Information

  • Location of audit

  • Technician audited

  • Conducted on

  • Prepared by

  • General audit comment's

PPE - Observation was technician wearing

  • Safety glasses

  • Proper gloves

  • Hard hat

  • Steel toed boots

  • Hearing protection

  • Face protection

  • Compliant with NFPA 70E PPE

General safety practices

  • Any unsafe work practices observed<br>(improper lifting, rushing, wrong tool, etc...)

  • Define unsafe practice

  • Good housekeeping

  • Are hand and power tools in good working condition

  • Is the correct ladder being used and in good working condition with readable label

  • Is proper electrical equipment and extension cords used and in good condition

  • Is technician familiar with emergency procedures

  • Was fire extinguisher needed

  • Was the fire extinguisher available

  • Was hot work preformed

  • Was hotwork permiting procedures followed

  • Is appropriate material handling being performed<br>(Proper lifting devices, ropes, cables, tool bag, cart, etc....)

  • First aid kit available

  • MSDS/SDS available

  • Is walking and working area free of slips trips and fall hazards

  • Observation photos

  • Additional information or safety concerns
  • Additional information

Signatures

  • Auditor signature

  • Employee signature

  • Additional 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.