1. Fall Protection

  • 1.1. Fall risks of 6' or more? (including voids, pits, and trenches)

  • 1.2. Roof/Floor/Wall Opening Protected?

  • 1.3. Unsafe or incomplete edge protection?

  • 1.4 Competent Person Designated?

  • 1.5 Harnesses/Lanyards?

2. Excavation Safety

  • 2.1 Competent Person?

  • 2.2 Trench Protection?

  • 2.3 Spoil/Equipment Distance

  • 2.4 Ladder/Access

  • 2.5. Unlicensed operators?

3.Ladders

  • 3.2. Unsafe or damaged ladders?

  • 3.2. Unsafe positioning of ladders?

  • 3.3. Ladder not properly secured?

  • 3.4.Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

4. Hand/Power Tool Safety

  • 4.1. Maintenance /Storage

  • 4.2. Proper Use/Condition

  • 4.3. Mechanical Gaurding

5. Electrical Hazards

  • 5.1. Unsafe electrical leads? (damaged, out of test date or untested)

  • 5.2. Contact with overhead electrical lines?

  • 5.3.Overloading outlets?

  • 5.4. Electrical equipment near water?

  • 5.5. Electrical equipment near flammables?

  • 5.6. Electrical leads that may be damaged from contact with moving machinery parts?

  • 5.7. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?

6. General Safety

  • 6.1 Site Safety Plan/ Emergency Procedures

  • 6.2 Housekeeping

  • 6.3 Chemical Exposures

  • 6.4. Lack of/or inadequate training, licenses, skills, experience?

  • 6.5. Lack of/or inadequate incident notification procedures?

7. Personal Protective Equipment

  • 7.1. Hard Hats

  • 7.2. Eye/Face/Hearing

  • 7.3. Safety Shoes/ Gloves

  • 7.4. Proper Clothing

8. Crane & Rigging

  • 8.1Daily Inspections Preformed?

  • 8.2. Hoist/Sling Use/Condition

  • 8.3. Qualified Operators

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's signature

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