Builder Safety Checklist - duplicate

• Builder Safety Checklist for the week of

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

1. Working at Heights

• Fall risks of 2 feet or more? (including stairs, balconies, voids, pits, and trenches)

  Yes

  No

• Describe

• Add photo if possible

  Media

• Describe

• Add photo if possible

  Media

• Lack of edge protection?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• Unsafe or incomplete edge protection?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

3. Scaffolds

• Unsafe or incomplete scaffold?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• Incompatible scaffold components?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

5. Harness and Equipment

• Unsafe or damaged harness or equipment?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• Unsafe or uncertified anchor points?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

6. Ladders

• Unsafe or damaged ladders?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• Unsafe positioning of ladders?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• Ladder not properly secured?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

11. Personal Protective Equipment (PPE)

• Use of hard hats?

  Yes

  No

• Describe

• Add photo if possible

  Media

• Lack of, or inadequate PPE (including sun protection)?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

12. Work Environment

• Lack of/or inadequate toilets?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• Inadequate housekeeping? (Job site unclean)

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

13. Electrical Hazards

• Unsafe electrical leads? (damaged, out of test date or untested)

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• Contact with underground assets?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• Contact with overhead electrical lines?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• Overloading outlets?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• Electrical equipment near water?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• Electrical equipment near flammables?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• Electrical equipment near chemicals that could cause damage?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• Electrical leads that may be damaged from contact with moving machinery parts?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• Electrical leads on work surfaces?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• GFCI outlets operational?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

14. Environmental Hazards

• Lack of/or inadequate, dust suppression system?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• Lack of/or inadequate systems to prevent contaminants entering stormwater drains?

  Safe

  At Risk

  N/A

• Describe

• Add photo if possible

  Media

• Lack of Fire Extinguisher

  Yes

  No

• Describe

• Add photo if possible

  Media

• Lack of First Aid Kits

  Yes

  No

• Describe

• Add photo if possible

  Media

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• Builder's name and signature

  Sign