Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Personal Protective Equipment
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Hard hats?<br>Are they being worn? Properly? Is it the right classification of hard hat (Type I, Class G - General, E - Electrical, or C - Conductive)?
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Safety glasses / face protection?<br>Is eye protection being worn? Is it the right type for the task being performed?
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Respiratory protection?<br>Has the employee been certified for use with a respirator? Has a pulmonary fit test been performed? Is it the correct respirator for the task?
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Footwear?<br>Does the footwear meet ANSI standards? Is the footwear in good working condition? Is the footwear appropriate for the task being performed?
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Hearing protection?<br>Is hearing protection needed? Is hearing protection available? Is it the right type of protection?
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Fall restraint / protection?<br>Is the fall distance greater than 6' to working platform? Are the anchorage points, harnesses, and connecting devices able to withstand 5k lbs of force?
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Gloves / clothing?<br>Is hand protection necessary? Available? Correct for the task?
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Other information:
Tools and Equipment
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Right tools for the job?<br>Is the best tool being used to perform the task safely? Is a better tool available?
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Tools being used correctly? <br>Is the tool or piece of equipment being used in accordance with the manufacturers recommendations?
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Tools and equipment are in safe condition?<br>Has the item been inspected before use? Does the person know how to inspect it properly? Are the guards in place and fully functional? Is the tool or equipment in good working order?
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Equipment inspection and training certs are in order?<br>Was the piece of equipment inspected prior to use? By whom, are they qualified? Did they document the inspection?<br>Is the user properly trained? Do we have a copy of the certifications?
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GFCI / assured grounding?<br>Is a GFCI and Assured Grounding Protocol in place? Is the system being implemented properly?
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Are electrical panels and/or electrical rooms located and locked out?
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Other information:
General Project Items
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Safety meetings?<br>Are safety meetings scheduled? Well attended? Documentation of attendance? Topics appropriate for the phase of construction?
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Permits?<br>Don't Hit It, Confined Space, Hot Work, Crane Pick?<br>Are all the necessary steps being taken? Documentation review, fire watch, etc?<br>Permits for trenches greater the 5' deep. Construction of any building, structure, scaffold greater than three stories. Demolition of any building, structure, false work greater than three stories.
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Pre-task planning / amendments?<br>Are pre-task forms being filled out? Completely, legibly, descriptive, signed by all participants?
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Emergency & medical response?<br>Is there a crisis management plan with contacts listed? Are first aid boxes properly accessible and stocked? Is an AED available, accessible, battery charged, contacts not expired? Is there a map to a clinic and an emergency room posted?
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Fire prevention and extinguishers?<br>Are fire extinguishers posted throughout the project? Are they the right class of extinguisher? Have they been inspected? Are they charged? Accessible? In good working order?
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Guarding falls: edges, floor, roof?<br>Can guard rails and covers hold at least 200#? Are hole coverings labeled? Are holes larger than 2" covered?
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Compressed gas, fuel storage?<br>Is the material stored in a proper container? Is the container properly labeled? Is the container properly secured, are necessary spacings assured?
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Ladders?<br>Is the ladder in good condition? Is it being used properly, secured? Is an extension ladder 36" above the level being accessed?
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Scaffolds?<br>Is the scaffold in good condition? Have the scaffold users been properly trained? Do we have documentation of the scaffold erection? Are wheels locked on rolling scaffolds? Is the scaffold level, properly planked, secured, inspected?
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Access / signs / staging?<br>Are access routes being maintained through the project? For pedestrian, delivery, emergency routes? Are signs placed to notify pedestrians about changed routes, PPE requirements, etc? Are staging areas well maintained?
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Forklift, scissor lift, man lifts?<br>Has the equipment been inspected? Has the user been trained and certified? Is the lift appropriate for the use? Is the lift on level ground? Are all the necessary safety guards in place?
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Excavation and trenching?<br>Is the excavation or trench greater than 5' deep? Is a permit required? Is the soil type known for benching, sloping, or shoring? Is a ladder provided within 25' of all points in excavations greater than 4' deep?
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Crane and rigging? (Not just tower cranes)<br>Is a crane plan in place? Has a communication system been established? Does the crane have sufficient capacity? Is weather a factor? Do we have copies of the crane inspection and certification? Do we have a copy of the operator's certification? Is the swing radius barricaded? Are ropes/slings/chokes/rigging in good condition?
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Housekeeping?<br>Are access and egress ways free of debris? Are cords and other trips hazards abated? In dun age being handled more than necessary? Is debris being removed quickly enough?
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Lighting / noise / dust / air quality?<br>Is there adequate light provided for the tasks being performed? For access or egress? Are the lights in good working condition? Is additional task lighting available? Does the noise level exceed exposure limits? Is hearing protection available? Is a hearing conservation program required?
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Sanitation / water?<br>Are there enough toilets for the project? For each gender? Are washing facilities available? Are first aid and drinking water station separated to minimize blood-born pathogen contamination?
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Other information:
