Information

  • Case Number

  • Project company

  • Inspection date

  • Inspector Name

  • Location
  • CM Company

BEHAVIOR

  • A. Daily permit reviewed and signed?

  • B. Daily permit for each task?

  • C. Supervisor assigned?

  • D. Other Program Documentation

  • F. Other

JOB SITE POSTERS

  • A. All OSHA Required Posters

  • B. Emergency Evacuations

  • C. Emergency Contacts List

  • D. OGP Permit

  • E. PRDOH Signage.

WORK AREAS

  • A. General Housekeeping

  • B. Walking - Working Surfaces

  • C. Unprotected Sides or Holes

  • D. Impalement Hazards

  • E.. Sanitary Facilities

  • F.. Water -- Trash Receptacles

  • G. Material Storage/Lay Down

HAZCOM

  • A. Training - Right to Know

  • B. SDS on Site

  • C. SDS for all Chemicals on Site

  • D. Proper Storage of Chemicals

  • E. Proper PPE for Handling Chemicals

HEALTH/FIRST AID

  • B. First Aid Kit (No Expired Items)

  • C. Eye Wash Facilities in Field

  • D. Access to Eye Wash

  • E. Other

PERSONAL PROTECTIVE EQUIPMENT

  • A. Hard Hats

  • B. Safety Glasses with Side Shields

  • C. Face Shield / Goggles (If Required)

  • D. Respiratory Protection (If Required)

  • E. Hearing Protection (If required)

  • F. Clothing (FRC etc. if required)

  • G. Gloves

  • H. Foot Protection

FALL PROTECTION

  • A. Trained Personnel (Competent Person)

  • B. Worn Properly

  • C. Suitable Anchorage Points

  • D. Inspected/Color Coded

  • E. Stored Properly

  • F. Emergency Rescue Plan

LADDERS

  • A. Base/Footing/Set Up

  • B. Inspections/Color Coded

  • C. Proper Type for Task

TOOLS AND EQUIPMENT

  • A. In Good Condition

  • B. Inspected/Color Coded

  • C. Other:

EXCAVATIONS

  • A. Trained Personnel (Competent Person)

  • B. Access/Egress

  • C. Soil Condition

  • D. Water Accumulating

  • E. Shoring/Shielding/Sloping

  • F. Barricades

ELECTRICAL

  • A. G.F.C.I.'s

  • B. Extension Cords

  • C. Power Tools

  • D. Lock Out/Tag Out

  • E. Assured Ground Inspected

FIRE SAFETY

  • A. Fire Extinguisher/Inspected

  • B. Gas Can(s)

  • C. Fire Watch Assigned (Competent Person)

  • D. Combustibles removed/isolated

  • E. Hot Work Barricade (if required)

SCAFFOLD

  • A. Trained Personnel (Competent Person)

  • B. Hand and Mid-rails, Toeboards

  • C. Platform Decked/Secured

  • D. Level Footing/Set up

  • E. Access/Egress

  • F. Away from Powerlines

  • G. Barricades

  • H. Inspection/Tagged Correctly

HEAVY EQUIPMENT

  • A. Equipment Inspections

  • B. Proper setup and use

  • C. Operator Qualified and Certified

  • D. Operator Manual

  • E. Flagman with Vest

OTHER

  • A. Enviromental

  • B. OSHA 300

  • C.

  • D.

Comments/Recommendations

  • Enter any corrective actions that will be undertaken

  • SWO Issued

  • Notified Person, Date and Time

  • Due date

Sign Off

  • Safety Representative

  • Construction Supervisor

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.