Worksite Safety Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Personal Protective Equipment (PPE)

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

  Yes

  No

  N/A

Worksite and Traffic Control

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

  Yes

  No

  N/A

• Is housekeeping in good shape?

  Yes

  No

  N/A

• Is lighting sufficient?

  Yes

  No

  N/A

• Are noise controls adequate?

  Yes

  No

  N/A

Ladders

• Positioned safely and properly secured?

  Yes

  No

  N/A

• In good condition and suitable for the job?

  Yes

  No

  N/A

Working at Heights

• Fall exposures of 6 feet or higher?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are aerial lifts used correctly?

  Yes

  No

  N/A

• Is scaffolding acceptable?

  Yes

  No

  N/A

Confined Spaces

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Lockout/Tagout and Machine Hazards

• Are machine guards in place?

  Yes

  No

  N/A

• Is LOTO utilized properly?

  Yes

  No

  N/A

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)

  Yes

  No

  N/A

• Is the correct equipment used for the job?

  Yes

  No

  N/A

Electrical Hazards

• Is GFCI protection used?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

Hot Work

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

  Yes

  No

  N/A

Hoisting Equipment

• Are loads being lifted?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Safe Working Loads are not exceeded?

  Yes

  No

  N/A

Ergonomics and Injury Prevention

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

  Yes

  No

  N/A

Environmental Hazards

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

  Yes

  No

  N/A

• Health hazards controlled?

  Yes

  No

  N/A

• Adequate dust suppression?

  Yes

  No

  N/A

• Adequate systems to prevent contamination of storm water drains?

  Yes

  No

  N/A

Comments and Corrective Actions

• Notes:

  Yes

  No

  N/A

• Sketches::

  Drawing

Sign Off

• Auditor's signature

  Sign