard Hats and Visitor signs posted.
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I certify that the item above was corrected.
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Are sub-contractors foreman holding weekly safety meetings.
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I certify that the item above was corrected.
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Are sub-contractors weekly safety meetings being recorded.
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I certify that the item above was corrected.
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Project safety meetings with subs on-site being held.
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I certify that the item above was corrected.
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Accident reporting procedure being used.
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I certify that the item above was corrected.
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Emergency medical numbers posted.
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I certify that the item above was corrected.
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First Aid kits supplies well stocked.
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I certify that the item above was corrected.
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Trained First-Aid person on jobsite.
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I certify that the item above was corrected.
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Name of First-Aid person on job site.
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Photo of current certification
Personal Protective Equipment
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Everyone wearing hard hats
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I certify that the item above was corrected.
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Eye and face protection provided and used properly
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I certify that the item above was corrected.
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Hearing protection provided where required.
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I certify that the item above was corrected.
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Appropriate respiratory protection.
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I certify that the item above was corrected.
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Proper clothing, boots, gloves used.
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I certify that the item above was corrected.
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Jack hammer operator wearing ear/foot protection.
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I certify that the item above was corrected.
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Full body harnesses provided and used where required.
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I certify that the item above was corrected.
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Is fall protection being inspected and documented.
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I certify that the item above was corrected.
Floor and Wall Openings & Stariways
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Floor and roof openings protected with guardrail or covers.
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I certify that the item above was corrected.
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Wall openings and shafts protected with guardrails.
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I certify that the item above was corrected.
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Open floors, platforms, runways equipped w/guardrail.
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I certify that the item above was corrected.
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Stairways/landings equipped with railings and handrails.
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I certify that the item above was corrected.
Barricades & Traffic Control
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Hazard control measures on public sidewalks/access.
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I certify that the item above was corrected.
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Advance signage to approach work areas.
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I certify that the item above was corrected.
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Correct wording/message on signs.
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I certify that the item above was corrected.
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Job site fence maintained.
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I certify that the item above was corrected.
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All traffic controls in place for job site.
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I certify that the item above was corrected.
Housekeeping & Sanitation
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General housekeeping of job site.
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I certify that the item above was corrected.
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Passageways/Walkways clear of debris, snow , ice, etc.
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I certify that the item above was corrected.
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Trash and debris are being removed on a regular basis.
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I certify that the item above was corrected.
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Adequate lighting in work areas, passageways, and stairways.
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I certify that the item above was corrected.
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Electrical cords/Air hoses in all work areas being managed.
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I certify that the item above was corrected.
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All materials properly stored/ stacked.
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I certify that the item above was corrected.
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Drinking water provided/furnished.
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I certify that the item above was corrected.
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Adequate toilet facilities provided and cleaned on a regular basis.
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I certify that the item above was corrected.
Ventilation
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Air quality monitored where needed.
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I certify that the item above was corrected.
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Harmful dusts, fumes, mist, vapors, or gases controlled.
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I certify that the item above was corrected.
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Proper respiratory protection being used where needed.
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I certify that the item above was corrected.
Hazard Communication
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Hazardous materials inventoried and recorded.
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I certify that the item above was corrected.
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Employees trained in hazard communication and PPE.
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I certify that the item above was corrected.
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Hazardous communication signs in place.
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I certify that the item above was corrected.
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Empty containers properly disposed.
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I certify that the item above was corrected.
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SDS sheets on hazardous materials on hand.
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I certify that the item above was corrected.
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Hazardous materials labeled properly.
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I certify that the item above was corrected.
Concrete & Masonry Construction
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Forms and walls tied and adequately braced.
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I certify that the item above was corrected.
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Stacked material secured to prevent items from falling.
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I certify that the item above was corrected.
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Reinforcing/protruding steel protected.
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I certify that the item above was corrected.
Cranes
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Daily Crane inspections completed.
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I certify that the item above was corrected.
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Counterweight swing radius barricaded.
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I certify that the item above was corrected.
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Outriggers used and properly cribbed.
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I certify that the item above was corrected.
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Rigging equipment in good condition.
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I certify that the item above was corrected.
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20 foot distance from power lines maintained, or lines de-energized.
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I certify that the item above was corrected.
Excavation
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Properly sloped, shored, or benched.
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I certify that the item above was corrected.
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Utilities contacted and located before digging.
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I certify that the item above was corrected.
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Spoils, tools, and equipment stored at least 2 ft. from the edge.
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I certify that the item above was corrected.
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If 20 ft. or more deep, protective system designed by a RPE.
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I certify that the item above was corrected.
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Means of access and egress provided if trench is 4 ft. or deeper.
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I certify that the item above was corrected.
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Ladder in the trench at intervals of at least 50 ft.
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I certify that the item above was corrected.
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Competent person on site.
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I certify that the item above was corrected.
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First and Last name of competent person.
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Sides of excavation for building shored or protected.
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I certify that the item above was corrected.
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Public protected from exposure to open excavation.
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I certify that the item above was corrected.
Fire Protection/Prevention
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Portable extinguishers provided in trailers and work areas.
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I certify that the item above was corrected.
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Clear access provided to all fire fighting equipment.
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I certify that the item above was corrected.
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Portable fire extinguishers inspected monthly.
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I certify that the item above was corrected.
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"Flammable" and "No Smoking" signs posted.
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I certify that the item above was corrected.
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All flammable and combustible liquids properly stored.
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I certify that the item above was corrected.
Demolition
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Safe procedures being used to wreck forms.
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I certify that the item above was corrected.
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Forming/shoring erected according to plan.
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I certify that the item above was corrected.
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Forming/shoring inspected by competent person.
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I certify that the item above was corrected.
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First and Last name of competent person.
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Floor openings covered and secured or guard railed.
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I certify that the item above was corrected.
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Stairways provided with handrails.
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I certify that the item above was corrected.
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Public protection in place.
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I certify that the item above was corrected.
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Dust protection in place.
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I certify that the item above was corrected.
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Structural members protected.
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I certify that the item above was corrected.
Hand and Power Tools
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Operative guards on all power tools.
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I certify that the item above was corrected.
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All hand held power tools equipped with proper switch.
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I certify that the item above was corrected.
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Electric tools rounded or double insulated (Are cords in good condition.)
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I certify that the item above was corrected.
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Person using powder actuated tools certified.
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I certify that the item above was corrected.
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First and Last name of certified operator.
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Abrasive wheels and tools equipped with guards.
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I certify that the item above was corrected.
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Air hoses equipped with safety clips.
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I certify that the item above was corrected.
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Tools and equipment used correctly and in safe condition.
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I certify that the item above was corrected.
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Woodworking tools properly equipped and used.
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I certify that the item above was corrected.
Welding and Cutting
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Placing of cylinders for welding or cutting on carts.
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I certify that the item above was corrected.
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Cylinders stored secured, upright, and capped when not in use.
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I certify that the item above was corrected.
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Welder inspected work area for fire hazards before starting work. (Wood dust, plastic, cardboard)
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I certify that the item above was corrected.
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Oxygen stored separated from acetylene, at least 20 ft., when not in use.
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I certify that the item above was corrected.
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Fire extinguishers available near welding operators in case of fire.
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I certify that the item above was corrected.
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Respiratory protection provided and used when needed.
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I certify that the item above was corrected.
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Adequate ventilation provided and used when needed.
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I certify that the item above was corrected.
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Arc welding machine is grounded.
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I certify that the item above was corrected.
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All parts of arc welding leads/outfit properly insulated.
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I certify that the item above was corrected.
Electrical & Temporary Lighting
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Extension cords three-wire type and heavy duty type.
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I certify that the item above was corrected.
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Extension cords inspected for broken insulation/plugs.
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I certify that the item above was corrected.
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All extension cords equipped with ground pin.
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I certify that the item above was corrected.
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Approved GFCI's in use (non-residential type)
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I certify that the item above was corrected.
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Distribution boxes covered and marked.
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I certify that the item above was corrected.
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Circuits properly identified.
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I certify that the item above was corrected.
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Temporary lighting properly installed.
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I certify that the item above was corrected.
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Temporary lighting protected and light bulb guards in place.
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I certify that the item above was corrected.
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Sufficient light intensity in all work areas.
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I certify that the item above was corrected.
Scaffolds
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All scaffolding operations performed under a competent person.
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I certify that the item above was corrected.
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First and Last name of competent person.
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Proper scaffolding footings are in place.
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I certify that the item above was corrected.
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Scaffold fully braced, anchored, and plumb.
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I certify that the item above was corrected.
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Damaged and weakened scaffold parts removed.
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I certify that the item above was corrected.
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Only scaffold grade lumber used for planking.
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I certify that the item above was corrected.
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Scaffolds are fulling planked, where work is being preformed.
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I certify that the item above was corrected.
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Proper fall protection is in place when guardrails are absent.
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I certify that the item above was corrected.
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Access ladder provided for scaffold.
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I certify that the item above was corrected.
Ladders
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In safe condition, right for the job, and used correctly.
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I certify that the item above was corrected.
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Extended 36 in. to 42 in. above upper landings.
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I certify that the item above was corrected.
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Properly secured to prevent movement, and angled to a 4 to 1 ratio.
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I certify that the item above was corrected.
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"Belt Buckle" rule applied to sides and up
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I certify that the item above was corrected.
Meeting Minutes
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Add any Discussion Items Here.
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First and Last Name, Company, Job Title
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First and Last Name, Company, Job Title
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First and Last Name, Company, Job Title
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First and Last Name, Company, Job Title
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First and Last Name, Company, Job Title
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First and Last Name, Company, Job Title
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First and Last Name, Company, Job Title
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First and Last Name, Company, Job Title
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First and Last Name, Company, Job Title
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First and Last Name, Company, Job Title
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First and Last Name, Company, Job Title
