CD Jobsite 3

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Previous inspection

• 1.1 - Are posters and safety warning signs posted?

  Yes

  No

  N/A

• 1.2 - Has toolbox talk been provided?

  Yes

  No

  N/A

• 1.3 - First aid kit available at work site?

  Yes

  No

  N/A

• 1.4 - Is PPE worn where required?

  Yes

  No

  N/A

• 1.5 - Are passageways and walkways clear?

  Yes

  No

  N/A

• 1.6 - Are Safety Data Sheets (SDS) (formerly MSDS) on file and available?

  Yes

  No

  N/A

• 1.7 - Fire extinguisher readily available?

  Yes

  No

  N/A

• 1.8 - Are materials properly stored or stacked?

  Yes

  No

  N/A

• 1.9 - Are respirators inspected before use and cleaned after each use?

  Yes

  No

  N/A

• 1.10 - Have vehicles received daily inspection? Have mechanical deficiencies been reported?

  Yes

  No

  N/A

• 1.11 - Are hand tools inspected before use?

  Yes

  No

  N/A

• 1.12 - Are emergency eyewash stations available?

  Yes

  No

  N/A

• 1.13 - Ladders used properly for type of exposure?

  Yes

  No

  N/A

• Yes

  No

  N/A