Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Record-keeping, Posters, Training, Communication

  • Site Board visible and current

  • OSHA Notice / 300 Log Posted As Necessary

  • Emergency Telephone #'s Posted/Office and Board

  • Location of nearest Occupational Clinic

  • Job Planning Documents On-Site

  • Documented Pre-Install

  • Written or Electronic Safety Program On-Site

  • Stretching/Daily Warmup

  • Daily Crew Huddle Documented

  • Weekly Safety Mtgs Documented

  • GHS Information Posted

Haz Com

  • GHS Information Posted

  • Employees know about the subject

First Aid and Emergency

  • Stocked/Current first aid kit on-site

  • Crisis Management Kit on-site

  • Stokes Basket on-site and accessible

Public Vehicular Traffic Safety

  • Barricades, cones, warning tape, used as needed

  • Competent, instructed flag person wearing hi-vis garments

  • Adequate warning signs and markers on equipment and roadway

  • Dust control as needed

  • Work zone of heavy equipment and danger zones protected from pedestrians and other traffic

  • Equipment inspected daily and safe to use

  • Back-up alarms and horns functional

  • Lighting adequate

PPE

  • Hardhat, Safety Glasses, Work Gloves, Proper Boots

  • FR Clothing

  • High Visibility Clothing

  • Respiratory protection used as necessary

  • Hearing protection used as necessary

  • No shorts/sleeveless shirts

  • Other PPE (face protection; specialty equipment; etc.)

Cranes, Riggers, Signal Person

  • Annual Inspection Documented

  • Daily Inspection by competent person

  • Inspection Log maintained

  • Load Capacity Chart on machine

  • Crane within 1% level

  • Proper cribbing and/or mats

  • Power lines deactivated, removed, protected, or safe distance

  • Qualified Operator

  • Qualified Rigger/Signal Person

  • Swing Radius Controlled

  • Critical Lift Permit used if necessary

Motor Vehicles and Heavy Equipment

  • Daily inspection completed as required

  • Horn and backup alarm operable

  • Seat belts used

  • Job traffic controlled

  • Adequate signage for safe travel

  • Inspected and charged fire extinguisher on equipment

  • Weights and loads controlled

Stairways and Ladders

  • Properly Inspected and in good condition

  • Properly Secured

  • Necessary labels visible and legible

  • Straight ladders extend 3' above landing area

  • Step ladder properly used

  • Guard rails provided for stairway landing areas

  • Handrails provided for stairways with 4 or more risers

Scaffolding

  • Properly erected and supervised by competent person

  • Properly tagged

  • Fall protection/prevention used at 10' and above

  • Scaffolding tied to structure 30' horizontally and 20' vertically

  • Scaffolding plumb, cross bracing in place

  • Fully planked and toe boards in place

  • Plank spacing is 1" or less

  • Plank extends 6" or more (or) plank ends cleated

  • Base plates and mud sills used as necessary

  • Ladder access provided

Fall Protection

  • Proper fall protection at 6' or greater

  • Personnel below are protected from falling objects

  • Controlled access zones used

  • Warning lines 6'-10' from edge

  • Wall opening guarded

  • Open sided floors or platforms 6' or more from lower level equipped with proper guardrail

  • Floor openings 2" or more properly barricaded/protected/secured/marked/covered

  • Guardrails in place/replaced after each load received

Housekeeping

  • Clean and organized work trailers

  • Trash picked up and disposed of regularly

  • Walkways and passageways clear

  • Portable toilets/handwashing stations - adequate, cleaned, and serviced

  • Work areas neat and organized

  • No projecting nails/Screws

  • Material stored in orderly and safe manner

Fire Protection & Prevention

  • No unauthorized burning

  • 1 fire extinguisher/3000sqft

  • Fire extinguisher within 50' of flammable liquids

  • Bulk fuel - labeled, grounded, and stored >25' from construction operations

  • Approved metal safety containers for gasoline and diesel

  • No Smoking posted and enforced

  • Flammable and explosive materials stored and handled safely

  • Required number of fire extinguishers are inspected and tagged

  • All vehicles & other mobile equipment provided with fire extinguisher

Aerial Lifts

  • Daily Inspection

  • Proper Use

  • Fall Protection if required

Hot Work

  • Hot-work permit completed/posted

  • Personnel qualified

  • Welding screens provided

  • Fire extinguisher present

  • Proper additional PPE provided

  • Equipment in good repair, insulators, grounding, welding leads

  • Adequate ventilation or respirator utilized

  • Fire watch provided 30 minutes post work

Concrete and Masonry

  • Proper scaffolding

  • Safe hoisting equipment

  • Masonry walls over 8' braced if required/applicable

  • Limited Access Zone established (height of wall >=4')

  • Fall protection/prevention

  • Guardrails on all open floors

  • All protruded rebar guarded

  • Other PPE

Electrical

  • Assured Grounding Program up to date

  • All electrical equipment in good condition

  • Lighting cords and wiring secured with NON-conductive material

  • Power tools are protected with GFCI or internal grounding

  • Pinch/drive-over hazards eliminated

  • Terminal boxes properly covered

  • Exposed light bulbs equipped with protective cage and bulbs in place

  • Good work practices (cords out of pathways, kept out of water, etc.)

  • Adequate Arc Flash Protection

  • Arc Flash Equipment inspected and in good condition

Hand Tools

  • Guards in place

  • Safe work practices

  • Stored safely

  • Maintained properly and in good condition

  • Correct tool used/used for intended purpose

Confined Space

  • Declared Permit or non-permit

  • Rescue Plan communicated and understood

  • Air monitor on site (properly calibrated, properly used)

  • Atmosphere test results documented

  • Energy sources locked out/tagged out

  • Adequate ventilation

Cylinders

  • Compressed gas cylinders stored and secured upright

  • Empty gas cylinders marked

  • Stored properly

  • Cylinders capped

Excavations

  • Competent person on-site

  • Was one-call system contacted

  • Protective system

  • Holes, trenches, excavations, etc. are identified and protected

  • Surface encumbrances protected/supported

  • Ladder or ramp within 25' of all employees in trenches 4' or greater in depth

  • Utilities protected/supported

  • Spoil piles minimum of 2' from edge of excavation

  • Overhead power lines minimum distance of 20'

  • Only Vogel Bros employees using Vogel Bros equipment

Haz-Mat

  • Lead

  • Asbestos

  • Silica

  • Mercury

Miscellaneous

  • Proper lifting/material handling

  • Unusual exposures identified and controlled

  • Potable water available

Other items found

Positive Insight

  • Comments

  • Safety Representative

  • Superintendent

  • Foreman

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.