Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. General Information

  • Are contractor's SDS's available, on file?

  • OSHA poster posted? OSHA 300A Summary?

  • Emergency phone numbers posted?

  • Are weekly "Toolbox Talks" current and up to date?

  • Are work areas properly signed and barricaded?

  • Are First Aid supplies available and adequate?

  • Is the site accessible to emergency vehicles?

2. Housekeeping and Sanitation

  • General neatness of work area?

  • Are sanitary facilities adequate and clean?

  • Is there an adequate supply of drinking water and cups?

  • Are waste containers provided, used and emptied regularly?

  • Is temporary lighting adequate and elevated?

  • Are light bulbs protected from breakage?

  • Are passageways and walkways kept clear?

  • Are projecting nails removed or bent over?

  • Are cords and leads off the floor?

  • Does housekeeping display a positive professional image?

3. Personal Protective Equipment

  • Are hard hats being worn by all personnel?

  • Eye and face protection worn as required?

  • Is footwear appropriate?

  • Is clothing is accordance with company policy?

  • Reflective garment worn by all site personnel?

  • Respirators used when necessary?

  • Hearing protection worn when / where required?

4. Fire Prevention and Protection

  • Are fire extinguishers adequate, mounted and inspected?

  • Are fire extinguishers accessible within 100 feet?

  • "No Smoking" posted and enforced near flammables?

  • Are containers appropriate for handling and storage of flammable liquids?

  • Is a 20lb. "B" rated extinguisher provided not less than 25 or more than 75 feet from fuel storage tanks?

  • Are fuel tanks stored at least 20 feet from any building?

  • Are LP gas cylinders properly stored and secured outside?

  • Are LP gas cylinders and tanks protected from vehicular damage?

5. Material Handling

  • Are materials properly stored and stacked?

  • Are workers using proper lifting methods to avoid injury?

  • Are tag lines used to guide loads?

  • Rigging inspected; defective equipment removed from service?

  • Are forklifts inspected daily, on each shift prior to use?

  • Are forklifts, skid steers etc., equipped with a working back up alarm?

6. Hand, Power and Powder Actuated Tools

  • Are hand and power tools inspected regularly, prior to use?

  • Are electric tools properly grounded or double insulated?

  • Are all required safety guards in place?

  • Do powder actuated tool users have "Operator Training Cards"?

  • Do powder actuated tool users wear eye and hearing protection?

7. Welding and Cutting

  • Are safety caps replaced when cylinders not in use?

  • Are stored oxygen and fuel gas cylinders separated by 20 feet and secured?

  • Are leads and hoses in good condition?

  • Are fire extinguishers accessible within the immediate work area?

  • Are welding cables properly and securely grounded?

  • Is there adequate ventilation for cutting and welding operations?

  • Is a fire watch in place? By whom?

  • Burning or welding goggles or shields used? Other PPE?

8. Electrical

  • Are extension cords with missing ground prong, fraying or exposed conductors removed from service?

  • Are extension cords protected from damage from equipment, doors, windows and other pinch points?

  • Are extension cords designed for hard or extra hard usage?

  • Are ground fault circuit interrupters in use? Tested?

  • Are terminal boxes equipped with required covers?

  • Are circuits labeled as to their control?

  • Are electrical dangers posted with the proper warning?

9. Scaffolding

  • Are daily inspections conducted by a competent person?

  • Are footings sound and rigid, and capable of supporting the imposed loads without settling or displacement?

  • Do scaffold bear on mudsills and baseplates?

  • Are scaffolds plumb and level and properly braced and cross-braced?

  • Are workers protected from falls of six feet or more?

  • Are scaffolds tied or braced to the structure as required?

  • Are guardrails installed on all open sides and ends?

  • Are working platforms fully decked? Planking sound and sturdy?

  • Is proper access provided; no more than 2 feet up, out or down?

  • Do toeboards protect workers below from falling objects?

  • Are harnesses and lifelines used with suspended scaffolds?

  • Are lifelines anchored to an overhead structure separate from the scaffold?

  • Are PFAS's or fall restraints used with aerial lifts?

  • Are aerial lift operators trained and authorized?

10. Fall Protection and Prevention

  • Are guardrails or cables installed at 42", plus or minus 3"?

  • Are safety cables flagged at six foot intervals?

  • Are toeboards installed for falling object protection?

  • Are workers exposed to fall hazards tied off?

  • Are body harnesses used for fall protection? Belts for positioning?

  • Are personal fall arrest systems rigged to limit free fall to 6 feet?

  • Are wall and window opening guarded where necessary?

  • Are deck or floor openings covered or barricaded?

  • Are hole covers secure and labeled "Hole or Cover"?

  • Are materials stored at least 10 feet away from any elevated edge?

11. Cranes

  • Restricted from working within 20 feet of overhead power lines?<br>

  • Are crane and rigging inspections conducted daily prior to use?

  • Most recent annual and current monthly inspection on file?

  • Are mobile crane outriggers fully extended with wheels off the ground?

  • Is the swing radius barricaded?

  • Are hand signal charts posted?

  • Are workers kept from under suspended loads?

  • Are tag lines used for load control?

  • Aviation flags in place and waning lights functioning?

12. Trench and Excavations

  • Have underground utilities been located and identified?

  • Are activities directed and supervised by a competent person?

  • Does the competent person conduct daily inspections?

  • Is a protection system in place where operations are 5 feet or more in depth?

  • Are spoils stored at least 2 feet from the trench or excavation edge?

  • Ladder or safe means of access and egress where 4 feet or more deep?

  • All equipment a safe distance from the edge of trench or excavation?

  • Are trenches and excavations properly flagged or barricaded?

  • Are adjacent structures and encumbrances properly supported?

13. Concrete and Masonry

  • Is formwork and shoring adequate to support all loads?

  • Are reinforcing bars guarded or bent over?

  • Are workers protected from cement and silica dust? PPE in use?

  • Has a Limited Access Zone been established? Height of wall plus 4 feet?

  • Are masonry and precast walls adequately braced?

  • Are nails removed or bent over from stripped forms?

  • Are workers protected from falling objects during form removal?

  • Are clear pathways maintained through stripping areas?

  • Approved shoring plan available onsite?

14. Structural Steel

  • Strength of concrete and masonry sufficient to support imposed loads?

  • Written approval to begin steel erection transmitted to erector?

  • Are firm, graded and drained areas provided for materials, aerial and hoisting equipment?

  • Has the structural engineer approved the repair, replacement and / or modification of anchor bolts?

  • Was the erector given written notice of anchor bolt repair, replacement or modification?

  • Is perimeter fall protection in place?

  • Are workers prohibited from working directly below suspended loads?

  • Are loads rigged by a qualified rigger?

  • Are erectors protected from falls of 6 feet or more?

15. Stairs and Ladders

  • Are handrails and stair rails provided where required?

  • Are steps, stairs or ladders provided where breaks in elevation are 19 inches or greater?

  • Stairs kept clear of trash and debris?

  • Do extension ladders extend at least 36 inches above the landing?

  • Are ladders secured to prevent slipping, sliding or falling?

  • Are ladders inspected with broken or damaged ladders removed from service?

  • Are step ladders used in the open and locked position?

  • Is stepping or sitting on the top two rung of a stepladder prohibited?

  • Are ladders properly stored and secured?

  • Observations: Unsafe acts or practices:

  • Add signature

  • Select date

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.