Welcome

Welcome.

  • Audit Title

  • Document No.

  • Project Name

  • Project Description

  • GC

  • Address

  • Contract Number

  • Project Executive

  • Project Manager

  • Safety Officer

  • Superintendent

  • Owner

  • Conducted by

  • Conducted on

Site Control

Site Control

  • Is the site properly maintained?

  • Are fences properly erected and secured?

  • Are gates monitored or kept locked?

  • Are dumpsters properly secured?

  • Is all hazardous and universal waste being disposed of properly?

  • Are all tools, equipment, and machinery properly stowed?

  • Are restrooms facilities properly maintained?

  • Is the correct signage installed?

Documentation

Documentation

  • Prior to working on site, do all subcontractors have fully executed contract and insurance in place? <br>

  • The non-complying subs must be removed from the site.

  • Do we have a copy of the following from all subs working on site: IIPP, Site Specific Safety Plan, IIPP, HIPP, MSDS? <br>

  • Have all workers on site been through the safety orientation, and have the appropriate sticker on their hardhat?

  • Are subcontractors current with weekly safety meetings, equipment inspections, JSAs, hot work permits, etc.?<br>

  • Does WEO have copy of Site Specific Safety Plan, IIPP, HIPP, & Code of Safe Practices, and all required OSHA postings posted?

Fall Protection

Fall Protection

  • Is work being performed over 6' in height? <br>

  • Are workers tied off properly?

  • Are guardrails in place?

  • Are holes or openings properly covered and labeled?

Excavation

Excavation

  • Are there open excavations on site? <br>

  • Are adequate inspections being performed?

  • Are excavations properly benched, sloped, or shored?

  • Is designated competent person on site?

  • Is access/egress properly maintained?

  • Has a JSA been properly filled out, and the procedures are being followed?

  • Have utility lines been clearly identified (ie. DigAlert/USA)?

Scaffolds and Ladders

Scaffolds and Ladders

  • Is stationary scaffold in use? <br>

  • Provide rating based on separate scaffold inspection form.

  • Are step ladders being used on the project? <br>

  • Are workers using the proper ladder (ladder is correct height, no metal ladders near electrical, step ladder not leaned against wall, etc.)?

  • Are ladders in good working condition (no visible damage, not painted to hide defects, clean rungs, etc.)? <br>

  • Are ladders being inspected prior to use? <br>

  • Are ladders being used to access other levels? <br>

  • Is ladder tied off at top? <br>

  • Is ladder extended 3' above upper level, or handhold available? <br>

  • Is ladder setup correctly (feet in proper position, angle of ladder is correct)? <br>

Confined Spaces

Confined Spaces.

  • Is there work being performed in confined spaces? <br>

  • Are confined spaces labeled and identified?

  • Does the contractor working in the confined space have written program readily available?

  • Is qualified rescue team available and been notified?

  • Are confined space entry procedures being followed?

Electrical Safety

Electrical Safety

  • Are GFCIs in use?

  • Are spider boxes, power cords, etc. inspected and maintained? <br>

  • Are power tools properly grounded or double insulated? <br>

  • Is LOTO program properly implemented? <br>

  • Is lighting adequate and properly maintained?

Fire Safety

Fire Safety

  • Are fire extinguishers adequate and inspected?

  • Are flammables, combustibles, and compressed gases properly stored and labeled?

  • Are fire lanes properly maintained?

  • Smoking in designated areas only?

  • Is Hot Work taking place?

  • Are permits properly filled out and posted? <br>

  • Are other workers and public protected from sparks? <br>

  • Is fire extinguisher readily available and in good working order? <br>

PPE

PPE

  • Are workers wearing safety vests?

  • Compliance with safety glass at all times?

  • Proper attire (boots, jeans, hard hats).

  • Additional PPEs in use as required.

Heavy Equipment and Cranes

Heavy Equipment and Cranes

  • Are cranes, lifts, earth movers, etc. in use? <br>

  • Are operators properly trained?

  • Are tag lines and spotters used when appropriate?

  • Are equipment inspections completed as required?

Corrective Action Plan

Corrective Action Plan

  • Safety Assessment Findings

  • Was the deficiency corrected immediately?

  • What is the corrective action(s) planned/ taken?

  • Projected Date of Completion

  • Actual Date of Completion

  • Safety Assessment Findings

  • Was the deficiency corrected immediately?

  • What is the corrective action(s) planned/ taken?

  • Projected Date of Completion

  • Actual Date of Completion

  • Safety Assessment Findings

  • Was the deficiency corrected immediately?

  • What is the corrective action(s) planned/ taken?

  • Projected Date of Completion

  • Actual Date of Completion

  • Safety Assessment Findings

  • Was the deficiency corrected immediately?

  • What is the corrective action(s) planned/ taken?

  • Projected Date of Completion

  • Actual Date of Completion

  • Safety Assessment Findings

  • Was the deficiency corrected immediately?

  • What is the corrective action(s) planned/ taken?

  • Projected Date of Completion

  • Actual Date of Completion

  • Safety Assessment Findings

  • Was the deficiency corrected immediately?

  • What is the corrective action(s) planned/ taken?

  • Projected Date of Completion

  • Actual Date of Completion

Corrective Action Plan 2

Site Control

  • Did this section score 100%?

  • Who is the responsible party?

  • Priority

  • Corrective Action Plan

  • Response

Documentation

  • Did this section score 100%?

  • Priority

  • Corrective Action Plan

  • Response

  • Who is the responsible party?

Fall Protection

  • Did this section score 100%?

  • Who is the responsible party?

  • Priority

  • Corrective Action Plan

  • Response

Excavation

  • Did this section score 100%?

  • Who is the responsible party?

  • Priority

  • Corrective Action Plan

  • Response

Scaffolds and Ladders

  • Did this section score 100%?

  • Who is the responsible party?

  • Priority

  • Corrective Action Plan

  • Response

Confined Spaces

  • Did this section score 100%?

  • Who is the responsible party?

  • Priority

  • Corrective Action Plan

  • Response

Electrical Safety

  • Did this section score 100%?

  • Who is the responsible party?

  • Priority

  • Corrective Action Plan

  • Response

Fire Safety

  • Did this section score 100%?

  • Who is the responsible party?

  • Priority

  • Corrective Action Plan

PPE

  • Did this section score 100%?

  • Who is the responsible party?

  • Priority

  • Corrective Action Plan

Heavy Equpiment

  • Did this section score 100%?

  • Who is the responsible party?

  • Priority

  • Corrective Action Plan

Signatures

Signatures

  • Safety Inspector

  • Project Representative

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.