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* 1. Contractor Name

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* 2. Site Inspected

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* 3. Enter Date of Audit

Date

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* 4. Audit Completed By?

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* 5. Have all Contractors working on the job reviewed & signed the EHS Work plan?

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* 6. Are applicable policies and expectations identified in the EHS Work Plan implemented on the job site?

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* 7. Has the Pre-job Safety Assessment been completed and is it representative of the tasks being performed?

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* 8. Has the safety tool box meeting been conducted at the required frequency?

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* 9. Are all individual's wearing required PPE?

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* 10. Are all required permits on the job site?  Are the conditions on the permit being followed?

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* 11. Is the hole or fire watch person on duty alert, and knowledgeable?

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* 12. Is the equipment properly locked out?

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* 13. Are electrical connections, cords, and equipment in good working condition?

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* 14. Are barricade areas properly marked off?

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* 15. Is the scaffolding free from damage and inspected as required?

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* 16. Are ladders properly used and in good condition?

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* 17. Are hand and portable powered tools used properly and in good condition?

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* 18. Is mobile equipment operated safely?

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* 19. Do all chemical containers have labels affixed?  All chemicals approved for onsite use?

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* 20. What are the housekeeping conditions (site specific problem)?

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* 21. Were any unsafe behaviors observed?  If yes, what actions were taken?

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* 22. Is fall protection used where needed?

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* 23. Are hazards in close proximity or adjacent to the work identified and protected, or is a perimeter established to prevent inadvertent contact with the hazard?

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* 24. Comments or actions needed moving forward on this job?

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