Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Administrative Procedures

  • 1.1. Is there a Site Safety Plan?

  • 1.2. Take a picture of where the site safety plan is located

  • 1.3. Is there an emergency response plan for the site?

  • 1.4. Is the building assessment plan on hand?

  • 1.5. Lack of, or inadequate first aid kits aid equipment for site?

  • 1.6. Are proper permits being used? (Hot Works, Confined Space etc)

  • 1.7. Is there any orientation for workers, contractors, visitors?

  • 1.8. Have all workers and contractors completed safety training?

  • 1.9. Are routine inspections, monitoring, audits being completed?

2. Working at Heights

  • 2.1. Fall risks of 6ft or more? (including voids, pits, and trenches)

  • Is scaffolding in use?

  • Ladders

3. Scaffolds

  • 3.1. Unlicensed persons erecting scaffold above 12ft?

  • 3.2. Unsafe or incomplete scaffold?

  • 3.3. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)

  • Is fall protection and equipment in use?

  • Hoisting Equipment

4. Fall Protection Harness and Equipment

  • 4.1. Unsafe or damaged harness or equipment?

  • 4.2. Incompatible hooks/equipment?

  • 4.3. Unlabelled or does not meet OSHA standards?

  • 4.4. Unsafe or uncertified anchor points?

  • 4.5. Lack of inspection protocol for equipment?

  • 4.6. Lack of or inadequate formal training for operators?

  • List specific mitigation for fall working at heights

5. Tools and Equipment

  • 5.1. Unsafe or damaged tools/equipment? (including missing or damaged guards)

  • 5.2. Incorrect tools /equipment for job? (e.g. grinding discs for cutting)

  • Are ladders in use?

  • Hoisting Equipment

6. Ladders

  • 6.1. Unsafe or damaged ladders?

  • 6.2. Unsafe positioning of ladders?

  • 6.3. Ladder not properly secured?

  • 6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

  • Is there hoisting equipment in use?

  • Hoisting Equipment

7. Lifting Equipment

  • 7.1. Is there a load plan for the lift?

  • 7.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  • 7.3. Do all lifts have maintenance and inspection records?

  • 7.4. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

  • 7.5. Are all equipment operators licensed?

8. Hazardous Materials

  • 8.1. Are all Safety Data Sheets available? (MSDS or SDS)

  • 8.2. Are Hazardous Materials being stored on site?

  • HAZMAT Storage
  • 8.3. Are all chemicals stored in an appropriate location? (Not near ignition sources, spills would not enter stormwater drains

  • 8.4. Are incompatible chemicals stored together?

  • 8.5. Is there a spill containment kit?

  • 8.6. Are there emergency procedures incase of a spill

  • 8.7. Are all Hazardous Materials stored in proper containers?

  • Is there any manual lifting going on?

  • Manual Liftin

9. Hazardous Lifting Tasks

  • 9.1. Lack of identification hazardous lifting tasks?

  • 9.2. Lack of assessment of hazardous lifting tasks?

  • 9.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)

  • 9.4. Lack of training in risk controls and safe lifting/ team lifting techniques?

10. Personal Protective Equipment (PPE)

  • 10.1. Do all workers, contractors, or visitors have adequate PPE (including sun protection)

  • 10.2. Is there a system to issue, inspect, replace and monitor PPE?

  • 10.3. Have all workers been trained in safe use, clean-up and inspection of PPE?

11. Electrical Hazards

  • 11.1. Do all tools and extension cords have GFCI protection?

  • 11.2. Are outlets being overloaded?

  • 11.3. Electrical equipment near chemicals, water or flammable material?

  • 11.4. Are there Lock-out/tag-out (LOTO) procedures for electrical equipment?

  • 11.5. Is anyone at risk working close to power line?

  • Are there any environmental hazards on site? (Dust, asbestos, wastewater, etc)

  • Environmental Hazards

12. Environmental Hazards

  • 12.1. Is there an adequate, dust suppression system?

  • 12.2. Are there adequate systems to prevent contaminants entering stormwater drains?

  • 12.3. Are there asbestos or asbestos warnings on site? ?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.