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) OH & S Act & Construction Regulations Posted
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B) WSIB Form 82 Poster Displayed
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C) Safety Policy Posted & Procedure Manual Available
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D) Health & Safety at Work Poster Displayed
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E) Workplace Violence Policy Posted
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F) Employee Orientation Forms on File - Available Electronically
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G) Orientation Stickers/Badges Issued
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H) Notice of Project Displayed
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I) Form 1000 Current and Displayed
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J) Hazard-Warning Signs Erected Where Necessary
2. Worker Training
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A) Safety Orientation Received/Video Viewed
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B) WHMIS & Fall Protection Training (Proof)
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C) Personal Protective Equipment
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D) All Workers Have Tickets for Training
3. Emergency/First Aid
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A) Closest Medical Centre (map displayed)
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B) Site Emergency Numbers Posted
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C) Emergency Evacuation Plan
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D) Cert. First Aid/CPR Person(s) Identified
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E) First Aid Kits Adequate & Stocked
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G) Fire Extinguishers Available/Inspected Monthly
4. Personal Protective Equipment
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A) Head Protection (CSA-approved - Type 1, Class E)
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B) Foot Protection (Green Patch & Omega Symbol)
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C) Eye Protection (riveted side shields)
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D) Hand Protection- (Gloves appropriate for the task)
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E) Fall Protection Harness/Lanyard/SRL
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F) Hearing Protection at +85db
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G) Respiratory Protection (Fit Tested)
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H) Traffic Vest, if applicable
5. Site Access
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A) Level Firm Ground
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B) Walkways Unobstructed
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C) Ramps/Stairs in Good Condition
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D) Emergency Accessibility
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E) Lighting - Illumination
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F) Vehicle Parking
6. Fire Prevention
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A) Fire Extinguisher Location Drawing
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B) Fully Charged/Inspected Monthly
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C) Proper Class Extinguisher Used
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D) Building Stand Pipes/Hydrants Used
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E) Fire Hose/Sprinkler Functional & Clear
7. Extension/Power Cords
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A) Cords in Good Condition
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B) No Obstruction to Walkways/Paths
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C) Cords Strung Overhead When Possible
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D) Cords GFCI Protected
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E) All Prongs Entacted/Missing
8. Compressed Gas Cylinders-Gasoline/Diesel
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A) Properly Stored/Compatibility Not Mixed
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B) Adequately Secured When in Use
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C) Properly Moved When Lifted
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D) Valve Caps in Place When Not in Use
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E) Cylinders Not Stored on Their Side
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F) Fire Extinguisher/s Stationed Nearby
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G) WHMIS/GHS Placarding with Contact Information Visible
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H) Spill Kit/Containment
9. Ladders
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A) Secured (tied-off) & 3' Above Landing
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B) Proper Size & Type (no metal ladders)
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C) Inspected for Defects
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D) Being Used on a Firm Base
10. Scaffolds
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A) Complete with Handrails & Kick Plate
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B) Fully Decked with Proper Materials
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C) Adequately Secured (3:1 rule)
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D) Capable of Withstanding Load Applied
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E) Current Inspection Tag Applied
11. Cutting/Burning/Grinding
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A) Fire Extinguisher/s Available
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B) Flame Arrestors at Torch End or Gauge End
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C) Face Shields Being Used
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D) Spark Protection/Control in Place
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E) Proper Hot Work Permit in Place
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F) Fire Watcher Present When Required
12. Welding
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A) Fire Extinguisher/Watch Personnel at Work Site
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B) Grounds Not Secured to Superstructure
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C) Grounds Secured at Work
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D) Adequate Ventilation Available
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E) Flash Screens Being Used
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F) Fire Blankets in Use (Non-Asbestos Type)
13. WHMIS Standards - Global Harmonization System
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A) SDSs On Site File for All Products
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B) Appropriate Hazard Labels on Containers
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C) Employees Trained in Safe Handling
14. Hand Power Tools
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A) Inspected Before Use
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B) Guards Are in Place and Functioning
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C) RPMs on Grinder are </= to Disk RPM
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D) Power Cords Have All Prongs Attached
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E) Tool Casing Entacted Not Damaged
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F) Side Grip Handle Attached
15. Housekeeping
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A) General Appearance of Site
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B) Materials Stored Neatly
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C) Work Areas Cleaned at End of Shift
16. Hygiene
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A) Cleanliness of Facilities
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B) Adequate Amount of Facilities Available
17. Cranes/Hoisting/Rigging
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A) All Lifting Equipment Tested Yearly
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B) Qualified Crane Operator(s) (8 Ton > Hoisting Eng. Cert)
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C) Load Charts on Crane/Hoist
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D) Daily Log Book Up-To-Date
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E) Tag Lines Used On All Lifts
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F) Competent Signal Person Used
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G) Safety Clips in Place on All Hooks
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H) Rigging Equipment in Good Condition
18. Excavations
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A) Proper Shoring/Sloping
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B) Adequate Access/Egress
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C) Materials Stored At a Safe Distance
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D) Trench Box Utilized as Appropriate
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E) Established Barrier Around Excavation With Signage
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F) Spoils not within 6' of the trench edge
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G) Sloping/Stepping of the Earth below 4'
19. Confined Space Entry
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A) Employees Trained Prior to Entry
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B) Plan in Place for Each Confined Space
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C) Coordination Document (If More Than 1 Contractor)
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D) Air Testing Before Entry/Monitor Calibration
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E) Emergency Plan in Place (Rescue/Equipment)
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F) Safety Harness with Lifelines Worn
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G) Standby Attendant Aware of Responsibilities
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H) Proper Permit Obtained/Completed
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I) All Sources of Energy Isolated & Locked Out
20. Powered Elevated Work Platforms
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A) Daily Inspections Complete, Operators Manual Available (hard copy or electronically)
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B) Workers Are Trained Prior to Use
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C) Safety Harnesses Are Worn
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D) Proof of Annual Inspection/Maintenance Records
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E) Certification in Place
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F) Rescue Preparations Considered for EWP Activities
21. Forklifts
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A) Daily Inspection Complete, Operators Manual Available (hard copy or electronically)
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B) Workers are Trained Prior to Use
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C) Forks/Chains in Good Condition
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D) Proof of Annual Inspection/Maintenance Records
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E) Certification in Place
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G) Lift Loading Placard Visible-Understandable
22. Propane
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A) Handling Preformed by Trained Workers (proof)
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B) Located 20ft From Flammable Liquid, Compressed Toxic or Corrosive Gasses
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C) Located 3ft From Other Flammable Compressed Gases
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D) No Ignitable Material Within 10ft ~> Mainly Trash
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E) Locate 10ft From Public Access, 500lbs of Propane or Less
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F) Locate 25ft From Public Access, 500lbs+ of Propane
23. Lock Out Tag Out (Last but NOT Least)
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A) Isolation & Lock Out Methods Appropriate
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B) Tags Visible & Complete
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C) Numbers of Lock Consistent With # of Workers
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D) Abandoned Lock Procedure Available/Followed
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E) All Workers Have Certificate of Training - COQ, Apprentice Registration
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F) ARC Flash Equipment Available and Appropriate For Voltage Rating
Non Conforming Issues - Countermeasure - Corrected By - Implementation Date
Additional Comments
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Signature From Evaluator:
