Title Page

  • Job Number/Name

  • Conducted on

  • Prepared by

  • Location

JOBSITE GENERAL

  • Safety meetings or toolbox talks done weekly

  • First aid kit available & stocked

  • Drinking water provided

  • First Aid/CPR trained person on site

  • Adequate trash removal/ toilet facilities

  • New employees qualified for tasks

  • Items are stacked & secured to prevent rolling/falling

  • Trip hazards, nails, debris cleaned up

  • Metal stakes or rebar capped

  • Storage containers & areas have 24" walking path

  • Employees aware of who their EEO officer is

  • All unattended holes covered

  • Spill kits & clean up supplies available

  • All subs & visitors following OSHA and Zavala Corporation policies

  • Pedestrian traffic clearly delineated off from all hazards

  • Vehicular traffic clearly delineated off from all hazards

  • Equipment / Obstacles Barricaded

  • Dust control used

  • Adequate lighting

PLANS & POSTINGS

  • Job Safety and Health Poster

  • Posters for Labor and Worker's Comp

  • Site emergency medical plan posted on site

  • Site safety plan on site & available to all workers

HAZARD COMMUNICATION

  • Employees made aware of hazardous chemicals

  • SDS sheets reviewed for hazardous chemicals

  • SDS sheets available for all employees

  • Containers have proper label and are legible

  • Secondary containers for immediate use only

  • Secondary containers emptied, cleaned, disposed

  • Proper PPE used for chemical use

FIRE PROTECTION

  • Fire extinguishers inspected & signed off monthly

  • Fuel storage areas marked "No Smoking or open flame"

  • Combustible material not allowed to collect

  • Approved fuel storage cans used (metal only)

  • 20 lb. extinguisher 25-75' of 100+ gal. storage tanks

  • Oxygen & Acetylene tanks 20' apart if stored inside

  • Pressurized tanks secured to prevent falling

PERSONAL PROTECTIVE EQUIPMENT

  • Employees know where to obtain PPE

  • Eye/face protection as needed

  • Hard hat

  • Hearing protection as needed

  • Respirators/dust mask as needed

  • Clothing - high visibility

  • Footwear appropriate for work activities

  • Gloves worn when needed

ELECTRICAL

  • Electrical cords inspected and in good conditon

  • Generators have GFCI built in or inline GFCI used

  • Power tool cords inspected and in good condition

  • Ground prong on electrical cords are in place and in good condition

  • If working in wet or damp areas, tools are rated for that type of work

LOCKOUT/TAGOUT

  • Adequate Lock out/Tag out in place to prevent the release of hazardous energy

  • Tagout tags stocked and available for use

  • Malfunctioning or damaged equipment tagged out

LADDERS

  • Ladders are free of damage

  • A-frame ladders are dully opened when used

  • Employees use safe practices when using ladders

  • Ladders extend 3 feet above landing zone

  • Ladders secured from movement

FALL PROTECTION

  • Fall protection equipment inspected prior to use

  • Anchorage points rated to 5000 lbs. of force

  • Employees use fall protection when required

  • Guardrails in place when required

TOOLS/SAWS

  • Saw blade guards in place and in good working condition

  • Cut off saws provided w/ blade returns

  • Belts, chains, sprockets are guarded

  • Pneumatic tools; air pressure regulated

  • Pressure gauges working properly

  • Safety clips on hoses

  • Nail guns are equipped with safety spring

RIGGING and LIFT EQUIPMENT

  • Competent person in rigging and signaling present

  • Rigging tagged and rated for lift

  • Rigging and lift hardware inspected

  • Lift plan or permits when required

  • Loads have tag lines as needed

  • Staff remain out of "bite zone" of rigging and loads

  • Signal person, spotters as needed

HEAVY EQUIPMENT

  • Regular inspection and maintenance

  • Seat belts provided and used

  • Backup alarms working and audible

  • Lights, brakes, and signals operative

  • Wheels chocked when parked on incline

  • Equipment secured when not in use

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.