Information

  • Conducted on

  • Performed by

  • Location
  • Description of Areas Inspected

Instructions

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

Electrical Safety

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

  • Ground fault circuit interrupters in use

  • Extension Cords are not causing trip hazards or used inappropriately

  • Power Tools are undamaged and being used fit for purpose

Excavations

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

  • Access/Egress is safe and frequency of egress is acceptable

  • Shoring/Shielding/Sloping is safe

  • Barricades are in place as required

  • Spoil Pile

Fall Protection Equipment

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

  • Fall protection equipment inspected inspected regularly and before use

  • Appropriate for task and used properly by crew where applicable

  • Suitable Anchorage Points

Ladders

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

  • Ladders are well maintained and in satisfactory condition

  • Ladder base, footing and set up is to standard

  • Proper Ladder for Task

  • Fixed ladders are equipped with safety cage

Personal Protective Equipment (PPE)

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

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

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

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

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

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

  • Appropriate Clothing (in safe condition)

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

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

Personnel

  • Do you wish to check personnel and this safety walk?

  • Behavior is orderly and professional

  • Clear communication is possible without needing to shout

  • Proper lifting technique demonstrated

Tools and Equipment

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

  • General condition of tools

  • Tools and Equipment inspections take place and are recorded

  • Right tools are being used for tasks

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

Work Areas

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

  • General Housekeeping (neat, tidy, dust free)

  • Walkways (free of debris, obstructions, hazards, unguarded holes in floor)

  • Fixed Stairs (free of debris, obstructions, hazards) (railings sturdy and in good repair) (equipped slip resistant treads)

  • 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)

  • Mezzanine/Platforms labeled with load capacity and equipped with guard rails

  • Loading Dock openings protected at > 4ft elevation

  • Roof Areas have fall protection, approved anchor points, and/or leading edge warning perimeter

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

  • 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.