CS Project Site Safety Audit Form

Company

This field is for validation purposes and should be left unchanged.

ERC Job Number

ERC Job Site Name & Location

ERC Supervisor

Other Person

ERC Client

Date of Inspection / Audit

Person Conducting HS&E Inspection / Audit

Other

General Description of Project Work

(Be sure to include description of any non-routine or special hazard tasks).

ERC Health & Safety Plan on site

Site-Specific Health & Safety Plan on site

Work Zones Established

Traffic Control

Safety Data Sheet (SDS) / Hazard Communication Info

Site Security

Daily Safety Meetings Held & Documented

Hazard-Specific Personal Protective Equipment

Daily Inspections Conducted / Documented

Respiratory Protection

First Aid Kit

Monitoring Instruments

Fire Extinguishers

Personnel Monitoring

Cell Phones / Emergency Alerts

Non-Routine Work Permits (e.g., Confined Space)

Mandatory Personal Protective Equipment (PPP)

Non-Routine Work Equipment (e.g., Ventilation)

Sanitary & Wash Facilities

Other Safety Issues

Additional Information

Are Subcontractors on site?

If yes, list the subcontractors, and describe subcontracted work and subcontractor’s Health & Safety compliance measures. Do they have current insurance for us?

Discrepancies and Corrective Actions

(Describe potential Health, Safety or Environmental compliance concerns, and corrective actions taken or recommended).

Notes / Comments

(Provide any other information or recommendations pertinent to this inspection / Audit).

Date Reviewed with Supervisor

Supervisor Verbally Agreed

Date Reviewed by Corporate Health & Safety Officer

Safety Officer Verbally Agreed

Additional Discrepancies, Corrective Actions, Notes / Comments:

Certifications and Awards