Information

  • Audit Title

  • Job No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Job Information

Job Information

  • OSHA 300 forms posted and complete?

  • Additional Comments

  • OSHA poster posted?

  • Additional Comments

  • Phone number for the nearest medical center posted?

  • Additional Comments

  • Weekly Safety Meetings up to date?

  • Additional Comments

  • Work areas properly signed and barricaded?

  • Additional Comments

  • Is each employee instructed in the recognition and avoidance of unsafe conditions?

  • Additional Comments

  • Are first aid supplies readily accessible?

  • Additional Comments

  • Is facility for the treatment of injured employees located within 15 minutes of the job site?

  • Additional Comments

  • If not, is there an employee trained in first aid at the site?

  • Additional Comments

  • Are telephone numbers, physicians, hospitals and ambulances conspicuously posted?

  • Additional Comments

  • Are potable drinking water and toilet facilities available at the site?

  • Additional Comments

  • Is there protection for blood borne pathogens?

  • Additional Comments

HouseKeeping

Housekeeping

  • General neatness of work area?

  • Additional Comments

  • Projecting nails removed or bent over?

  • Additional Comments

  • Waste containers provided and used?

  • Additional Comments

  • Passageways and walkways clear?

  • Additional Comments

  • Debris container on the street covered?

  • Additional Comments

  • Areas used by the public maintained?

  • Additional Comments

  • Concrete or mortar washing diverted away from catch basins?

  • Additional Comments

Fire Prevention

Fire Prevention

  • Adequate fire extinguishers, checked and accessible?

  • Additional Comments

  • Phone number of fire department posted?

  • Additional Comments

  • “No Smoking” signage posted and enforced on job site?

  • Additional Comments

Electrical

Electrical

  • Extension cords or attachments cords with bare wires or missing ground prongs or damaged taken out of service?

  • Additional Comments

  • Ground fault circuit interrupters being used?

  • Additional Comments

  • Terminal boxes equipped with required covers?

  • Additional Comments

  • Are flexible cords and cables protected from damage?

  • Additional Comments

  • Are unused openings in cabinet boxes and fittings closed?

  • Additional Comments

  • Are all cabinets, panels and switches located in wet locations enclosed in weatherproof enclosures?

  • Additional Comments

Hand, Power & Powder Actuated Tools

Hand, Power & Powder Actuated Tools

  • Hand tools inspected regularly? Broken handles and mushroom heads?

  • Additional Comments

  • Guards in place on machines, such as saws?

  • Additional Comments

  • Right tool being used for job at hand?

  • Additional Comments

  • Operators of powder-actuated tools are licensed?

  • Additional Comments

Fall Protection

Fall Protection

  • Safety rails and cables are secured properly?

  • Additional Comments

  • Employees exposed to fall hazards are tied off?

  • Additional Comments

  • Employees below protected from falling objects?

  • Additional Comments

  • Employees using body belts for positioning devices only?

  • Additional Comments

  • Are employees working more than 6'/ or Subpart R-above a lower level protected by guardrails, safety nets, personal fall arrest system?

  • Additional Comments

Ladders

Ladders

  • Ladders extend at least 36" above the landing?

  • Additional Comments

  • Ladders are secured to prevent slipping, sliding, or falling?

  • Additional Comments

  • Ladders with split or missing rungs taken out of service?

  • Additional Comments

  • Stepladders used in fully open position?

  • Additional Comments

  • No step at top two rungs of stepladder?

  • Additional Comments

Scaffolding

Scaffolding

  • All scaffolding inspected daily?

  • Additional Comments

  • Erected on sound rigid footing?

  • Additional Comments

  • Tied to structure as required?

  • Additional Comments

  • Guardrails, intermediate rails, toe boards and screens in place?

  • Additional Comments

  • Planking is sound and sturdy?

  • Additional Comments

  • Proper access provided?

  • Additional Comments

  • Employees below protected from falling objects?

  • Additional Comments

Floor & Wall Openings

Floor & Wall Openings

  • All floor or deck openings are planked over or barricaded?

  • Additional Comments

  • Perimeter protection is in place?

  • Additional Comments

  • Deck planks are secured?

  • Additional Comments

  • Materials are stored away from edge?

  • Additional Comments

Material Handling & Storage

Material Handling & Storage

  • Materials are properly stored or stacked?

  • Additional Comments

  • Employees are using proper lifting methods?

  • Additional Comments

  • Tag lines are used to guide loads?

  • Additional Comments

  • Proper number of workers for each operation?

  • Additional Comments

  • Rigging inspected?

  • Additional Comments

  • Non compactible materials segregated in storage?

  • Additional Comments

  • Bagged materials stacked, stepped back and cross keyed?

  • Additional Comments

  • Stored materials secured to prevent falling over?

  • Additional Comments

  • Lumber stacked on solidly supported sill ?

  • Additional Comments

Welding & Burning

Welding & Burning

  • Gas cylinders stored upright and secured?

  • Additional Comments

  • Proper separating distance between fuels and oxygen? (Min 20')

  • Additional Comments

  • Burning/welding goggles or shields are used?

  • Additional Comments

  • Fire extinguishers are nearby?

  • Additional Comments

  • Hoses and regulators are in good condition?

  • Additional Comments

Steel Erection

Steel Erection

  • Fall protection provided with safety nets, planked floors, or personnel restraint devices

  • Additional Comments

  • Hard hats worn as required

  • Additional Comments

  • Tools and materials secured from falling

  • Additional Comments

  • Fire hazards at rivet, forge, and welding operations eliminated

  • Additional Comments

  • Floor openings covered or barricaded

  • Additional Comments

  • Ladders, stairs, or other safe access provided

  • Additional Comments

  • Daily inspection of hoisting apparatus

  • Additional Comments

  • Employees prohibited from riding the ball or loads

  • Additional Comments

Cranes

Cranes

  • Outriggers are extended and swing radius barricade in place?

  • Additional Comments

  • Operator is familiar with load carts?

  • Additional Comments

  • Crane operators logs are up-to-date?

  • Additional Comments

  • Employees kept from under suspended loads?

  • Additional Comments

  • Chains and sling inspected and tagged as required?

  • Additional Comments

  • Hand signal charts are on crane?

  • Additional Comments

Personal Protective Equipment

Personal Protective Equipment

  • Hard hats are being worn?

  • Additional Comments

  • Safety glasses are being worn?

  • Additional Comments

  • Respirators are used when required?

  • Additional Comments

  • Hearing protection being worn when required?

  • Additional Comments

  • Traffic vests being worn?

  • Additional Comments

  • Safety glasses are being worn?

  • Additional Comments

Vehicles

Vehicles

  • Do vehicles, heavy equipment with an obstructed view to the rear have a backup alarm or used with an observer?

  • Additional Comments

  • Do vehicles heavy equipment have seat belts and are they used?

  • Additional Comments

  • Are flagmen wearing reflectorized garments and using flags, sign paddles or lights?

  • Additional Comments

Stairs

Stairs

  • Are flights of stairs with 4 or more risers equipped with standard stair railings or handrails?

  • Additional Comments

Jacking/ Hydraulic Lifting

Jacking/ Hydraulic Lifting

  • Is lifting done in accordance with design drawings?

  • Additional Comments

  • Is lifting equipment used in accordance with manufactures user’s manual?

  • Additional Comments

Miscellaneous

Miscellaneous

  • Is a written Hazard Communication Program on site including, SDS, materials list, container labeling, employee training.

  • Additional Comments

Unsafe Acts or Practices Observed

  • Unsafe Acts or Practices Observed

  • Optional Pictures

Signature

TSC

  • TSC Field Personnel Signature

  • Date and Time

Client

  • Client Representative Name

  • Client Representative Title

  • Client Representative Email

  • Client Representative Signature

  • Date and Time

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.