Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

HOUSEKEEPING

  • Is housekeeping sufficient for tasks being performed?

FIRST AID

  • Are first aid kits available and adequately stocked?

PPE

  • Hardhats, Safety Glasses, Face Protection, Hearing Protection, Respiratory Protection, and Gloves being used where required?

ELECTRICAL

  • Cords in good shape and GFCI protection provided?

GUARDRAILS

  • Guardrails are installed at perimeters and in good shape?

FALL PROTECTION

  • Employees using adequate fall protection where exposed to falls of 6' or more?

SCAFFOLDING

  • Is scaffolding safe and being used properly?

BAKER SCAFFOLD

  • Wheels locked during use? Are baker scaffolds being stacked?

LADDERS

  • Access ladders and step ladders in good condition and being used properly? Are employees overreaching while on ladders?

STAIRS

  • Stairs are clean and adequate for use?

HAND/POWER TOOLS

  • Tools guarded and begin used appropriately? Powder actuated shots/tools not left unattended.

HOISTING/RIGGING

  • Employees certified in Rigging and Signaling? Rigging is in good shape?

FIRE PROTECTION/HOTWORK

  • Fire extinguishers available? Area is suitable for hotwork? Permits Required?

INDUSTRIAL HYGIENE

DROP PREVENTION

  • Tasks not begin performed above other trades? Tools tethered as necessary?

MATERIAL HANDLING

  • Materials handled appropriately? Forklifts operated within manufacturers requirements?

AERIAL LIFTS

  • Aerial lifts operated by qualified personnel and appropriately?

CONFINED SPACES

  • Will confined space work be required?

SIGNAGE/POSTERS

  • Is appropriate signage posted?

SANITARY FACILITIES

  • Sanitary facilities available?

TRAFFIC CONTROL

  • Appropriate traffic control measures taken?

SECURITY

  • Jobsite properly secured?

OTHER

  • Any other issues needing attention?

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.