📍 When to use this template
- During periodic safety walks, typically conducted weekly or fortnightly.
- Before commencement of a major or critical activity like a heavy lift or large concrete pour.
- Filled by the Site Safety Officer, PMC Safety Manager, or a designated internal/external audit team.
Sections & fields
Preview of the template structure. Download Excel to fill on site.
1Header / Audit Details8 fields
Project Name
_____________
Contract / Package No.
_____________
Audit Report No.
_____________
Date of Audit
_____________
Time of Audit
_____________
Auditor(s) Name & Designation
_____________
Auditee(s) / Contractor's Representative
_____________
Weather Conditions
_____________
2General Site Conditions & Housekeeping8 fields
Site Access & Egress (Clear & Unobstructed)
_____________
Material Stacking & Storage (As per IS norms)
_____________
Waste Disposal & Scrap Management
_____________
Adequate Illumination (Day/Night shifts)
_____________
Safety Signage & Barricading (Hard & Soft)
_____________
Emergency Assembly Points (Marked & Accessible)
_____________
First Aid Stations (Stocked & Manned)
_____________
Drinking Water Facility (Hygienic, IS 10500)
_____________
3Personal Protective Equipment (PPE) Compliance8 fields
Helmet Usage (ISI marked, chin strap fastened)
_____________
Safety Shoes (ISI marked)
_____________
High-Visibility Jackets
_____________
Task-Specific PPE (Goggles, Gloves, Face Shields)
_____________
Fall Protection Harness (for work > 2m)
_____________
PPE Condition & Quality
_____________
PPE Issuance Register Maintained
_____________
Workmen Induction & Training Records
_____________
4Work at Height & Scaffolding7 fields
Scaffolding Stability & Tagging (Green/Red Tag System)
_____________
Working Platform (Toe board, Mid-rail, Top-rail)
_____________
Ladder Condition & Placement (3-point contact)
_____________
Fall Arrestor / Safety Net Installation
_____________
Edge Protection for Openings & Shafts
_____________
Scaffolding Inspection Register (As per Form XI, BOCW Rules)
_____________
Mobile Scaffold Wheel Locks
_____________
5Electrical Safety8 fields
ELCB/RCCB Installation & Testing (Monthly)
_____________
Cable Management (No loose/damaged cables on ground)
_____________
Proper Earthing of Equipment & Panels
_____________
Distribution Boards (Locked, Labelled, Protected from rain)
_____________
Use of Industrial Plugs & Sockets (No naked wires)
_____________
LOTO (Lock-Out Tag-Out) Procedure Followed
_____________
Authorised Electrician for Works
_____________
Welding Machine Connections
_____________
6Fire Safety & Hot Work7 fields
Fire Extinguishers (Correct type, charged, accessible)
_____________
Hot Work Permit Issued & Displayed
_____________
Welding/Cutting Area Barricaded
_____________
Combustibles Removed from Work Area
_____________
Fire Watch / Standby Person Present
_____________
Gas Cylinders Stored Upright & Secured (Full/Empty segregated)
_____________
Hoses & Regulators Condition
_____________
7Plant, Machinery & Equipment (P&M)7 fields
Operator Competency & License/Certificate
_____________
Third-Party Inspection (TPI) Certificates Valid
_____________
Daily Inspection Checklist Maintained
_____________
Moving Parts Guarded
_____________
Reverse Horn / Alarm Functional
_____________
Lifting Tools & Tackles (Slings, Shackles) Inspected & Colour Coded
_____________
Equipment Fitness & Condition
_____________
8Observations & Corrective Action Plan (CAP)10 fields
Observation / Non-Compliance Details
_____________
Location / Grid
_____________
Risk Level (High/Medium/Low)
_____________
Photo Reference No.
_____________
Recommended Corrective Action
_____________
Responsibility (Agency Name)
_____________
Target Completion Date
_____________
Status (Open/Closed)
_____________
Date of Closure
_____________
💡 Sample filled excerpt
Observation: Damaged electrical cable found near Tower B lift lobby, insulation tape used for repair. | Location: Tower B, Gr. Floor | Risk: High | Recommended Corrective Action: Replace the entire length of the damaged cable. Do not use tape for repairs. | Responsibility: M/s ABC Electricals | Target Date: 25-OCT-2023 | Status: Open
⚖ Compliance notes
- Fulfills requirements of the Building and Other Construction Workers (BOCW) Act, 1996 and associated Central/State Rules (e.g., Rule 39-45 on Health & Safety).
- Provides documented evidence of safety diligence, crucial during labour department, client, or ISO 45001 audits.
- Forms the basis for tracking Non-Conformance Reports (NCRs) and is a key input for the Monthly Progress Report (MPR) safety section.
- Helps in implementing provisions of the National Building Code (NBC) 2016, Part 7: Construction Practices and Safety.