Information

  • Site Conducted

  • Conducted on

  • Prepared by

  • Participating Team Members

  • Has this inspection been started?

Site Details

  • Use this audit to assess the following aspects of this site as Safe, At Risk or Not Applicable. An Unsafe response indicates that attention is required to bring items to a satisfactory standard. Notes and photos should be attached where appropriate, particularly for any At Risk items.

Work Areas

  • Do you wish to examine work areas on this safety inspection?

  • General Housekeeping (neat, tidy, dust free)

  • Walkways (free of debris and obstructions)

  • Work Surfaces (clear of clutter and dust)

  • Sides or Holes (safety guards or covered)

  • Impalement Hazards (none present, or adequately marked)

  • Material Storage/Lay Down (neat and tidy)

JHA Boards

  • Do you wish to check the use of JHA Boards during this inspection?

  • Jobsite is actively using JHA Boards

  • JHA Boards are properly located by trade/floor location

  • JHA Boards are updated and discussed with employees on a daily basis or when conditions change

Hazard Communication (GHS)

  • Do you wish to examine Hazard Communication on this safety inspection?

  • Workers have company 3E Online (SDS) stickers

  • Workers understand how to access SDS Sheets in emergency situation

  • Flammable liquids stored in approved safety cans and labeled as required

  • Hazardous chemicals stored in proper containers, properly labeled, storage area labeled properly

  • Emergency eye wash station within 100 ft of a corrosive chemical hazard

  • Spill clean-up supplies on-site and available

Personal Protective Equipment (PPE)

  • Do you wish to examine PPE on this safety inspection?

  • Hard Hats (available, worn by crew and in safe condition)

  • Safety Glasses with Side Shields (available, worn by crew and in safe condition)

  • Cut-Level 4 Gloves (available, worn by crew and in safe condition)

  • Foot Protection (fit for task, worn by crew and in safe condition)

  • Appropriate Clothing (in safe condition)

  • Face Shield / Goggles (available, worn by crew and in safe condition, where required)

  • Respiratory Protection (available, worn by crew and in safe condition, where required)

  • Hearing Protection (available, worn by crew and in safe condition, where required)

Fall Protection

  • Do you wish to examine fall protection equipment on this safety inspection?

  • Fall protection being used at falls > 6 ft?

  • Employee can identify specific fall rescue plan based on location and conditions

  • Fall protection equipment inspected inspected regularly and before use

  • Appropriate for task and used properly by crew where applicable

  • Suitable Anchorage Points

  • Proper barricading/covers/signage in place for exposed edges and holes

Ladders

  • Do you wish to examine ladders on this safety inspection?

  • Ladders are well maintained and in satisfactory condition

  • Ladders have proper, legible safety stickers

  • Ladder base, footing and set up is to standard

  • Proper Ladder for Task

  • Stepladders being used only in open position?

MEWPS

  • Do you wish to examine MEWPS on this safety inspection?

  • Operators of MEWPS have received classroom and hands-on training (documented)

  • Daily inspection performed before use

  • Employees are wearing fall protection and are properly anchored inside lift

  • Portable fire extinguisher is available and suitably mounted?

  • Employee can identify specific fall rescue plan based on equipment and conditions

Cranes / Rigging

  • Do you wish to examine cranes and rigging on this safety inspection?

  • Employees performing rigging have been trained (within last 24 months) and documented

  • Chains/slings tagged and inspected during past (12) months

  • Wire ropes/slings free of kinks and broken wires

  • Hooks used for hoisting have safety latch in place

  • Synthetic slings free of damage to webbing or stitching

Heavy Equipment

  • Do you wish to examine heavy equipment on this safety inspection?

  • Operators of forklifts/lulls/excavator have been trained (classroom and hands-on)

  • Horns and audible back-up alarms are operational?

  • Portable fire extinguisher is available and suitably mounted?

  • Daily inspection performed before use

Excavations

  • Do you wish to examine excavations on this safety inspection?

  • Competent Person designated and on-site

  • Excavation ladders if > 4 ft deep; Extend > 3 ft above excavation; Located < 50 ft apart.

  • Shoring/Shielding/Sloping is safe

  • Barricades are in place as required

  • Spoil pile located minimum of 2 ft from excavation

  • Daily inspection of sloping/shoring (and documented)

Tools and Equipment

  • Do you wish to examine tools and equipment on this safety inspection?

  • General condition of tools (hand tools and power tools)

  • Tools and Equipment inspections take place and are recorded

  • Right tools are being used for tasks

  • Tools have all required guards in place

  • Employees are trained to be competent in the tools appropriate for their work tasks

Electrical Safety

  • Do you wish to examine electrical safety on this safety inspection?

  • Lock-Out/Tag-Out being used for required tasks

  • Ground fault circuit interrupters in use

  • Extension Cords are not causing trip hazards or used inappropriately

  • Extension cords have inspected and all prongs intact

  • Power Tools are undamaged and being used fit for purpose

  • Oxygen/acetylene torch units have flash-back arrestors

  • Compressed gas cylinders have caps in place when not being used

People Safety

  • Do you wish to check work crew safety knowledge at this inspection?

  • Approach at least one team member and record their responses to the following. Make clear this is not an assessment of the team member themselves, but rather the safety procedures on site.

Team Member

  • Employees informed of 800# for Near Miss Reporting?

  • Employees can explain the 5x5 process

  • Employees can explain what was discussed in that mornings JHA

  • Toolbox talks conducted and documented

  • Team member is able to describe the correct process to follow in an emergency situation

  • Team member is able to identify company muster location in case of emergency

  • Worker is able to identify three hazards they may encounter in their tasks today

  • Team member signature (to verify this interview took place NOT to assess their safety knowledge)

Covid-19 Safety

  • Is the team member able to identify symptoms of Covid-19?

  • Does the team member know the protocol to follow if they exhibit Covid-19 symptoms?

  • Employees practicing 6 ft social distancing?

  • Employees wearing face masks as required

Near Miss Conditions Observed

    List 5 Each Near Miss Conditions (Please click '+' to add if more than 5)
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General Comments

  • Any further comments or recommendations arising from this inspection?

  • Add any additional relevant photos

  • Have all required corrective actions been added as Actions to this inspection?

  • Please add any corrective actions to the appropriate questions above before completing this report

Sign Off

  • Name & Signature of Inspector

  • Name & Signature of Site Supervisor / Foreman

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.