Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Job Planning

  • Is the Location of the First Aid Station Known?

  • Has the field level hazard assessment been completed?

  • Is the WPS in place and understood?

  • Is the muster (evacuation) procedure known and understood?

  • Is the emergency phone # known (911)?

  • Are the workers confident they have the skill required for the work?

  • Is fall protection employed as required

  • Is a rescue plan on hand if required?

Environment & Chemical Hazards

  • Is secondary containment adequate?

  • Is abatement required for fugitive releases?

  • Are the environmental aspects of the work identified?

  • Are the TDG requirements met?

  • Is the work WHMIS compliant?

  • Is the MSDS understood?

Hazard Management

  • Are the workers minds on task?

  • Are the workers rushing?

  • Are the workers frustrated?

  • Are the workers fatigued?

  • Are the workers complacent about safety?

  • Are the workers cognizant of the "line of fire"?

  • Has balance, traction and grip been assessed in the FLHI?

  • Are the necessary screens and guards in place (welding, moving parts, barrier tape, etc...)?

  • Are adequate signs and signals being employed?

Lifting Operations

  • Is the crane logbook being used?

  • Is an engineered or critical lift plan on hand if required?

  • Is the rigging adequate and maintained?

  • Is a signaler identified if required?

  • Is a tag line in use if required?

Knife Use

  • Is the knife appropriate for the task?

  • Are Hi-Flex gloves required?

  • Are the workers positioned correctly to cut away from the body?

Personal Protective Equipment (PPE)

  • Is adequate eye protection employed for the type of work?

  • Is adequate footwear employed for the work?

  • Is adequate body protection employed for the work (electrical, chemical, etc...)

  • Is the worker's head protection adequate for the work?

  • Is adequate hand protection employed for the work?

  • Is adequate hearing protection employed for the work?

  • Is adequate respiratory protection employed for the type of work?

Scaffolding and Work Platforms

  • Is the condition of the structure good?

  • Does the scaffold or platform meet the OHS Code?

  • Has the scaffold been inspected and tagged prior to use?

  • Does the inspection tag have an expiry date?

Vehicles and Motorized Equipment

  • Does the equipment have the required fire extinguisher?

  • Has the equipment been properly certified and maintained?

  • Is the proper log book on hand and being used?

  • Is the operator properly trained or certified?

Compressed Gases

  • Are cylinders stored and secured properly?

  • Has the storage cylinder expired?

Worksite Condition

  • Are hand tools in good condition?

  • Are the proper tools being used for the job?

  • Are extension cords in good condition?

  • Is the housekeeping good and is the work area being well maintained?

  • Is the task lighting adequate?

  • Are ladders in good condition and being used properly?

  • Is adequate waste disposal on hand?

Ergonomics

  • Is proper technique being used for tasks requiring lifting, bending and twisting?

  • Are adequate precautions in place to prevent injuries from repetitive motion?

  • Is the proper technique being used for tasks requiring kneeling, standing, sitting?

  • Is the workers position comfortable for the work?

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.