Information

  • Job / Crew

Superintendent

  • Conducted on

  • Prepared by:

  • Location

PPE

  • All workers wearing class 3 safety vest?

  • All workers wearing hard hats?

  • Appropriate footwear being worn?

  • Face shields for chipping / grinding operations ?

  • Safety glasses in environments where hazards are present (dust, debris, etc)

Trucks / Equipment

  • Strobes / Flashers operational & in use?

  • Operators wearing seat belts?

  • Daily inspections / Zonar complete?

  • Back up alarms operational?

  • Mirrors / backup cameras in good condition

  • Fire extinguishers on all trucks / equipment?

  • Cab clean of trash & debris?

  • Placards in place and readable on required loads?

Traffic Control

  • Warning signs properly posted?

  • Signs clean and in good condition?

  • Barrels / cones properly set?

  • Flaggers using stop / slow paddles?

  • Flaggers positioned in safe location?

  • Pedestrian traffic protected?

Misc. Tools & Equipment

  • Hand tools in good condition? (No damaged handles/parts, proper for job)

  • Fuels stored in labeled safety cans?

  • Chemical containers labeled?

  • MSDS / SDS available?

  • Lifting equipment adequate? Load rating tags in place & legible?

  • Extension cords in good condition

  • GFCI in use?

Excavations

  • Daily inspection completed?

  • Trench box / benching / sloping where needed?

  • Ladder or ramp where required?

  • Spoils at least 2 feet from edge?

  • Unattended excavation guarded?

Misc.

  • Foreman / Superintendent Signature

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.