SWAT Audit
Safety Walk and Talk: This is to be completed with a supervisor and a craft person walking around the work area identifying safety issues.
Department
*
Please Select
API Garage Door
Nyco
APICC - Minnesota
APICC - North Dakota
APICC - Upper Michigan
APICC - Lower Michigan
APICC - National Services
M Lukas
Milwaukee Scaffold
National Scaffold
Portland Scaffold
Scaffold Service
Project Name
*
Project Number:
Supervisor:
*
Supervisor on the safety walk.
Craft Person:
*
Craft person on the safety walk.
Date Conducted:
*
-
Month
-
Day
Year
Date
What area is being walked down?
*
What type of work is being done in the area?
*
Insulation
Sheet Metal Work
Scaffold
Electrical
Pipefitter
Other
Are API workers observed wearing the correct PPE?
*
Yes
No
N/A
Corrective Action
Was the JSA completed before the work started in the area?
*
Yes
No
Corrective Action
Has the Supervisor reviewed and signed the JSA?
*
Yes
No
Corrective Action
Does the JSA clearly and completely describe the work being done, the hazards, and the safety precautions for the work being done?
*
Yes
No
Corrective Action
Have all the API personnel working under that JSA signed the form?
*
Yes
No
Corrective Action
Is there safe access to the work area?
*
Yes
No
Corrective Action
Is the work area free of debris that could cause a slip, trip, and fall incident?
*
Yes
No
Corrective Action
For work that could result in dropped items from elevation, which drop control methods are in place?
*
Tool Tethers
Lifting Bags
Barricades
Floor coverings / mats
Not Applicable
Fall Protection: Are all workers adequately protected from falling to the next level?
*
Yes
No
Corrective Action
Take Photo
Take Photo
Take Photo
Signature
*
Submit
Should be Empty: