Title Page

  • Conducted on

  • Prepared by

  • Location
  • Jobsite location:

  • Date of inspection:

  • Person(s) making inspection:

  • Title:

1. JOB SITE INFORMATION

  • OSHA and other jobsite warning posters

  • Adequate first aid equipment and stretchers available

  • Forms for jobsite injury and accident records posted

  • Emergency telephone numbers conspicuously posted

  • Tool Box and Project Safety meetings held and/or documented

  • PPE Station Stocked

2. HOUSEKEEPING AND SANITATION

  • General neatness of working areas

  • Adequate supply of drinking water and cups

  • Adequate lighting

  • Trash cart available

  • First aid kid stocked

  • Sanitary supplies stocked (toilet paper, hand sanitizer)

3. PERSONAL PROTECTIVE EQUIPMENT

  • Hard hats in use by all personnel

  • Eye protection in use by all personnel

  • Hearing protection in use, where required

  • Proper foot gear and protective clothing

  • Respirators/face masks in good condition and used as required

  • Fall protection being used, where required

4. TOOLS AND EQUIPMENT

  • Tools and equipment in good condition (guards intact, warning lights and alarms working)

  • Electrical equipment connected properly, grounded and in good condition; GCFI; automatic magnetic cut-off for wood working tools

  • Machine guards/pinch points identified/protected

  • Clearance, proper mounting, and ventilation for temporary heating

  • Perimeter guards on elevated floors (safety rails sturdy)

  • Ladders in good condition; tied back; extended 3ft beyond landing

  • Scaffolding with guard rails, toeboards and access ladder

  • Safety railings withstanding 200lbs horizontal load

5. HEAVY EQUIPMENT

  • Daily inspection completed

  • Fire extinguisher mounted and in good condition

  • Seatbelt worn during operation

  • Backup alarm and lights operable. Guide used

6. HAZARDOUS CHEMICALS/AIR CONTAMINANTS

  • Hazard communication-right to know poster/written program onsite

  • List of hazardous materials on job

  • Material Safety Data Sheets

  • Employees are familiar with the program

  • Proper containers in use with correct labels

7. GENERAL

  • Safe access to work area

  • Good housekeeping and material storage

  • Barricades/debris protection/warning signs in place

  • Excavation/trenches properly protected

  • Shoring properly installed; engineers stamp on drawings

  • Eye wash available

  • Fire extinguisher; good condition; current inspection tag; within 50’

  • Trucks; safe/good condition; DOT regulation compliance

8. PAPERWORK AND OTHER POSTINGS

  • OSHA poster/log

  • Emergency phone number card

  • SWPPP inspection documentation

  • Any additional comments

  • Sign and date:

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.