Information
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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. Administrative Procedures
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1.1. Is there a Site Safety Plan?
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1.2. Take a picture of where the site safety plan is located
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1.3. Is there an emergency response plan for the site?
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1.4. Is the building assessment plan on hand?
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1.5. Lack of, or inadequate first aid kits aid equipment for site?
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1.6. Are proper permits being used? (Hot Works, Confined Space etc)
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1.7. Is there any orientation for workers, contractors, visitors?
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1.8. Have all workers and contractors completed safety training?
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1.9. Are routine inspections, monitoring, audits being completed?
2. Working at Heights
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2.1. Fall risks of 6ft or more? (including voids, pits, and trenches)
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Is scaffolding in use?
Ladders
3. Scaffolds
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3.1. Unlicensed persons erecting scaffold above 12ft?
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3.2. Unsafe or incomplete scaffold?
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3.3. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)
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Is fall protection and equipment in use?
Hoisting Equipment
4. Fall Protection Harness and Equipment
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4.1. Unsafe or damaged harness or equipment?
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4.2. Incompatible hooks/equipment?
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4.3. Unlabelled or does not meet OSHA standards?
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4.4. Unsafe or uncertified anchor points?
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4.5. Lack of inspection protocol for equipment?
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4.6. Lack of or inadequate formal training for operators?
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List specific mitigation for fall working at heights
5. Tools and Equipment
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5.1. Unsafe or damaged tools/equipment? (including missing or damaged guards)
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5.2. Incorrect tools /equipment for job? (e.g. grinding discs for cutting)
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Are ladders in use?
Hoisting Equipment
6. Ladders
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6.1. Unsafe or damaged ladders?
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6.2. Unsafe positioning of ladders?
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6.3. Ladder not properly secured?
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6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)
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Is there hoisting equipment in use?
Hoisting Equipment
7. Lifting Equipment
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7.1. Is there a load plan for the lift?
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7.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?
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7.3. Do all lifts have maintenance and inspection records?
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7.4. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?
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7.5. Are all equipment operators licensed?
8. Hazardous Materials
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8.1. Are all Safety Data Sheets available? (MSDS or SDS)
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8.2. Are Hazardous Materials being stored on site?
HAZMAT Storage
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8.3. Are all chemicals stored in an appropriate location? (Not near ignition sources, spills would not enter stormwater drains
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8.4. Are incompatible chemicals stored together?
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8.5. Is there a spill containment kit?
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8.6. Are there emergency procedures incase of a spill
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8.7. Are all Hazardous Materials stored in proper containers?
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Is there any manual lifting going on?
Manual Liftin
9. Hazardous Lifting Tasks
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9.1. Lack of identification hazardous lifting tasks?
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9.2. Lack of assessment of hazardous lifting tasks?
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9.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)
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9.4. Lack of training in risk controls and safe lifting/ team lifting techniques?
10. Personal Protective Equipment (PPE)
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10.1. Do all workers, contractors, or visitors have adequate PPE (including sun protection)
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10.2. Is there a system to issue, inspect, replace and monitor PPE?
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10.3. Have all workers been trained in safe use, clean-up and inspection of PPE?
11. Electrical Hazards
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11.1. Do all tools and extension cords have GFCI protection?
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11.2. Are outlets being overloaded?
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11.3. Electrical equipment near chemicals, water or flammable material?
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11.4. Are there Lock-out/tag-out (LOTO) procedures for electrical equipment?
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11.5. Is anyone at risk working close to power line?
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Are there any environmental hazards on site? (Dust, asbestos, wastewater, etc)
Environmental Hazards
12. Environmental Hazards
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12.1. Is there an adequate, dust suppression system?
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12.2. Are there adequate systems to prevent contaminants entering stormwater drains?
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12.3. Are there asbestos or asbestos warnings on site? ?
Corrective Actions
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Enter any corrective actions that will be undertaken
Sign Off
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On site representative
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Auditor's signature