Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
General Site Conditions
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Site access roads
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Signage posted
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Site perimeter fencing
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Clear access
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Impalement hazards (e.g. ground rods, conduit, pins, etc.)
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Office trailer ties downs
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Office trailer temporary wiring
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Office trailer egress
Traffic Control
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Tire wash
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Advance warning signage
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Pedestrian signage
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Flaggers
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PPE
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PPE training
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Head protection
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Eye protection
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Face protection
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High-visibility garments
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Proper work clothing
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Proper footwear
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Protective gloves
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Respiratory protection
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Fall Protection
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Fall protection training
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Condition of PFAS
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Proper use and adjustment of PFAS
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Anchorage points
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Lanyards
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Snap hook gate loading
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Lanyard snap hook storage on harness
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Retractable LL/PFL angle from center and edge considerations
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Guardrail systems
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Warning line system
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Hole protection
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Skylight protection
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Hoistways
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Offset opening or gate at points of access
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Horizontal lifelines design, installation, and use
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Rescue plan and procedures
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Housekeeping and Material Storage
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General housekeeping
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Walkways free from debris and trash
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Waste receptacles
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Protruding nails from scrap lumber
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Block and brick storage
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Lumber storage
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Storage on roof areas
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Material secured
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Cranes and Rigging
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Certificate of annual inspection on file
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Certificate of Annual Inspection Expiration Date
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Operator's certification and license
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Operator's Certification Expiration
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Operator's License Expiration
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Lift plan
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Ground conditions
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Qualified Signal Person
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Qualified Rigger
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Swing radius protection
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Outrigger use
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Mats and cribbing
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Operator visibility
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Assembly/Disassembly
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Fall protection
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Power line distance
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Anti-two-block device
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Hook latches
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Tag lines
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Wind speeds
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Load control
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Rigging use and storage
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Rigging inspection
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Rigging condition
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Rigging type
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Rigging protection
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Hitch for material hoisted
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Rigging capacity
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Rigging hardware
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Rigger's knowledge of relevant OSHA, ASME, and manufacturer's requirements
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Training
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Scaffolds
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Competent person present
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Erector, dismantler, and user training
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Base plates or casters installed
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Cross-braces installed as necessary and required
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Fall protection (for electors, users, and dismantlers)
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Work levels fully planked between uprights
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Plank overhang
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Capacity
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Falling object protection
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Power line clearance
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Safe access to upper work levels
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Aerial Lifts (this category includes both boom reaches and scissors reaches)
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Aerial lifts used only by "authorized" personnel
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Fall protection
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Warning, instructional, and control labeling
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Ground conditions (drop-offs, junction boxes, pull boxes, vaults, and similar hazards)
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Chains/gates closed
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Reach capacity
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Power line clearance
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Training
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Ladders and Stairways
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Ladder use
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Stairway use
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Portable ladder types minimum Type 1-A, 300lb-rated
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Aluminum ladders found on site?
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Extension ladder set up
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Stairrails and handrails
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Treads and landings
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Inspection
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Training
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Mobile Equipment
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Back-up/bi-directional alarms
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Seat belt use
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ROPS
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Cab glass and mirrors
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Equipment operation
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Load points
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Dump points
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Haul roads
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Operator mount-dismount
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Proper technique and testing when changing attachments
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Wheel chocks
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LO/TO
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Electrical
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Energized components
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GFCI use
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Panel covers
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Panel openings
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Devices used per listing/labeling
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Warning labels and signage
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Cords designed for heavy duty use
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Ground pins
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Temporary wiring
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OCPD labels
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Extension cords
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Temporary lighting
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Access to electrical rooms
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Tri-plex and similar
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NFPA 70E compliance
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Overhead power lines
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LO/TO
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Tools--Hand and Power
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Safety check valve
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Couplings secured
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Guards in place
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Cord and plug condition
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Tool condition
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Guard adjustment
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LO/TO
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Fire Safety
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Flammable liquid storage
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Containers used for flammable and combustible liquids (FM/UL)
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Container labeling
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Fire extinguishers
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Warning signage
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Secondary containment
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Protection of tanks
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Hot work permit
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Fire watch
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Temporary heat
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Welding and Cutting
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Cylinder storage
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Cylinder protection
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Warning signage
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Gauge condition
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Cylinder identification
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Hose condition
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Flashback arresters
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PPE for cutting or welding
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Welding operation screening
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Weld rod
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Weld lead condition
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Weld lugs and lead couplings protected
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Welding fumes controlled
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Excavations
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Competent person present
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One-Call/utility locate
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Safe digging around presumed and known utilities
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Underground utilities supported
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Soil type(s) identified via visual and manual analysis
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Protective systems
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Access/Egress
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Inspection
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Spoil setback minimum 2-feet
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Surface encumbrances
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Protection of adjacent structures
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Engineered protective systems for excavations > 20' deep
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Workers not underneath hoisted loads
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Equipment stop logs
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Hazardous atmosphere
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Tabulated data on site for protective systems
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Fall protection at wells, pits, shafts, and similar
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Fall protection at excavations > 6' in depth and not readily visible
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Concrete and Masonry
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Reinforcing steel protected to eliminate impalement
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Bulk storage areas
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Working under loads
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Post-tensioning operations
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Masonry wall bracing
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Shoring plan
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Mixers
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Form work drawings
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Vehicle condition
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Power trowels
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Concrete pumping systems
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Concrete buggies
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Concrete buckets
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Tremies
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LO/TO
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Bull floats
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Masonry saws
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Pre-cast operations
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Limited access zones
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Eye wash
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Motor Vehicle
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Seat belt use for all occupants
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Passenger transport
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Cargo securement
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Cab glass and mirrors
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Back-up alarms
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Hauling and Trucking
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Back-up alarms
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Seat belt use
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Cab glass and mirrors
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Cargo securement
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Load stability
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Load weight
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Rock guards
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Cargo stops
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Loading/unloading procedures
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Confined Space
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Training
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Atmospheric monitoring
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Ventillation
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Retrieval
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Stand-by personnel
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Trained entry rescue availability
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Access
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Hazard Communication
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Written program copy on site
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Safety Data sheets available
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Training
Working Over Water
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Ring buoy with 90' line
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PFD use
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Life saving skiff immediately available
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100% fall protection 6' or more above water
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First-Aid and Emergency Medical Care
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Emergency medical care availability
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Emergency numbers posted and communicated
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First-aid kits
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Stokes basket
Emergency Evacuation, Access
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Emergency evacuation plan
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Muster points
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Emergency vehicle access
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Coordination with local fire rescue and EMS
Demolition
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Engineer survey
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Shoring/bracing
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Utilities--notification and shutdown
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Testing and purging of pipes and tanks
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Glass hazards
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Wall openings
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Floor openings
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Demo sequence
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Sidewalk sheds/canopies
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Access
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Illumination
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Material drops
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Chutes
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Masonry wall demo
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Retaining walls
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Mechanical equipment
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Storage of waste material
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Steel Erection
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Site layout
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Erection plan
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Falling object protection
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Fall protection
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Training
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Qualified Rigger
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Safety latches
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Working under loads
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Multi-lift rigging procedures
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Controlled decking zones
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Decking placement
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Openings
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Sanitation
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Handwashing facilities
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Potable water
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Toilet facilities
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Additional comments/discussion:
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Sketch/Diagram:
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Audit findings were reviewed with the undersigned:
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Audit was conducted by the undersigned:
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