Information

  • Project/Job

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PPE

  • Safety glasses

  • Face shield

  • Appropriate Gloves

  • Others

Right tools for the task

  • Right tools for assinged task

  • Inspected/Color Coded

  • D. Other:

FIRE SAFETY

  • A. Hot Work Permit (if required)

  • B. Fire Watch Assigned (Competent Person)

  • C. Fire Extinguisher/Inspected

Working at height

  • Bodyharness in place

  • Lifeline in place

  • Scaffolding checklist completed

  • Appropriate a frame ladder

  • Tools tied and secured

WORK AREAS

  • Appropriate barricade in place

  • Warning signs in place

  • Work information available (contact person, type of work)

  • Access way clearly identified

  • Tools and materials at right place

  • Work areas are clean and tidy

Comments/Recommendations

  • Enter any corrective actions that will be undertaken

Sign Off

  • Safety Representative

  • Site Incharge

  • Construction Supervisor

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.