Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
Type of Work
-
Type of work is being performed?
General Safety
-
Is there an SDS book on sight?
-
Is there sufficient individualized water on site? (cups or water bottles)
Personal Protective Equipment
-
Are hard hats worn all the time?
-
Are safety glasses worn all the time?
-
Are face shields in use when needed?
-
Is proper hearing protection being worn?
-
Are gloves being worn as needed?
Fall Protection
-
Is there proper fall protection in use?
-
Are the ropes in proper condition?
-
Are workers tied-off correctly?
-
Is there a harness in use?
-
Is slack removed to prevent long falls?
-
Are workers staying clear of falling branches and work spaces that they are not working?
Ladders
-
Are all ladders in good condition?
-
Is the proper type of ladder being used?
-
Are worker using the three-point rule to climb ladders?
Power Tools
-
Are power tools being used properly?
-
Are they properly stored and maintained?
-
Is chainsaw securely tied?
-
Are chainsaw tethers in good condition?
-
Are proper cuts being made? (incremental, 1 ft from trunk first then against trunk, below branch then on top)
Hand Tools
-
Are hand tools in good working condition?
-
Are hand tools being used safely?
Fire Prevention
-
Is there a fire extinguisher easily accessible?
-
Is the fire extinguisher charged?
-
Is the fire extinguisher regularly inspected?
Wood Chipper
-
Is the operator properly "feeding" the branches into the machine?
-
Are all other workers a safe distance from the chipper?
-
Are proper warnings in place? (cones to redirect civilians)
-
Is the chipper chute aligned correctly and locked in place?
-
Was the emergency break checked before first use?
First Aid
-
Is there a first aid kit accessible?
-
Are all contents currents usable? (not expired)
-
Are items sealed, single use, disposable items?
Bucket Truck and Crane Operations
-
Is the crane operator certified?
-
Does the equipment appear to be in good working condition?
-
Are proper warnings in place? (cones to redirect civilians)
-
Are outriggers in use?
-
Is the crane path clear of workers?
Notes
-
Add signature