Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General

  • Is the TRC Health and Safety Plan (HASP) available onsite?

  • TRC Signage in place for site control?

  • Pre-Job Briefing/Tailboard Complete?

  • Competent Person onsite?

  • Qualified Workers?

Personal Protective Equipment (PPE)

  • Approved eye protection worn where required?

  • Head protection worn where required?

  • Hand protection where required?

  • Reflective safety vest/clothing worn where required?

  • Approved safety footwear worn where required?

  • Hearing protection worn in designated areas?

  • Face shield worn where required?

  • Fire Resistance (FR) clothing utilized where required?

  • Are respirators being worn at this work location?

  • Did workers complete pulmonary function test and fit test?

  • Are respirators being worn in compliance with regulator requirements?

  • Other?

Hand and Power Tools

  • Are hand or power tools used at this location?

  • Visible physical damage to tool?

  • Shields and guards in place?

  • GFCI protection used?

  • Proper use of tool?

  • Certification for power actuated tool operation?

  • Safety clips/pins in place on air hose connections?

  • Other?

Motor Vehicle/DOT/Earth Moving Equipment

  • Are motor vehicles being used at this location?

  • Seat belts properly worn?

  • Are vehicles/equipment properly set up?

  • Are vehicles parked where the first move is forward where possible?

Work Zones

  • Is there traffic concerns associated with the work operation?

  • Traffic control devices appropriate for work location?

  • Signage appropriate for work location?

  • Are traffic cones in place?

  • Are car/truck flashers on?

  • Other?

Other

  • Are there other unsafe acts or conditions that need to be documented?

  • Other?

Signatures

  • Supervisor

  • Auditor

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.