Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Conditions

  • Safety Posters in place and in good condition?

  • Site access clearly marked?

  • Toilet and hand-washing facilities adequate?

  • Safe drinking water provided / with cups / disposal location?

  • Other

First Aid and Safety

  • First Aid Kits stocked and accessible?

  • First Aid/CPR trained personnel on-site?

  • Weekly Safety Meeting / Tool Box Talk conducted?

  • Daily Task Hazard Analysis completed?<br>Updated as needed when tasks change?

  • SDS Book available on-site?<br>Employees aware of location?

  • Other

Personal Protective Equipment

  • Hard Hats / Reflective Vests / Safety Glasses being worn?

  • Gloves being worn and appropriate for task?

  • Hearing / Respiratory Protection being used as required?

  • Appropriate footwear being worn?

  • Appropriate Arc Flash Clothing being worn as required?

  • Unused PPE stored properly?

  • Other

Vehicles

  • No employee vehicles in the work area?

  • Company vehicles clean and maintained?

  • Company Vehicles equipped w/ Fire Extinguisher and First Aid Kit?

  • All vehicles operated in a safe manner?

  • Other

Equipment Condition and Operation

  • Inspections performed before operating?

  • Equipment operated in a safe manner?

  • Seat belts worn at all times?

  • Warning decals in place and legible?

  • Back-up alarms working? (if equipped)

  • Attachments lowered when unoccupied?

  • Operator trained for equipment being used?

  • Other

Cranes

  • Crane Operator certification current and for equipment being used?

  • Rigger and Signalman trained and qualified?

  • Tag lines used on suspended loads?

  • Outriggers fully extended and supported by "mud sills"?

  • Power line "Safety Zones" maintained?

  • Other

Aerial Lifts

  • Personnel operating lifts have been trained on equipment used?

  • Fall protection used on aerial lifts?

  • Surfaces adequate to support weight of lift?

  • Scissor Lifts operated on level surfaces?

  • Lift platforms lowered before moving horizontally?

  • Other

Tools

  • Tools in good working order and stored properly when not in use?

  • Tools used for intended purpose?

  • Guards in place on power tools

  • Workers trained for specialized tools?

  • Other

Material Handling

  • Safe lifting practices followed?

  • Attachment used when lifting material w/ slings on a forklift?

  • Material stored on dunnage and secured?

  • Material stored to prevent "tipping" hazards?

  • Rigging stored properly?

  • Rigging inspected before use?

  • Other

Ladders

  • Unused ladders stored properly?

  • Ladders inspected before use?

  • Ladders free from damage or defects?

  • Ladder decals legible?

  • Step ladders set up properly?<br>Spreader bars open and locked?<br>Step ladders used properly?

  • Extension ladders set up properly?<br>Secured at top and bottom?<br>Extends 3 feet above landing?

  • Other

Scaffolds

  • Scaffolds inspected daily by Competent Person?

  • Scaffolds properly tagged for condition?

  • Scaffolds properly braced and fully planked?

  • Planks are "Scaffold Rated"?

  • Scaffolding has proper access?

  • Mid-rails and toe-boards installed?

  • Clear of trash and debris and not overloaded?

  • Scaffold is plumb and level w/ "mud sills" installed?

  • Other?

Fall Protection

  • All holes and openings covered or properly guarded?

  • Guardrail systems in place and meet regulatory criteria?

  • Controlled Access Zone in place w/ Warning Line clearly identified?

  • Personal Fall Arrest System being used above 6 feet?

  • Personal Fall Protection being used correctly?

  • Equipment inspected before use?

  • Competent Person inspection current?

  • Personal Fall Protection equipment stored properly?

  • Equipment in good working order?

  • Other

Excavation and Trenching

  • Excavation Permit completed? (if required)

  • Trench protection in place / sloped / shored as required?

  • Spoils placed at least 2 feet from edge?

  • Excavation/Trench inspected daily by Competent Person?<br>Or as conditions change?

  • Access/Egress within 25 feet of travel?

  • Air monitors in place? (if required)

  • Excavation barricaded and proper signage in place?

  • Other

Electrical

  • Electrical Panel clearance maintained?

  • Proper warning decals in place and legible?

  • Construction power protected by GFCI?

  • Generators / Welders / Lights properly grounded?

  • Cords routed to avoid damage?

  • Cords in good condition w/ ground prong intact?

  • Panel schedules in place?

  • Lockout/Tagout in place as needed?

  • Overhead power line warning placards in place?

  • Other

Traffic Control

  • Approved Traffic Control Plan in place?

  • Plan provides adequate safety for the Public and Workers?

  • Signage and barricades used properly?

  • Traffic control devices in good condition?

  • Other

Welding, Cutting and Propane Torches

  • UV Flash protection in place?

  • Proper PPE in use?

  • Regulators removed when not in use?

  • Oxygen/Acetylene/Propane tanks stored properly?

  • Other

Fire Protection

  • Extinguisher inspection current?

  • Extinguishers accessible?

  • Fuel storage has adequate containment and proper signage?

  • Portable fuel cans have screens and self-closing lids?

  • Portable fuel cans stored properly?

  • Work areas clear of flammable materials?

  • Hot Work Permit completed?<br>Fire Watch in place?

  • Other

Housekeeping

  • Work areas free of trash and excessive scrap material?

  • Scrap material stored properly and free from hazards? (nails, oily rags or vermin)

  • Paths clear and free of tripping hazards?

  • Storage trailers and tool vans orderly?

  • Walkways/Working surfaces free from hazards? (protruding nails, splinters or sharp edges)

  • Trash containers available and emptied regularly?

  • Other

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.