Safety Behavior Observations

Project/Project#: *

Date : *

Auditor : *

Company : *

Category	Inspection Item	Safe	Unsafe	Description
Chemical Management	MSDS Proper Labeling Proper Storage / Disposal
Electrical	Cords, Plugs & Receptacles Lock Out / Tag Out Temp Power Boxes /GFCI Grounding
Excavation	Barricades Around Benching,Sloping,Shoring Access / Egress
Fire Protection	Extinguishers Fire Watch Hot Work Permits Welding/ Cutting Equipment
First Aid	Kits / Supplies
Housekeeping	Debris Removal Exit & Stairs Clear Extention Cords Impalement hazards
Ladders & Stairs	Ladder Condition Ladder Setup Ladder Use and Storage Stairs & Ramps
Mobile Equipment	Cranes Earthmoving Equipment Forklifts Mobile Elevated Work Platforms
Personal Protection	Eye Protection Eye & Face Protection Fall Protection Foot Protection Hand & Arm Protection Hard Hats Reflective Vests/ High Vis Shirt Respiratory Protection
Pre-Task Planning	Accessible / Posted Adequate Steps Listed Controls Identified Crew Participation Hazards Identified
Programs / Information	Daily Inspections Orientation : HazMat/New Emp. Posting Requirements /Signs Safety Meetings
Project Planning	Adequate Resources Proper Methods Used Risk Mitigation Scheduled Activity
Railings / Covers	Floor Openings Perimeter Railings
Rigging	Daily Inspection Hardware Inspection Tags Pick Points Rigging Plan
Scaffolds	Access Condition /Setup Planks & Platforms Railings / Toeboards Secured
Site /Public Protection	Access /Egress Excavation /Trenches Fences & Barricades Impalement Protection Infection /Exposure Control Lighting Sanatation /Water Signs Ventelation /Air Quality
Special Programs	Blasting Confined Spaces Interstital /Plenum Access
Tools	Guarded Tool Use