• Job Number

  • Ship

  • Location

  • Conducted on

  • Auditor


  • Site specific emergency procedures reviewed?

  • All personnel posses OSHA 10 hour card?

  • Does job box and equipment have CORRECT POC's?

  • Do boom lift and forklift operators have their training cards?

  • Is scaffold in good condition and GREEN TAGGED?

  • Any Confined Space entry to be coordinated?

  • Any hot work notifications required

  • Paint sample results reviewed?

  • Are any containment inspections required? (Usually for over water projects such as catwalks)

  • Is the first aid kit on site and fully stocked?

  • Is eye wash station or eye wash bottles on site?

PPE and Hand Tools

  • Safety glasses, hard hats, and ear plugs are always required on YYK jobs, is anyone currently not in compliance

  • Take a look at the crews steel toes boots, is any metal showing, is there sufficient heel depth and are the boots not ripped or torn

  • Take a look at a few of the crews hard hats to check suspension and for cracks. Review reasons and procedure with employee

  • Is all protective equipment maintained in a sanitary condition and ready for use, such as respirators in bags

  • Do you have eye washing facilities within the work area?

  • Has this job foreman been directed to ensure and ENFORCE proper use of PPE?

  • Confirm hand tools currently being used are in good condition by talking to users, visually check as well.

  • Review bad inform employees of hazards related to faulty or improperly used equipment

  • Foreman will ensure PPE IS IN USE AT ALL TIMES


  • Are portable electrical tools and equipment grounded or of the double insulated type?

  • Are electrical appliances such as vacuum cleaners and blowers grounded?

  • Do extension cords being used have a grounding conductor?

  • Ensure multiple plug adapters are not in use

  • Check wiring and cords for fraying, cuts or deterioration and remove and replace promptly

  • In wet or damp locations, are electrical tools and equipment appropriate for the use or location or otherwise protected?

  • Are all disconnecting switches and circuit breakers labeled to indicate their use or equipment served?

  • Are all energized parts of electrical circuits and equipment guarded against accidental contact by approved cabinets or enclosures?

  • Is sufficient access and working space provided and maintained about all electrical equipment to permit ready and safe operations and maintenance?

  • Are all unused openings (including conduit knockouts) in electrical enclosures and fittings closed with appropriate covers, plugs or plates?

  • Are electrical enclosures such as switches, receptacles, junction boxes, etc., provided with tight-fitting covers or plates?

Walking, Tripping & Falling

  • Is this work in a bilge?

  • Has crew been briefed by safety department on dangers in bilge?

  • Are "DECK PLATES REMOVED" signs posted?


  • Are "CAUTION HOT STEAM PIPE" signs posted?

  • Is there sufficient lighting?

  • Are aisles and passageways kept clear?

  • Are holes in the deck or other walking surface covered or otherwise made safe?

  • Is there a safe clearance for walking in aisles where motorized or mechanical handling equipment is operating?

  • Are means available to clean and remove spilled materials immediately?

  • Are materials/equipment stored so that sharp projectiles will not interfere with the walkway?

  • Are changes of direction or elevations readily identifiable?

  • Are aisles or walkways that pass near moving or operating machinery, welding operations or similar operations arranged so employees will not be subjected to potential hazards?

  • Is adequate headroom provided for the entire length of any aisle or walkway? If not is tape, flags etc identifying hazardous areas

  • Are standard guardrails provided wherever aisle or walkway surfaces are elevated more than 30 inches above any adjacent floor or the ground?

  • Are bridges provided over pipes and similar hazards?

Portable Ladders

  • Have the ladders been inspected for damage?

  • Is the non-slip safety feet on each ladder in good condition?

  • Are ladder rungs and feet free of grease and oil?

  • If ladders are used to gain access to elevated platforms is the ladder extending 36" above the elevated surface?

  • Are portable ladders used with the base in place so that slipping will not occur, or it is lashed in place?

  • Are any ladders placed on boxes or other unstable bases to obtain additional height?

  • Is the ladder blocking any exit, hatch, scuttle doorway, etc.?

Compressors & Compressed Air

  • Is this a diesel compressor and if so is the APCD permit posted?

  • Are compressors equipped with pressure relief valves, and pressure gauges?

  • Is the belt drive system totally enclosed to provide protection for the front, back, top, and sides?

  • Are safety collars in place at all connectors?

  • Is it strictly prohibited to direct compressed air towards a person?

  • When using compressed air for cleaning, do employees use personal protective equipment?

  • Is it prohibited to use compressed air to clean up or move combustible dust if such action could cause the dust to be suspended in the air and cause a fire or explosion hazard?

  • Add signature

Hazardous Chemical Exposures

  • Are MSDS's on site?

  • Are employees aware of the potential hazards involving various chemicals stored or used in the workplace-- such as acids, bases, caustics, epoxies, and phenols?

  • Are employees prohibited from eating in areas where hazardous chemicals are present?

  • Are flammable or toxic chemicals kept in closed containers when not in use?

  • Are drums and containers stored on spill containment pallets or pans?

  • Are metal flammable storage drums grounded properly to prevent sparks and fire?

  • Is the HAZMAT locker labeled with POC's and in a secondary containment?

  • Are secondary labels available and being properly used?

  • Is sufficient ventilation in place?

  • Which type of respirator cartridge is required for this job?

  • Are those respirator cartridges on site in sufficient quantity?

  • Who is responsible for HAZMAT disposal?

  • Are sufficient labels available for disposal?

  • Are secondary containments in place?

  • Are compressed gas cylinders in use at job site?<br>If YES utilize

Spraying Operations

  • Is containment inspection required? (Usually on over water jobs such as a catwalk)

  • Is adequate ventilation assured before spray operations are started?

  • Is mechanical ventilation provided when spraying operation is done in enclosed areas?

  • When mechanical ventilation is provided during spraying operations, is it so arranged that it will not circulate the contaminated air?

  • Is the spray area free of hot surfaces?

  • Is the spray area at least 20 feet from flames, sparks, operating electrical motors and other ignition sources?

  • Are portable lamps used to illuminate spray areas suitable for use in a hazardous location?

  • Is approved respiratory equipment provided and used when appropriate during spraying operations?

  • Do solvents used for cleaning have a flash point of 100 F or more?

  • Is the spray area kept clean of combustible residue?

  • Are paint mixing and staging areas in a secondary containment?

  • Is foreman actively enforcing PPE policy particularly in regards to eye protection?

  • Foreman initials for PPE

Protection During Contamination Producing Operation & Maintaining Cleanliness During Job Period

  • 3.1.1 Prior to installation accomplish an inspection of protective covering to identify the current condition of equipment and surface prep area?

  • Submit one legible copy in hard copy or electronic media of the result of inspection to supervisor, prior to beginning of contamination producing operation <br>**This must be signed by supervisor or ship force**

  • Install filter material on intake of supply and exhaust e d of ventilation system

  • Install double curtain baffles at the entrance of each access

  • Inspect the protective covering at the beginning of shift

  • Maintain cleanliness of work site daily

  • Remove protective covering and dispose of at completion

  • Add signature

Flammable & Combustible Materials

  • Are combustible scrap, debris and waste materials (I.e. oily rags) stored in covered metal receptacles and removed from the worksite promptly?

  • Are approved containers and tanks used for the storage and handling of flammable and combustible liquids?

  • Are all flammable liquid kept in closed containers when not in use (e.g. Parts cleaning tanks, pans)?

  • I liquified petroleum gas stored, handled and used in accordance with safe practices and standards?

  • Are all solvent wastes and flammable liquids kept in fire-resistant covered containers until they are removed from the worksite?

  • Is vacuuming used whenever possible rather than blowing or sweeping combustible dust?

  • Are employees trained in the use of fire extinguishers?

  • Are extinguishers free from obstructions or blockage?

  • Are all extinguishers serviced, maintained and tagged at intervals not to exceed one year?

  • Are safety cans used for dispensing flammable or combustible liquids at a point of use?

Auditor Notes and Signature

  • Notes and summary (if necessary)

  • Auditor

  • Signature

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.