Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Audit Overview

    Area Safety Consultant
  • Division/Plant Manager
  • Location
  • Inspection By
  • Select date

Housekeeping and Sanitation

  • General Housekeeping is neat and orderly? [1926.25]

  • Wall openings & floor holes are covered or guarded? [1910.23(a)&(b)]

  • Concrete work? Silica dust training documented for all? Respirators? [1910.134]

  • Competent person on site? [1926.451(f)]

  • Illumination adequate? [1926.56]

Gaseous Atmosphere

  • Atmosphere monitored using CGI or O2 monitor? [Per Company Policies]

  • Employees wearing appropriate flash gear? [Per Company Policies]

  • SCBAs used if atmosphere requires? [Per Company Policies]

  • Non-entry rescue equipment worn with SCBAs? [Per Company Policies]

  • Fire extinguisher located in immediate work area? [Per Company Policies]

  • Employee on fire watch? [Per Company Policies]

Electrical Operations

  • GFCI’s used for all portable electrical hand tools? [1926.404]

  • Portable generators are grounded per NEC requirements? [1926.404(f)(2)]

  • For extension cords: hard usage cord includes three-wire cords marked S, ST, SO, STO, SJ, SJO, SJT, or SJTO [1926.405(5)(a)(2)]

  • Electrical cords inspected & have all prongs intact? [1926.404(f)(8)]

  • LO/TO is being used for appropriate tasks? [1910.147]

  • Electrical power tools are double insulated or grounded? [1926.302(a)]

  • Light bulbs for illumination Class I Div. I per NEC requirements? [1926.407(b)]

Confined Space Entry

  • Confined space entry work? Posted? [1910.146(c)]

  • Permit for 2C spaces? [1910.146(e)]

  • Fire/Rescue notified for 2C permitted spaces? [1910.146(k)]

  • Air monitoring? [1910.146 App B]

  • Training in place? [1910.146(g)]

Trenching and Excavation

  • Excavation-ladders if > 4ft deep? Extend 3 ft? 50 ft apart? [1926.651(c)(2)]

  • Sloping, shoring evaluated? [1926.6562(f)]

  • Excavation – protection from cave-ins for > 5 ft? [1926.652(a)]

  • Daily inspection? [1926.651(k)]

  • Spoil or equipment placed 2 ft. away from edge of excavation? [1926.651(j) (2)]]

Personal Protective Equipment

  • Safety glasses and/or goggles available & being used? [1926.102]

  • Hand protection used/worn as required? [1926.951]

  • Foot protection worn as required? [1926.96]

  • Hearing protection worn where required? [1926.101]

  • Hard hats worn on construction site as required? [1926.100]

  • Crews wearing appropriate ANSI Class II apparel if required? [1926.201]

Ladders

  • Ladders are safe and inspected as appropriate? [1926.1053(b)(15)]

  • Stair rails - for 30” change in elevation or 4 risers? [1926.1052(c)(1)]

  • Stairs or ladder provided for access points > 19” high? [1926.1051(a)]

  • Extension & straight ladders extend 3’ beyond landing? [1926.1053(b)(1)]

  • Stepladders are only used in open position? [1926.1053(b)(4)]

Hand & Power Tools

  • Grinders (portable & stationary) have guards in place? [1926.300(b)]

  • Impact style air tools have safety clips/retainers installed? [1926.302(b)(2)]

  • Portable circular saws equipped with protective guards? [1926.304(d)]

  • Unsafe hand tools are prohibited? [1926.301(a)]

  • Pneumatic power tools have hoses secured? [1926.302(b)(1)]

  • Impact tools, hammers kept free of splinters/mushrooms? [1926.301(c)]

  • Impact style air tools have safety clips/retainers installed? [1926.302(b)(2)]

Lockout/Tagout (LOTO)

  • Tags must be legible and understandable by all employees? (1910.269(d)(2)(vii)(C)

  • Locks, tags, chains, wedges, key blocks, adapter pins, self-locking fasteners, or other hardware shall be provided by the employer for isolating, securing, or blocking of machines or equipment from energy sources? (1910.269(d)(3)(i)

  • Clearance Procedure for shutting down, isolating, blocking, and securing machines or equipment to control hazardous energy? Being followed (1910.269(d)(2)(iv)(B)

  • Tags and their means of attachment must be made of materials which will withstand the environmental conditions encountered in the workplace? (1910.269(d)(2)(vii)(D)

  • Lockout devices and tagout devices shall be singularly identified; shall be the only devices used for controlling energy; may not be used for other purposes? 1910.269(d)(3)(ii)

Job Briefings

  • Job briefing is completed and on the job? (1910.269)(D)

Work Zone

  • Signs in good condition/non-conflicting/clear view/proper position? [1926 Subpart G]

  • Message sign - appropriate message/proper position? [1926 Subpart G]

  • Arrow panel - auto dim/bulbs out/proper placement? [1926 Subpart G]

  • TCDs in good condition/proper number and spacing/proper taper length? [1926 Subpart G]

  • Flaggers certified/visible/properly positioned/ flagging correctly/advanced warning signs? [1926 Subpart G]

  • Misc. - adequate buffer/material and equipment properly stored/work area protected/evidence of accidents? [1926 Subpart G]

Compressed Gasses

  • Compressed gas cylinders stored secured & upright? [1926.350(a)]

  • Oxygen/acetylene torch units have flash back arrestors? [1926.350(g)]

Safety Related Questions

  • What is your Emergency Action Plan for this Job Site?

  • What would you do if a leak developed?

  • What are your means for communication in case of an emergency?

  • Do you have your CDL licenses?

DoT (Vehicle Log) Inspections

  • Dot Inspections being completed?

Additional remarks

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.