BBC - Safety Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Safety Inspection

Badges

• Does person(s) have badge(s)?

  Yes

  No

  N/A

• Add media

  Media

PPE

• Hard Hat?

  Yes

  No

  N/A

• Safety Glass?

  Yes

  No

  N/A

• ANSI Level II Safety Vest?

  Yes

  No

  N/A

• Safety Toed Shoes?

  Yes

  No

  N/A

• Hear Protection Accessable?

  Yes

  No

  N/A

• Is a face shield needed?

  Select YES NO

  • YES
  • NO

• Are gloves needed?

  Select YES NO

  • YES
  • NO

Safety Buckets

• ABC Fire extinguisher?

  Yes

  No

  N/A

• Fire extinguisher charged?

  Yes

  No

  N/A

• First Aid Kit?

  Yes

  No

  N/A

• Eye Wash Station?

  Yes

  No

  N/A

• Is the safety bucket on the front porch?

  Yes

  No

  N/A

Extension Cords

• Are extension cords damaged?

  YES

  NO

• Where are cords damaged?

• Are cords plugged into a GFCI?

  Yes

  No

  N/A

• Do all cords have ground plug?

  Yes

  No

  N/A

Equipment / Tools

• Are all guards installed?

  Yes

  No

  N/A

• Does tool have a ground plug?

  Yes

  No

  N/A

• Are power tools (used at exterior) left unattended and plugged in?

  YES

  NO

Ladders and Scaffolding

• Are ladders or scaffolding being used?

  Ladders

  Scaffolding

  Both

  None

• Is scaffolding being used correctly?

  Yes

  No

  N/A

• Is scaffolding in good working order free of damage?

  Yes

  No

  N/A

• Are ladders being used as manufactured?

  Yes

  No

  N/A

• Are ladders free of oils or materials that could cause an accident?

  Yes

  No

  N/A

• Are ladders free of damage?

  Yes

  No

  N/A

• Are ladders tied of (if needed)?

  Yes

  No

  N/A

Housekeeping

• Is house keeping in order?

  No needs major improvement

  Needs Improvment

  Fair

  Good

• Are all hallways / stairs /door opening and exits free of debris and materials?

  Yes

  No

  N/A

Miscellaneous Items

• Select date

  Date

• Add signature

  Sign