Title Page

  • Site Foreman

  • Tract/ Lot #

  • Conducted on

  • Prepared by

PPE

  • Use of safety glasses

  • Use of hard hat

  • Other

Ladders

  • Extension ladder in good condition with proper labeling

  • Use of Extension ladder

  • A Frame Ladder in good condition

  • Use of A frame ladder

  • Other

SWPPS

  • Compressor containment

  • Generator containment

  • Site conditions

  • Other

Tools

  • Nail guns

  • Power tools

  • Hilti

  • Hilti Properly stored

  • Hilti Warning Signs Available

  • Skill saw

  • Other

House keeping

  • Trash cleaned up

  • Lumber cleaned up

  • Hardware cleaned up

  • Nails bent

  • Clear path

  • Other

Fall protection

Floor level

  • Guard rails installed per plan

  • Leading edge lines

  • Equipment used per plan

  • 2nd floor windows guarded

  • Other

Roof level

  • Bracket scaffold installed per plan

  • Harness used per plan

  • Net installed per plan

  • Other

Safety Requirements

  • Foreman Binder

  • First Aid Kit

  • Fire Extinguisher

  • Shade Tent

  • Water Jug / cups

  • Other comments

  • Immediate corrective action implemented

  • Follow up steps required

  • Follow up required?

  • Supervisor signature

  • Inspector Signature

  • Superintendent Signature

  • Employee receiving action notice
  • Employee Receiving Action Notice

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.