Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Equipment / Truck : Backing Up

  • Equipment / Truck : Pinch Point

  • Housekeeping

  • Overhead Hazards

  • Underground Hazards

  • Traffic Control : Flag Persons

  • Traffic Control : Barricades / Signs / Cones

  • Tight Work Area

  • Tools

  • Other Trades

  • Excavation / Trenching

  • Weather

  • Slippery Surfaces (Water, Ice, Mud)

  • Sawcutting

  • Driving : Wildlife

  • Driving : Night Time / Fatigue

  • Falling Objects

  • Loading and Off Loading Equipment

  • Steep Slope

  • Working Alone

  • Large Hill

  • Remote Location

  • Others; Please Insert in Comments

  • Comments

  • Others; Please Insert in Comments

  • Comments

  • Others; Please Insert in Comments

  • Comments

  • Please add picture(s) of Work Site.

  • Foreman / Supervisor

  • Reviewed by:

  • Title of the reviewer

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.