Teague Safety Audit

• Site conducted

  Select

• Job/Facility Name

• Supervisor

• Date/Time

  Date

• Prepared by

  Sign
• Location
  Address

1) Field Conditions

• Access

  Compliant

  Non-Compliant

  N/A

• Air Quality

  Compliant

  Non-Compliant

  N/A

• Electrical

  Compliant

  Non-Compliant

  N/A

• Equipment

  Compliant

  Non-Compliant

  N/A

• Excavation

  Compliant

  Non-Compliant

  N/A

• Fall Protection

  Compliant

  Non-Compliant

  N/A

• Fire Protection

  Compliant

  Non-Compliant

  N/A

• Hand/Power tools

  Compliant

  Non-Compliant

  N/A

• Housekeeping

  Compliant

  Non-Compliant

  N/A

• Impalement Hazards

  Compliant

  Non-Compliant

  N/A

• Ladders

  Compliant

  Non-Compliant

  N/A

• Lighting

  Compliant

  Non-Compliant

  N/A

• LOTO

  Compliant

  Non-Compliant

  N/A

• PPE

  Compliant

  Non-Compliant

  N/A

• Scaffolding

  Compliant

  Non-Compliant

  N/A

• Temp/Water/Shade

  Compliant

  Non-Compliant

  N/A

Management Activities

• First aid kit

  Compliant

  Non-Compliant

  N/A

• First-aid personnel

  Compliant

  Non-Compliant

  N/A

• Safety Program Available

  Compliant

  Non-Compliant

  N/A

• OSHA 300 Log posted Feb. 1st - Apr. 30th

  Compliant

  Non-Compliant

  N/A

• Medical Clinic map available

  Compliant

  Non-Compliant

  N/A

• Emergency Response posted/known

  Compliant

  Non-Compliant

  N/A

• Cal/Fed OSHA postings/permit

  Compliant

  Non-Compliant

  N/A

• Toolbox talks/Weekly Safety Meetings

  Compliant

  Non-Compliant

  N/A

• Jobsite checklist/inspection

  Compliant

  Non-Compliant

  N/A

• Daily Hazard Assessment

  Compliant

  Non-Compliant

  N/A

• Sanitary Facilities

  Compliant

  Non-Compliant

  N/A

Comments

• Other (i.e. situation that does not fit a particular category)

  Compliant

  Non-Compliant

  N/A