Personal Protective Equipment (PPE)

  • Is PPE used (examples: eye protection, hard hats, gloves, high-visibility clothing/vests, hearing protection)?

Worksite and Traffic Control

  • Adequate physical barriers, signage, warning tape, bollards, spotters, etc?

  • Is housekeeping in good shape?

  • Is lighting sufficient?

  • Are noise controls adequate?


  • Positioned safely and properly secured?

  • In good condition and suitable for the job?

Working at Heights

  • Fall exposures of 6 feet or higher?

  • Adequate edge protection with railings or warning lines, or is personal fall protection employed?

  • Are aerial lifts used correctly?

  • Is scaffolding acceptable?

Confined Spaces

  • Is work taking place in a permit-required Confined Space?

  • Are all procedures properly implemented (entry permit, air monitoring, ventilation, LOTO, retrieval equipment, etc?

Lockout/Tagout and Machine Hazards

  • Are machine guards in place?

  • Is LOTO utilized properly?

Tools & Equipment

  • Are tools and equipment in good condition? (including no missing or damaged guards, power cords in good condition, ground prongs not missing, etc)

  • Is the correct equipment used for the job?

Electrical Hazards

  • Is GFCI protection used?

  • Minimum 10-foot distance maintained from overhead power lines?

  • Extension cords in good shape, protected from damage, and not used permanently? Circuits not overloaded, electrical equipment not near water, no exposed live wiring, etc?

Hot Work

  • Was a Hot Work Permit completed and protective measures employed?

Hoisting Equipment

  • Are loads being lifted?

  • Loads not lifted over persons, not in close proximity to obstacles, and 10-feet minimum distance from overhead power lines?

  • Lifting equipment, including ropes, slings, chains, hooks, appears in good condition?

  • Safe Working Loads are not exceeded?

Ergonomics and Injury Prevention

  • Are means taken to reduce risk (ergonomic tools and equipment, proper lifting, ergonomic work methods, job rotation, etc)?

Environmental Hazards

  • Are chemicals, including fuel, stored and transported safely?

  • Health hazards controlled?

  • Adequate dust suppression?

  • Adequate systems to prevent contamination of storm water drains?

Comments and Corrective Actions

  • Notes:

  • Sketches::

Sign Off

  • Auditor's signature

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