Crew Audit
This form is to audit a specific work crew. Choose a work crew and identify the foreman, let them know that they and their crew are being audited. Encourage them to do the audit with you.
APi Inc. Department
*
Please Select
APICC - National Services
APICC - Minnesota
APICC - North Dakota
APICC - Upper Michigan
APICC - Lower Michigan
API Garage Door
M Lukas
Milwaukee Scaffold
National Scaffold
Nyco
Portland Scaffold
Scaffold Services Inc
Project Name
*
Project/Job Number
Auditor Name
*
First Name
Last Name
Crew Foreman Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Hour Minutes
Enter email address if you or anyone else want a copy of the completed audit.
example@example.com
Does the crew have a fully completed JSA?
*
Yes
No
N/A
If No, what corrective action was taken?
Did the foreman sign the completed JSA?
*
Yes
No
N/A
If No, what corrective action was taken?
Does the JSA have the correct job steps listed?
*
Yes
No
N/A
If No, what corrective action was taken?
Does the JSA have the hazards associated to each job step listed?
*
Yes
No
N/A
If No, what corrective action was taken?
Does the JSA have the corrective actions associated to hazard step listed?
*
Yes
No
N/A
If No, what corrective action was taken?
Have all of the crew members signed the JSA prior to starting work?
*
Yes
No
If No, what corrective action was taken?
Select one person on the crew and ask them to identify on of the hazards written on the JSA, could the person identify a hazard?
*
Yes
No
If No, what corrective action was taken?
Crew members are wearing the correct PPE for the work being performed?
*
Yes
No
If No, what corrective action was taken?
Was a small group safety meeting conducted before work activities started?
*
Yes
No
If no, why not?
Where was the small group safety meeting conducted?
*
In the work area
Near the office or break trailer
We did not conduct a small group safety meeting.
Are all tools correctly tethered?
*
Yes
No
N/A, there is no risk of a tool dropping to a lower level.
If No, what corrective action was taken?
Is an aerial lift being used?
*
Yes
No
Select all items that have been completed:
Documented lift inspection complete.
Aerial lift map completed for the shift.
Area under and around the lift are barricaded correctly.
Spotter available.
If a scaffold is being used, has it been inspected and signed for the shift?
*
Yes
No
N/A, scaffold not in use.
If No, what corrective action was taken?
Is water available to the crew?
*
Yes
No
N/A
If No, what corrective action was taken?
Is the work area free of trash and debris?
*
Yes
No
If No, what corrective action was taken?
Are worker tools in good working order (not damaged, altered, or homemade)?
*
Yes
No
If No, what corrective action was taken?
Are new workers identified and paired with a project veteran?
*
Yes
No
N/A
Did the foreman walk the area with the auditor?
*
Yes
No
The crew being audited is:
*
Safe
Unsafe
If Unsafe, what is being done to make them safe?
Additional notes, comments, corrective actions.
Auditor Signature
*
Signature of Foreman or Crew Leader after reviewing the audit findings.
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: