Information

  • Conducted on

  • Prepared by

  • Location
  • Company Contact

  • Company Contact Phone

  • Company Contact Email

  • Owner/ GC/ Sub-tier/ Other

First Aid/CPR & Record Keeping

  • 3. All Supervisors’ First Aid/CPR cards checked at start of all new projects

  • 3.1 Certification information for employees are tracked and on file

  • 3.2 OSHA 300

Substance Abuse

  • 5. A written Drug & Alcohol Policy, reflecting current company policies

  • 5.1 Drug Testing (optional) For example: Pre-employment, post-accident, for-cause, random, DOT

Safety Management Items/ Jobsite

  • 8.0 Accident prevention program on site

  • 8.1 Job Hazard Analysis

  • 8.2 Confined Space Permit

  • 8.3 Fall Protection Work Plan

  • 8.4 Complete inspection forms: Assured Grounding/GFCI Program

  • 8.5 Weekly Jobsite Inspection Forms

  • 8.6 Weekly Toolbox Meeting Minutes

  • 8.7 Site Specific Safety Plan

  • 8.8 Cranes documentation:

  • 8.8.a Crane Operator Certification and hours

  • 8.8.b Crane Certification with proof of load testing

  • 8.8.c Certifier Certification

  • 8.8.d Rigger Qualification (by Type)

  • 8.8.e Signal Person Qualification

  • 8.9 WAC Standards for construction located on worksite

  • 8.10 Safety Bulletin Board with required posting

  • 8.11 Emergency phone numbers posted

  • 8.12 OSHA 300A (Posted February through April)

  • 8.13 First Aid/CPR training certification cards (Superintendents, Foremen)

Employee Facilities/ Jobsite

  • 9.0 Toilet

  • 9.1 Wash area with temperate water/ Sanitizer

  • 9.2 Dry shack - lunch room

  • 9.3 Above listed facilities clean and sanitary

Jobsite Protective Equipment/ Jobsite

  • 10.0 First aid kit suitable for crew size (office, dry shack, tool van)

  • 10.1 Fire protection (extinguisher date and type correct for situation)

Housekeeping/ Jobsite

  • 11.0 Work Areas clean and orderly

  • 11.1 Deck free of: protruding nails, holes, loose boards

  • 11.2 Aisles and walkways clear of obstructions

  • 11.3 Guardrails in place where required

  • 11.4 Trash chute for over 20’ heights

Required Personal Protectice Equipment/ Jobsite

  • 12.0 Head Protection - hard hats

  • 12.1 Hearing protection - ear plugs<br>Sound Level Meter: _____dB reading <br>

  • 12.2 Leg protection - chain saw chaps

  • 12.3 Foot protection - work boots

  • 12.4 Eye and face protection - safety glasses

  • 12.5 Respiratory protection - mask dependent on exposure

  • 12.6 Fall protection - safety harness, lanyards

  • 12.7 Reflective Clothing- vest, 360 degrees

General Jobsite Safety Items/ Jobsite

  • 13.0 Office trailer step railings

  • 13.1 Only approved ladders in use (and secured)

  • 13.2 Machine guards in place (saws, grinding wheels, etc.)

  • 13.3 All power equipment is properly grounded

  • 13.4 Extension cords and power equipment checked for shorts

  • 13.8 Proper access/egress for excavations more than 4 feet deep

  • 13.5 Compressed gas cylinders in secured storage area

  • 13.6 Fuel gas stored at a minimum of 20 feet from compressed gas cylinders

  • 13.7 Flash back protectors for oxygen-acetylene torches in place/use

  • 13.9 Gas and diesel fuel stored in approved and properly marked safety cans

  • 13.10 Proper barricades around pinch point exposure area (revolving cranes)

  • 13.11 Proper Scaffold erection and usage

  • 13.12 Back-up alarms on appropriate motorized equipment

  • 13.13 Provisions for public safety

Site Visit Summary

  • Summary of findings from audit team. (Site appearance, safety culture demonstrated by site personnel, thoughts for improvement, any follow ups needed by contractors onsite, or perception survey experience.)

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.