Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Client/Site

  • Conducted On

  • Supervisor

  • Prepared by

  • City
  • Type of weather

  • What type of work is being done on location

Protective Equipment

  • Hard Hats

  • Eye/Face Protection

  • Safety Footwear

  • Body Harness

  • Safety Vest

Excavation and Shoring

  • Shoring or Sloping

  • Spoil Bank

  • Ladder Available

  • Competent Person

Highway Equipment

  • Back up Alarms/Horns

  • Seat Belts

  • Windows

Electrical/Hand Tools

  • Extension cords/GFCI’s

  • Power Tools/Guards

  • Tool Handles

Scaffolds/Fall Protection

  • Fully Decked/Guardrails

  • Construction

  • Training Documentation<br>

Aerial LIfts

  • Safety Chain

  • Training Documentation

First Aid & Emergency

  • First Aid Supplies

  • SDS/Hazard Communication

Housekeeping/Santation

  • Housekeeping

Ladders

  • Tied off/3 Feet Above

  • Secured Top

  • Secured Bottom

Oxygen/Acetylene Bottles

  • Secured

  • Stored Upright

  • Gauges/Hoses

Fuel Storage

  • Proper Safety Cans

  • Fire Extinguishers

  • Labeling

Cranes

  • Inspections

  • Load Charts

  • Angle Indicator

  • Power Lines

Elements

  • Silica

  • Confined Space

  • Gas Free

  • Describe Non-Compliant Issues

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.