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
1. Safety Administration
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A) Any injuries or near misses to report? If yes, explain.
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B) Any incidents to be reported?
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C) First Aid Kit Supplied-Stocked
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D) Fire Extinguishers in place / Current Inspection
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E) Job Hazard Analysis Form Complete<br>
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F) Other
2) Housekeeping / Site Hazards
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A) Work Areas Clean and Free of Excess Trash and Debris
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B) Adequate Lighting
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C) Passageways & Walkways Clear
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D) Terrain / Leading Edges / Excavations Identified
3) Personal Protective Equipment / Stocked
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A) Hard Hat, Safety Glasses, Steel/Metatarsal Boots
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B) Hearing Protection
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C) FR Clothing / Chemical Suits
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D) Other
4) Lockout / Tagout
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A) Lockout/Tagout Program in Place
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B) Proper Paperwork Completed and Filed
5) Hand Tools, Power Tools and Power Equipment
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A) All Mechanical Safeguards in Place / Ladders Inspected
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B) Cords in Good Condition, Elevated, or Protected
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D) Non-Functioning tools tagged properly to be sent for repairs
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E) Calibration Records up to date
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F) Is Assured Grounding Program in place and current?
6) Storage Area
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A) Stock Organized and Marked
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B) Hardware Stocked
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C) Overstocked / Understocked
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D) Materials Protected from Damage/Weather
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E) Adequate Lighting
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F) Passageways & Walkways Clear
7) Office Area
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A) Clean / Organized
8) Materials
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A) Requisitions filled out properly with Account Numbers
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B) Packing slips signed and turned in
9) Project Status
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A) Is project progressing according to schedule? If no, explain.
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B) Are there areas where we are being held up by others? If yes, explain including pictures.
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C) Are there any issues that will impact schedule. If so, what are they?
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D) Description of work being performed?
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Tasks in Progress:
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E) Manpower loading adequate? List total on site.
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F) Major Equipment on site.
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List Equipment:
10) Work Plans / Project Schedule
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A) Work Journals completed to date
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B) Manpower is productive
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C) Items needed from drawings, information, or others? If yes, explain.
11) Change Vouchers
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A) Vouchers completed properly
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B) Vouchers up-to-date
12) Timesheets
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A) Completed and filed properly
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B) Employee numbers on sheet / Labor Account Codes
13) Disciplinary Action Documentation
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A) Disciplinary Action book on site
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B) Book in use and filled out properly
14) Drawings
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A) As-Builts up-to-date
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B) Dimensions on As-Builts for locations and routings
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C) Initialed by Inspector for changes
Job Photos
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Add Job Photos
Additional Comments/Communications
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Signature From Evaluator:
