Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

TRAINING & PLANNING

  • Foreman's JSA's completed and adequate for tasks being performed?

HAZARD COMMUNICATION/MSDS

  • MSDS current for all contractors on site

  • Labels on containers

TRAFFIC CONTROL

  • Traffic plan per MUTCD, local, county or state inspections.

  • Advance warning signs

  • Trained flaggers used when directing traffic w/proper PPE, proper stop/slow sign and flagger ahead signs warning approaching traffic.

STRUCTURE ENTRANCE

  • Overhead protection at entrances where overhead work on-going?

PUBLIC PROTECTION

  • Public protection adequate including warning signs?

HOUSEKEEPING & SANITATION

  • Housekeeping: aisles clean, scrap removed, no protruding nails.

  • Adequate supply of water or water jugs, cups and trash containers?

  • Adequate toilet facilities and clean?

PERSONAL PROTECTIVE & LIFE SAVING EQUIPMENT

  • Head,eye, face, high visibility vest and hand protection worn?

  • Respiratory protection worn when needed/required?

  • Written program:<br>medical evaluations completed?<br>Documentation of fit test and training for respirators?

  • Safety harnesses, lifelines and lanyard worn when needed/required?

FIRE PROTECTION & PREVENTION

  • Fire extinguishers/stand pipe installed<br>clear access?<br>Fire extinguishers identified, charged and inspected monthly?

  • Flammable & combustible liquids in approved containers only?

  • "No smoking" posted and enforced where needed?

  • Fuel tanks protected and min 20 ft from bldgs w/ 20B fire exiting w/in 50 ft?

ELECTRICAL

  • Guarding of live parts by cabinets or other enclosures?

  • Warning signs posted (Danger high voltage)?

  • GFCI receptacle used including when using permanent power?

  • GFCI's tested w/ test documented?

  • Temporary lighting adequate and bulbs protected?

  • Breaker boxes and switches properly labeled?

  • Lockout/Tagout being used?

  • Extension cords?

TOOLS

  • Proper tool being used for job?

  • All tools inspected at least daily?

  • Damaged tools repaired or replaced promptly?

  • Are tools being used properly?

  • Guards in place?

  • Pneumatic tools/air hoses have proper safeguards, secured connections?<br>

  • Powder Actuated Tools:<br>Operators trained/spot check cards?<br>Tools and charges protected from unauthorized use?

STAIRWAYS AND LADDERS

  • Stairway/ladder/ramp used where 19 inch break in elev.

  • Stairways clean and free of trip hazards w/ adequate lighting?

  • Handrails in stairways and guardrails at landing?

  • Metal pan stairs poured, filled or barricaded from use?

  • Ladders properly secured to prevent slipping, sliding or falling?

  • Do straight ladders extend 36" above top of landing?

  • Stepladders fully open when in use; no standing on top two steps?

  • Proper maintenance and storage of ladders?

SCAFFOLDING

  • Is scaffold equipment in good working order?

  • Inspected by competent person daily before use?

  • Erected on solid, level footing?

  • Guardrails on open sided and end more than 6 ft above the ground?

  • 2x4 top rail, mid-rail & toe board?

  • Tightly planked platform for full width and secured in place?

  • Is the scaffold plump and square, with cross-bracing?

  • Access ladder provided?

  • Hooks, clamps, outriggers properly anchored and tiebacks installed?

FALL PROTECTION

  • Floor opening covered/guardrails in place?

  • Open-sided floors/wall opening have guardrails & toe boards?

  • Roof edge adequately guarded?

  • Leading edge protection & signage utilized where required?

  • 100% fall tie off for all heights above 6 ft with proper anchor points?

  • All horizontal lifeline systems engineered?

AERIAL MANLIFTS/SCISSORS LIFTS

  • All personnel tied off?

  • Safety chains in place on scissors lifts?

  • Employee training verified?

HOISTS AND CRANES

  • Slings and chains , hooks and eyes in good condition and tagged/marked?

  • Equipment firmly supported?

  • Outriggers used if needed and proper cribbing in place?

  • Signalmen where needed & hand/verbal signals understood? Hand signal poster?

HEAVY EQUIPMENT

  • Operator trained or licensed to operate equipment?

  • Regular inspection and maintenance logs complete?

  • Lights, brakes, horn, back up alarm operative?

  • Haul roads well maintained and laid out properly?

  • Seat belts being used?

  • Fire extinguisher installed?

HANDLING & STORAGE OF MATERIALS

  • Materials properly stored or stacked?

  • Stacks on firm footings not too high?

  • Are loads lifted correctly? Proper number of men or equipment used?

EXCAVATION AND SHORING

  • Comp. person(s) designated?

  • Underground utilities located/private service used if neccessary?

  • Are adjacent structures including roads/sidewalks properly shored/supported?

  • Is excavation properly sloped, shored or trench box used?

  • Tabulated data for trench box on site?

  • Means if egress within 25 feet?

  • Spoils and material back min. of 2 feet?

  • Is equipment a safe distance from edge of excavation?

  • Fall protection/barricading adequate?

WELDING AND CUTTING/OTHER HOT WORK

  • Screens and shields used where necessary?

  • Goggles, gloves, proper clothing worn?

  • Electrical equipment grounded?

  • Welding leads and gases hoses protected and in good condition?

  • Fire extinguishers or proper type nearby?

  • Inspection of fire hazards?

  • Gas cylinders secured and upright. Fuel cylinders at least 20 ft from oxygen?

  • Are cylinder caps in use?

  • Fire watch used where needed/required?

STEEL ERECTION

  • Cable guardrails has no more than 3 inches deflection and flagged every 6ft.

  • Safety railing (1/2 wire rope) at perimeter?

  • Floor and other opening covered and barricaded?

  • Ladders, stairs, or other access provided?

  • Other trades protected from overhead hazards or schedule arrangements made?

  • Tag lines used?

CONCRETE AND MASONRY CONSTRUCTION

  • Vertically protruding rebar capped?

  • Controls in place to limit silica exposure - water, vacuum tools, etc...

  • Safety hoisting equipment/material?

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.