Information

  • Job Site

  • Conducted on

  • Conducted By

Aerial Lifts (Scissor & Boom)

  • Chains latched, Employees wearing Fall Protection & are Lift being kept away from floor holes & deviations?

  • Other?

Compressed Gas Cylinders

  • Are fuels and Oxygen cylinders kept 20' apart or separated by a 5' half hour firewall or equivalent & do storage ares have proper signage (No Smoking or Open Flame)?

  • Are B-Tanks in holders an the key in place?

  • Flashback arresstors in place, regulators have covers on, & are hoses in good condition?

  • Other?

Confined Spaces

  • Was the Pre-Entry Checklist completed, the air monitor calibrated, other equipment in place, employees trained & is the permit completed and posted?

  • Other?

Cranes

  • Is the crane inspected and is the inspection in the cab, 10' clearance from electrical lines, qualified signal person, outriggers extended & swing radius protected?

  • Other

Electrical

  • Is all temporary electrical installed properly and inspected (panels closed, off the ground, etc.)?

  • Are GFCI's being used, tested before each use, cords free from defects & are workers staying away from overhead power<br>Iines?

  • Other?

Fire Prevention

  • Is there a fire extinguisher at the hot work being performed, inspected annually & monthly, fire extinguishers placed every 100' & are combustibles & flammables 35' away or covered with a FR Blanket?

  • Other?

First Aid

  • Are there first aid kits readily available to employees, are they stocked appropriately & is someone first aid/CPR trained?

  • Other?

Floor Hole, Wall Openings & Rooftops

  • Are Holes > 2" covered, marked with "hole", handrails in place (200 lbs), floor deviation protected & on rooftops is there a means of fall prevention?

  • Other?

Hazard Communication

  • Are Safety Data Sheets (SDS's) available or accessible & are all substances labeled?

  • Other?

Housekeeping & General Conditions

  • Are there adequate trash containers available, exits/stairs clear & walkways free of slips & trips?

  • Other?

Job Site Documentation

  • Are SPA's/Tool Box Talks/Safety Audits being completed, a Safety Manual on site?

  • Other?

Ladders

  • Are ladders free from defects & being used properly?

  • Other?

Lighting

  • Is there adequate lighting & are bulbs fully protected?

  • Other?

Lockout/Tagout

  • Are employees trained in the application & removal of locks & tags?

  • Are locks and tags being applied correctly?

Overhead Hoisting Equipment

  • Does the equipment have the annual inspection completed & in good working order?

  • Other?

Rigging & Rigging Equipment

  • Is the manufacturer name and capacity clearly marked on the rigging?

  • Are tag lines being used & are softeners being used on sharp edges?

  • Other?

Personal Protective Equipment

Hard hats

  • Are employees wearing hard hats?

Eye Protection & Face Protection

  • Are employees wearing safety glasses with side shields?

  • Are employees wearing face shields and safety glasses while grinding or chipping?

Hand Protection

  • Are employees wearing the proper hand protection?

Fall Protection

  • Has the fall protection equipment been inspected by a competent person?

  • Is the equipment installed properly to prevent employees from free-falling more than 6 feet or hitting the level below?

Respirators

  • Are employees medically qualified to wear the respirator?

Postings

  • Is the OSHA 300A Log posted (February 1 to April 30)?

  • Are the federal, state & local postings & emergency #'s posted?

  • Dr. Panel Posted?

Powered Industrial Trucks

  • Are operators certified, seat belts being worn, the back up alarm working & pre-inspections being performed?

  • Other?

Scaffolding

  • Was the scaffolding built by a Competent Person & inspected daily?

  • Other?

Stairs

  • Are handrails provide at stairs with 4 or more steps & are steps provided at access points > 19"?

  • Other?

Sub Contractors

  • Was the Sub Contractor Orientation Done for all new Subs?

  • Are Sub Contractors working safely?

Tools & Equipment

  • Are tools in proper working order?

  • Do grinders have guards and handles on?

  • Other?

Trenches/Excations

  • Has the Competent Person classified the soil?

  • Is there proper protection in place at excavations > 5'(i.e. shoring/sloping/benching)?

  • Is there proper egress in out of excavations > 4' (ladders every 25')?

  • Are spoils kept at least 2' back from the edge of the excavation?

  • Are daily inspections being completed by the Competent Person?

Vehicles

  • Does the vehicle have an inspected fire extinguisher, emergency triangles, camera & accident reporting kit?

Welding Activities

  • Are weld leads and gas hoses free from defects, boot covers in place and are weld screens being used?

  • Other?

Other

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.