Construction Safety Audit Form at a glance
What it is: This is the Construction Safety Audit Form of the Department of Environmental Health and Safety at Albert Einstein College of Medicine of Yeshiva University.
Who signs: The Safety Officer signs on the Safety Officer Signature line and enters the Date.
A filled-in Construction Safety Audit Form example: a safety officer audits a site
How to fill out Construction Safety Audit Form, box by box
Job Location, Field Supervisor and Date
Enter the Job Location, the Field Supervisor and the Safety Officer Performing Audit.
Enter the Scope of Project, then mark Yes, No or N/A for Has area been cleared by Safety.
Enter the Date.
Electrical Safety
Under Electrical Safety, mark Yes, No or N/A for GFI in Use, Machine Guards in Place, Electric Cords in Good Condition, Adequate Electrical Connections and Exposed Electrical Wires.
Safety Officer Signature
The Safety Officer signs on the Safety Officer Signature line and enters the Date.
More rules for Construction Safety Audit Form
Under Personal Protective Equipment, mark Yes, No or N/A for Hard hat, Gloves, Safety Glasses, Work Shoes, Knee Pads, Hearing Protectors, Respirator, Face Shield and Welding Shield, and under Other - List, list any other.
Under Lifting, mark Yes, No or N/A for Proper Technique, Cart in Use and Other Mechanical Devices.
Under Stacking, mark Yes, No or N/A for Balanced and Top Loaded.
Under Work Area - General, mark Yes, No or N/A for Orderly Housekeeping, Lighting Conditions, Hazardous Conditions Exist, Dust Control in Place and Noise Control in Place; if Hazardous Conditions Exist, list them after If YES - List.
Under Scaffolds, mark Yes, No or N/A for Level, Braced, Fall Protection in Place, Qualified Person Present, Proper Supports and Scaffold Inspection.
Under Hazardous Materials Used, enter the Chemicals and Others - List, then mark Yes, No or N/A for Odor Present and MSDS Available.
Under Ladders, mark Yes or No for In Use, Appropriate for Job and Used Correctly, and add Comments.
Under Hot Work, mark Yes, No or N/A for Burning, Torch, Welding Operations, Fire Extinguishers in Place, Fire Protection in Place, Proper PPE Worn and Fire Watch.
Under Worker Training and Performance, mark Yes or No for Workers Following Safety Practices and, if No, list problems; mark Yes or No for Workers Need Retraining and list Names; mark Yes or No for Supervisor Informed.
Under Supervisors, mark Yes or No for Supervisor was available and had reviewed project and, if No, explain; mark Yes or No for Supervisor Informed of Audit Results.
Write any Comments.
Sources
[1] Construction Safety Audit Form (the served file; no issuer file found) (the Official source link on this page).
