Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Cover all findings and assigned actions with the person in charge prior to leaving the site. Forward this checklist to Safety Manager daily. Perform this checklist on every site visited.

  • 50% of all equipment and/or vehicles on site inspected? List equipment inspected. Basic Machine Maintenance etc.

  • Inspected all paperwork on the equipment and/or vehicles checked in question 1? Forward in abnormal findings to Safety Manager by COB.

  • Pre And Post Trip?

  • Permits?

  • Registration/cab card?

  • Insurance?

  • Inspection tags, inspection card?

  • Driving JSA and trip report?

  • Three Ring binder for all mandated items? Traffic control scenarios, laminated Matt weight chart, log exemption form etc.?

  • Inspect all JSA's on site. Assure personnel are following outlined work steps and associated hazard mitigations. Note at least 2 observations.

  • Coached at least 2 employees on a topic applicable to the operation and related to the weekly safety report? Record what is discussed and with whom.

  • Inspected 100% use of all needed PPE? Note a minimum of two observations here.

  • Attended and actively participated in tailboard or debriefing session? Note any Near Miss Lessons Learned here and assure they are turned in.

  • Performed 360 degree walk down of site to identify issues with such items as housekeeping, slip trip fall hazards, flagging etc.? Note at least one observation here.

  • Visited with the PM or person in charge to discuss any findings and/or issues they may have? Note accordingly.

  • Completed a minimum of one weekly safety manual focus audit (each week)?

  • Visited with any clients on site? Discussed and noted any issues we might be of assistance with?

  • Observed and inspected proper equipment set up and evaluated risks? Note a minimum of one observation here.

  • Observed any deficiencies with site production? Report to PM or person in charge prior to leaving the site. Record at least one observation here.

  • Inspected all personnel Power Safe Cards and company assigned cards? Assure they are on person. (Heat stress card, spotter card, NM/LL book etc.)

  • Observed and noted 100% of all spotter operations? Radio use, position etc. Note all here.

  • Inspected any hazards associated with OSHA’s focus four: Caught between hazards, fall hazards, electrical hazards and struck by hazards. Assure they are captured on JSA. Note at least one observation here.

  • Inspected 100% of all lifting and rigging operations/equipment? Note at least one observation here.

  • 100% inspection on the use of barricades and flagging? 10’ rule etc. Note at least one observation here.

  • Observed and noted all deficiencies with safe driving? Note at least one observation here. Check at least one cell phone against sage quest each week. Note findings here.

  • Talked to at least two employees' and identified any issue with being fit for duty? Examples: Quiz them on what shifts they have worked, when their last day off was etc..Note at least one observation here.

  • Observed and noted any issues with 3 points of contact? Perform 360 walk around 50% of site equipment to identify any needed hand/foot hold needs.

  • Asked all employees spoken with if they were aware of any injuries, equipment damage or issues with safety leadership? Note at least one observation here

  • Walked through and/or drove site to identify any issues with traffic control? Note at least one observation here.

  • Observed and noted any ergonomic hazards? Note at least one observation here.

  • Add any additional Pictures here. Describe what the focus is.

  • Inspectors signature here

  • Person in charge of site sign here

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.