Audit

Housekeeping / Personal Protective Equipment

Work area clean and free of excess trash/debris.

Walkways and passageways clear.

Material or equipment properly stored.

Electrical cords, hoses, welding leads, etc. positioned to avoid trip hazards.

Required PPE being used and properly worn.

Notes / Other:

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Fall Protection

Personal Fall Arrest System contains all proper components and is being used properly.

Body harness worn in proper manner if required.

Perimeter guarding where needed.

Fall protection equipment used only for fall protection.

Proper fall protection (or restraint) being used in aerial lifts.

100% tie off being followed

Notes / Other:

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Excavations

Utility mark out performed and utilities identified prior to starting excavation

Sloped and shored properly.

Access and egress provided every 25 feet.

Water accumulation managed appropriately

Spill dirt, equipment & material storage at least 2 feet from edge

Daily documented inspections conducted if employees are entering shored excavation, competent person identified

Notes / Other:

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Scaffolds and Ladders

Proper access and egress provided.

Scaffolding Inspected and tagged appropriately.

Ladders at proper angle (4:1) and exceeds the landing by 3 feet.

Proper ladder for the job performed/properly secured.

Gangplanks - Secured, correct angle, proper handrails, proper thickness (not dimensional lumber)

Notes / Other:

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Fire Protection

Flammables stored properly.

Oxygen and Combustibles separated, a minimum distance of 20 feet or by a noncombustible barrier at least 5 feet high having a fire-resistance rating of at least one-half hour.

Fire extinguishers properly located and inspected.

Containers labeled to content.

Regulator gauges properly attached or removed and capped.

Notes/ Other:

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Motorized Heavy Equipment

Pedestrian and vehicle traffic separated

Flaggers, Observers or Spotters in place if needed.

High Visibility Safety Apparel (HVSA) utilized.

Heavy Equipment swing radius barricaded

No approach of equipment until acknowledged by operator

Notes / Other:

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Lifting & Rigging

Crane and suspended load area is clear of unauthorized personnel

Crane swing radius barricaded

Tag lines in use

Daily rigging inspection documented in team book

Qualified Signal Person, Qualified Rigger readily identifiable

Specialized plans in place for high risk activities (critical lifts, man baskets)

Notes / Other:

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Confined Spaces

Confined Space Entry Permit is completed prior to entering a permit-required confined space

Atmospheric testing is conducted, and documented, by a qualified person who demonstrates knowledge and competency applying it appropriately

Provisions for emergency response, evacuation and rescue are identified prior to entry

Workers are trained and knowledgeable for their respective roles

Attendant and communication are maintained for the duration of entry, and communication and coordination is established between host employer, controlling contractor, and/or entry employer

Notes / Other:

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Electrical Work

GFCIs are used in damp or wet (standing water) work areas, outdoors, industrial, maintance and or construction field locations, cord and plug applications, portable, electric hand tools with cord/plug connectors, and receptacles that are not part of the permanent structure wiring (including extension cords)

Electrical cords are inspected and free of breaks in insulation

Electrical workers are trained for tasks being performed

Electrical workers and rescue personnel are trained in first-aid, CPR, and AED

Temporary electrical outlets, receptables, junction boxes, and panels are electrically grounded

Notes / Other

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Signature
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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.