Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
1. Site Access
-
Clean, level ground
-
Adequate ramps
-
Adequate stairs
-
Other
2. Housekeeping
-
Clear walkways
-
Clear work areas
-
Clear access and landing
-
Other
3. Personal Protective Equipment
-
Head Protection
-
Foot Protection
-
Eye Protection
-
Hearing Protection
-
Respiratory Protection
-
Fall Protection
-
Other
4. Ladders
-
Secured
-
Proper angle
-
Proper size and type
-
Safe, usable condition
-
Properly used
-
Proper handrail and landings
-
Non-slip bases
-
Other
5. Scaffolds
-
Properly erected
-
Properly secured
-
Properly planked
-
Proper guardrails, toeboards
-
Proper access to platform
-
Acceptable loading
-
Other
6. Power tools, Equipment
-
General condition
-
Proper guards, cords, PPE
-
Damaged tools tagged as defective and taken out of service
-
Other
7. Stairwells & Ramps
-
Proper filler blocks in metal stairs
-
Proper cleats on ramps
-
Adequate lighting in stairwells
-
Proper handrails or guardrails
-
Other
8. Traffic Control
-
Trained traffic controllers
-
Properly located
-
Clean, visible sign
-
Properly dressed
-
Other
10. Fall Protection
-
CSA approved
-
Properly worn
-
Safe, usable condition
-
Unprotected openings, edges, and uncovered holes in floor
-
Working from:
-
Ladders
-
Scaffolds
-
Swingstages
-
Other
11. Guardrails, Barricades
-
Located where required
-
Properly constructed
-
Adequately secured
-
Other
12. Gas Cylinders
-
Properly located
-
Properly secured
-
Properly moved or lifted
-
Properly hooked up
-
Other
13. Confined Spaces
-
Proper access
-
Air testing before entry
-
Rescue equipment readily available
-
Safety harness life, lifeline available anchored and used
-
Second person for rescue
-
Outgoing air monitored
-
Entry permit where required
-
Other
14. First Aid Requirements
-
Adequate qualified first aiders on site
-
First aid kits
-
Adequate number
-
Adequate contents
-
Other
15. Fire Protection
-
Master emergency plan
-
Extinguishers where required
-
Fully charged
-
Adequately identified
-
Other
16. Cranes, Hoists, etc.
-
Safe setup of equipment
-
Maintenance log available
-
Competent operator
-
Condition of, hardware
-
Safety catches on all hooks
-
Proper use of tag lines
-
Proper lifting containers
-
Competent signaller
-
Other
17. Welding
-
Rods & cylinders properly labeled
-
MSDS readily available
-
Properly secured ground cables
-
Proper eye protection worn
-
Proper screens and exhaust
-
Gas cylinders upright and secured
-
Gas cylinders protected from falling objects
-
Fire extinguisher readily available
-
Other
18. Elevated Work Platforms
-
Worker training
-
Properly used
-
Safe, useable condition
-
Acceptable loading
-
Manufacturers operating manual
-
Daily log filled out
19. Excavations and Trenching
-
Properly sloped where required
-
Spoil pile at least 1 meter from trench
-
Appropriate shoring used
-
Equipment at least 10 feet from trench
-
Trench access every 25 feet, or 7.5 meters
-
Proper storage of materials in and above trench
-
Other
20. Extension Cords
-
Outdoor type, rated over 300 volts
-
Condition of casing, ends, connections
-
GFCIs used
-
Other
21. Temporary Power Supply
-
Properly identified
-
Overhead lines flagged & secured
-
Surface cables buried or protected
-
Other
22. Materials Storage
-
Properly located
-
Safely piled, stacked, bundled
-
Properly moved or lifted
-
Properly labeled (WHMIS)
-
Other
23. Formwork
-
Guardrails and fall-arrest system
-
Design drawings kept on project
-
Inspection statement by engineer or competent worker
-
Other
24. Suspended Scaffolds
-
Properly attached and capable of at least 4 times maximum load
-
Outrigger beam tied to fixed support with adequate counterweight
-
All mechanical/Electrical devices in good working condition
-
Independent lifelines for each worker (extend to ground)
-
Engineers drawing on site
25. Signs and Print Material
-
OH&S act and regulations
-
MSDS
-
Warning signs
-
Emergency phone list
-
Report forms
-
Other
26. Worker Education
-
Company safety policy and program
-
Injury reporting
-
Hazard reporting
-
OH&S act and regulations
-
Personal H&S responsibilities
-
Other
27. Hygiene
-
Washroom facilities available
-
Cleanliness of facilities
-
Injury\hazard reporting
-
Personal responsibilities
-
Safety policies and procedures
-
Other
28. Other
-
Other Concerns
-
Worker Concerns
-
Inspection completed by:
-
Add signature
