Information

Project Name and Job Number

Audit Prepared by:

  • Conducted on

Access

  • Designated access ways provided

  • Access signage in place & effective

  • Access free of trip or other hazards

  • Stair rails @ 30" in height or 4 risers

  • Stairs when elevation changes > 19"

  • Ramps at least 18" wide & secured

Public / Pedestrian Controls

  • Designated Public Access Ways

  • Signage in Place & Effective

  • Barricades/Fencing as req.

  • Flaggers/Spotters as req.

  • No Slip, Trip, or Fall Hazards Present

  • All Work/Material Inside Zone

Housekeeping

  • Site Neat/Clean/Orderly

  • Material staged properly

  • Material on Carts enforced

  • Trash & Debris Managed

  • No Hazardous Waste on-site

  • Nothing Hits The Deck In Place

Lighting

  • Passageways/access well lit

  • Task lighting as needed

  • Lighting covers/guards in place & single power source

  • Cords grounded - GFCI's

PPE

  • PPE use per site plan/AHA

  • High Vis outerwear in use

  • Respirators used as req.

  • Hearing protection used as req.

  • 100% Safety glasses in use

  • Gloves used as required

Electrical

  • Cord management in place

  • Cords protected from damage

  • 100% GFCI protection in place

  • LOTO procedures as required

  • Energized panels have covers & breakers are labeled?

Fire Control

  • Sufficient Fire Extinguishers on site & inspected periodically

  • Emergency exit routes established

  • Flammables in metal cans & stored in Flame Locker when not in use

  • Combustible debris removed daily

Tools

  • Grinders have guards in place

  • Portable & table saws guarded

  • Pneumatic tool hoses secured

  • Proper tool for job being used

  • Compressed gas cylinders secured upright with caps

Ladders

  • Correct type/size used

  • Ladders secured as required

  • Step ladders used safety

  • Ext ladders safely used

  • 3 or > rungs above for access

  • Jobsite built ladder per code

Fall Protection

  • All working/walking surfaces guarded/protected above 4'

  • All other fall hazards above 4' controlled or guarded

  • All fall protection gear properly used by trained employees

  • Wall openings/holes covered or guarded

  • Guardrails (42" +/- 3") with mid rail - toe boards in place?

  • Cable guardrails are taught with less than 3" deflection?

Environmental

  • Air quality/dust issues controlled

  • No Health Hazard 3 or > material on site

  • Noise exposure controlled/acceptable level

  • No run off from site present to public areas

  • Applicable number/type of spill kits available

  • Work adjacent to occupied space evaluated

Aerial Lifts

  • Qualified operators only

  • Lifts inspected prior to use

  • Gates/chains closed when in use

  • No standing/climbing on rails

  • Scissor lift used on flat/level surface

  • Fall protection used in boom lifts

Forklifts

  • Qualified operators only - documented training

  • Inspected daily with documented inspection

  • Forklift and attachments used properly per design

  • No loads rigged under forks or to mast

  • Loads properly secured/carried

  • Operator demonstrates safe operating skills

Cranes

  • Qualified operators only - documented certs

  • Cranes certification verified

  • Inspected daily - inspection log maintained

  • All operational hazards identified/controlled

  • Qualified riggers assigned - rigging inspected

  • Critical lift/Pre-lifts meeting when required

Work Platforms

  • Platforms fully planked (min 36")

  • Safe access to platforms in place

  • 100% guardrails including end returns

  • Control zones/falling object protection

  • Platform fully supported/correctly installed

  • Fall protection for assembly/disassembly

Trenching / Excavations

  • Cave in protection system/design when >4' deep

  • Soil spoils are greater than 2' from the excavation

  • Inspected daily when workers in trench/excav

  • Safe access provided - ladders every 25 feet

  • Fall protection/control zones when >6 feet deep

  • Standing water/other hazards control

Scaffolds

  • Scaffolding erected per manufacturers design

  • Safe access on/off scaffolds

  • Qualified scaffold users/erectors

  • Daily inspections performed/logs maintained

  • Control zones under scaffolding as required

  • Guardrails in place on scaffolding above 4'

Confined Space

  • Permit required/issued/checked

  • Air monitoring required/in place

  • Rescue equipment/plan in place

  • Lighting/Ventilation established

  • All space entrants have harnesses on

Demolition Work

  • Dust/environment conditions controlled

  • No unidentified/suspect hazardous material

  • Identify energized/no-demo conduits and piping

  • PPE - cut resistant gloves/sleeves used

  • Debris control/removal means in place

Hot Work and Concrete Penetrations

  • City/jurisdiction permit current/on file

  • Sellen Burn Permit issued/signed

  • Fire watch protocols established/in place

  • Areas of hot work/spark travel inspected

  • Gas cylinders/torches properly used/secured<br>

  • Drill Permit Protocols are followed

Infection Controls

  • Are required neg air machines working properly

  • Are the sticky floor mats intact/ being changed as appropriate

  • Are the barriers secure and unbroken and sealed

  • Are required defuser's sealed and properly installed

  • Are ICRA logs filled out and signed daily

  • Is manometer reading meeting or exceeding established standard of -0.005mmHg

  • All mechanical vents sealed- new and existing.

SUBCONTRACTOR EVALUATION: (Evaluate a Subcontractor's Safety Performance)

  • Company:

General Notes:

  • Add media

Corrective Actions Required:

Assigned To:

Corrective Actions Carried Over From Previous Inspections / Not Completed:

Assigned To:

Status / Comp By Date:

  • Select date

Personnel Present During Inspection:

Foreman Signature

  • Add signature

Safety Rep Signature:

  • Add signature

Superintendent Signature:

  • Add signature

Project Manager Signature:

  • Add signature

  • Send copy of completed inspections to the Safety Department and maintain copies on file at project site.

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.