Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Training

  • Is training provided for each person newly assigned to a job?

  • Does initial training include a thorough review of hazards and accidents associated with the job?

  • Is adequate instruction in the use of personal protective equipment provided?

  • Is training for the use of emergency equipment provided?

  • Other:

  • Deduct point?

Personal Protective Equipment

  • Clothing in good condition and suitable for task being performed

  • Hard hats worn and maintained as required

  • Hearing protection worn as required

  • Eye protection worn as required, in proper manner

  • Proper foot protection worn for job performed

  • Work gloves worn as required

  • Face shield and googles worn as required

  • Fire retardant clothing, if required, in good condition

  • 6' height exposure rule being observed

  • Respirators, gloves, chemical, resistant garments?

  • Other

Work Process

  • Are repetitive motion tasks properly paced and kept to a minimum?

  • Are the material safety data sheets placed in locations accessible to all employees?

  • Are hazards identified by signs and tags?

  • Have all trucks, forklifts and other equipment been inspected and maintained?

  • Are lockout or tagout procedures in place and followed?

  • Other

  • Deduct point?

  • Deduct point?

  • Other

  • Deduct point?

Fire Emergency Procedures

  • Are special purpose extinguishers clearly marked?

  • Is there a clear fire response plan posted for each work area?

  • Do all the workers know the plan?

  • Are drills held regularly?

  • Are fire extinguishers chosen for the type of fire most likely in that area?

  • Are there enough extinguishers present to do the job?

  • Are extinguishers properly mounted and easily accessible?

  • Are all extinguishers fully charged and operable?

Means of Exit

  • Are there enough exits to allow prompt escape?

  • Do employees have easy access to exits?

  • Are exits unlocked to allow egress?

  • Are exits clearly marked?

  • Are exits and exit routes equipped with emergency lighting?

Hoisting and Lifting Equipment

  • Chain falls, come-a-longs, and chokers in good physical condition

  • All equipment in apparent good mechanical condition

  • Softeners used as required

  • Proper rigging techniques used

  • Rigging is protected from cutting, burning, and welding operations

  • Rigging is protected from chemical exposure

  • Other

  • Deduct point?

Vehicles and Mobile Equipment

  • Daily document equipment inspections have been performed

  • Lights, brakes, horns, and alarms working properly

  • Seat belts provided and used

  • Properly maintained; no leaks, drips, or smoke

  • Proper equipment for the job being performed

  • Operators license or certifications as required

  • Fire extinguishers on forklifts

  • Other

  • Deduct point?

Tools and Equipment

  • Electrical cords and plugs in good condition

  • Tools are maintained In a safe condition

  • Tools have guards as supplied by the manufacturer

  • Tools are properly carried and stored

  • Pneumatic / hydraulic hose connections properly stored

  • Proper tools used for the job performed

  • Bench grinder: work rest properly adjusted and wheels dressed

  • Broken / defective tools are secured to prevent use

  • Other

  • Deduct point?

Fire Protection

  • Flammables stored properly

  • Oxygen and combustibles separated

  • Containers labeled

  • Fire extinguisher properly located and inspected

  • Flash arresters installed

  • Compressed gas cylinders properly stored and maintained

  • Containment of hot work and welding screens as required

  • Regulator gauges properly attached and maintained

  • Other

  • Deduct point?

Project - Facility / Safety & Legal Documentation

  • Materials safety data sheet (MSDS) Book available and current

  • Project safety policy manual available and current

  • Federal posters are in an accessible area and current

  • State posters are in a accessible area and current

  • "Posted Panel of Physician" or other WC poster is accessible and current

  • Other

  • Deduct point?

Job & Safety Task Permits

  • Applicable permits posted

  • JSA completed and correct

  • JSA and Permit procedures being followed

  • Crew members are knowledgeable about permits and JSAs

  • Other

  • Deduct point?

IDLH ( Imminently Dangerous to Life or Health )

  • IDLH violations?

  • Deduct point?

Shop Check List

  • Fire Extinguishers Checked

  • Extension Cords Checked

  • Power Hand Tools Checked (Drills,Screw Guns,Circular Saws,Grinders,Miter Saws,Fans,Sawzalls,ect.)

  • Bathrooms and Breakrooms clean and tidy.

  • Front office bathrooms and Breakrooms clean and tidy.

  • Microwaves and Refrigerators clean.

  • Trash bins in shop area empty

  • Shipping area clean, material stacked in an orderly manner.

  • Flammable Cabinet (Gas cans,Alcohol,MEK,ect.)

  • Yard clean, neat and orderly.

  • All employees were wearing appropriate levels of PPE.

Pictures of Facility

  • Add media

  • Description of Picture(s).

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.