VECA Safety Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date
• Add location
  Address

Fall Protection Safety

• 1.- Fall risk of 4FT/6FT or more? (including voids, pits and trenches)<br>

  Safe

  At Risk

  N/A

• Add media

  Media

• 2.- Unsafe or incomplete edge protection?

  Safe

  At Risk

  N/A

• Add media

  Media

• 3.- Unsafe or incomplete scaffold?

  Safe

  At Risk

  N/A

• Add media

  Media

• 4.- Lack of daily inspection protocol on scaffolds?

  Yes

  No

  N/A

• Add media

  Media

• 5.- Unsafe or damage lifting equipment, including ropes, slings, chairs and hooks?

  Yes

  No

  N/A

• Add media

  Media

• 6.- Unsafe or damage harness or equipment?

  Yes

  No

  N/A

• Add media

  Media

• Unsafe Self Retracing Lifelines, (damaged)?

  Yes

  No

  N/A

• Add media

  Media

Ladder Safety

• 7.- Unsafe or damage ladders?

  Yes

  No

  N/A

• Add media

  Media

• 8.- Unsafe position of ladders?

  Yes

  No

  N/A

• Add media

  Media

• 9.- Ladder not properly secured?

  Yes

  No

  N/A

• Add media

  Media

• 10.- Ladder unsuitable for Job?

  Yes

  No

  N/A

• Add media

  Media

Corrective Actions

• Enter any corrective actions that will be undertaken

  Yes

  No

  N/A

• Add signature

  Sign