Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

GENERAL ISSUES

  • Safety Signs posted?

  • Emergency numbers posted?

  • Evacuation plan approved and posted?

  • All attractive nuisance hazards protected?

  • First aid kit available and stocked?

  • Trained first aid responders on site?

  • Closest clinic and hospital locations know?

  • Emergency evacuation locations know for fire, tornado, etc?

  • MSDS/SDS on-site for all subcontractor chemicals?

LADDERS

  • Ladders are secured and set up at a 4:1 ratio?

  • All ladders extend 3' above the landing?

  • All ladders are being inspected for defects?

  • All stepladders are being used in the open and locked postion?<br>

  • No one is standing on the top or top step of stepladders?<br>

  • All ladder warning stickers are in place?

EXCAVATION AND TRENCHES

  • Competent person is inspecting trenches or excavations each day?

  • For trenches 4' or deeper there is a ladder with travel distance not exceeding 25' and extends 3' above trench?

  • Shoring, sloping, or trench box for trenches 5' or deeper?

  • Soil pile at least 2' from excavation edge?

  • If trench box is used, it is not more than 2' from the bottom of the trench?

  • Proper ventilation if near sources of CO or other airborne contaminants?

  • Proper dewatering in place to eliminate water in excavations?

FIRE PROTECTION

  • Storage of flammables off site until needed?

  • Smoking prohibited on site?

  • Temporary heaters and other ignition sources kept away from flammables and combustibles?

  • Flammable compressed gas cylinders secured?

  • Hot work permit in place and being used for metal cutting, grinding, welding, and other spark producing activities?

  • One 2A rated extinguisher for every 3000 sq. ft. of building area?

  • One 10B rated extinguisher within 50' of where flammables are being dispensed?

  • No LPG stored indoors?

FLOOR OPENINGS

  • All floor holes more than 2" in their least dimension covered or otherwise protected?

  • All covers secure in place?

  • All covers substantial enough to support anticipated weight?

  • All covers marked with the word "Hole" or "Cover"?

SUPPORTED SCAFFOLDS

  • All scaffolding set- up on firm level ground?

  • All scaffolding set-up so it is level and plumb?

  • All working levels fully planked?

  • All working levels outfitted with guardrails on all exposed sides when above 10'?

  • Adequate access ladder, stairtower, or fixed ladder?

  • Scaffolding secured every 30' horizontally and 26' vertically if not tented ( every 15' and 13' respectively if tented)?

  • Scaffolding inspected by a competent person each day?

FALL PROTECTION

  • Guardrials installed for all working/walking surfaces above 6' and installed at a height of 42"+-3" with midrail and toeboard if needed?

  • Personal fall arrest systems in place where guardrails do not exist?

  • Personal fall arrest anchors capable of withstanding 5000 lbs. per employee attached?

  • Total fall distance has been considered when personal fall arrest systems are in place?

  • Warning lines on roof and other working surfaces set back at least 6' for roofers and 15' for all other trades?

HOUSEKEEPING

  • Tool storage and staging areas clean?

  • Adequate receptacles available for waste disposal?

  • Clear aisles and walkways?

  • Dumpsters located away from the building to minimize potential fire spread?

  • No exposed nails in lumber?

HAND AND POWER TOOLS

  • Hand and power tools found to be in good condition?

  • All guards in place on grinders and other tools where required?

  • Well ventilated area if using CO producing equipment?

  • Power cords in good condition?

  • Operator cards available for those using powder actuated tools?

ELECTRICAL CORDS AND TEMPORARY WIRING

  • All electrical cords are plugged into GFCI outlets or GFCI pigtails?

  • All extension cords and cord connected tools also tested as part of an assured equipment grounding conductor program?

  • No exposed wiring or electrically taped cords on site?

  • Temporary electrical panels protected from the weather?

  • Work areas adequately lighted?

  • All temporary lights and extension cords properly hung?

  • No excavation and material handling equipment operated within 10' of power lines? Cranes within 20'?

PERSONAL PROTECTIVE EQUIPMENT

  • Safety glasses observed being worn 100%?

  • Hard hats observed being worn 100%?

  • Safety vests observed being worn 100%?

  • Proper footwear worn?

  • Protective gloves worn as required?

  • Full face shields worn for all grinding and steel stud cutting?

  • Guards on all chain and belt drives?

  • Full face shields for grinding or steel stud cutting?

OCCUPATIONAL HEALTH

  • Hearing protection being used if exposure is above 90 dB ( if voices have to be raised to be heard)?

  • Respirators being used when required?

  • Laser signs are in place if lasers are being used?

  • Wet cutting of concrete done whenever possible to reduce silica exposure?

  • CO monitors used in enclosed spaces if engines are running?

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.