Concrete Plant Safety Audit Form
Complete this checklist to assess safety conditions and document observations at the concrete plant.
Audit Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Auditor Full Name
*
First Name
Last Name
Plant Area/Section Audited
*
Please Select
Batching Area
Aggregate Storage
Maintenance Shop
Control Room
Loading/Unloading Zone
Other
Safety Items Checklist
*
Rows
Compliant
Non-Compliant
Not Applicable
Personal Protective Equipment (PPE) Used
1
2
3
Housekeeping and Cleanliness
4
5
6
Machine Guards in Place
7
8
9
Safe Access/Egress
10
11
12
Emergency Exits Clear
13
14
15
Overall Safety Status
*
Safe
Minor Issues
Unsafe
Observed Hazards or Unsafe Conditions
Immediate Corrective Actions Taken
Recommended Additional Actions
Overall Safety Rating
*
1
2
3
4
5
Auditor Signature
*
Submit Audit
Submit Audit
Should be Empty: