Information

  • Project name

  • Location
  • Conducted on

  • Document No.

  • Prepared by

  • Portion inspected

  • C.S.O. and / or First aid person responsible for site safety

  • Number of infractions and recommendations

  • Action date for compliance

  • Site progress photo

  • Sign off signature

Public access

  • Site entrance

  • Hoarding and fencing

  • Sidewalks and walk ways

  • Site staging area

  • Site signage ie, sidewalk closed, do not enter. Traffic control

General site conditions

  • Access and egress

  • Site signage, ie, site rules, PPE warnings

  • General housekeeping ,ease of access and material stock pile

  • Dowel and floor openings

  • Ladders and scaffold

  • Machinery and equipment

Emergency procedures

  • Site plan posted and up to date

  • Emergency boxes

  • D.E.P. Box

PPE

  • Safety head gear and foot wear

  • Eye and hearing protection

  • Respiratory protection

  • Appropriate clothing

Electrical conditions

  • G.F.I.C. or Assured grounding

  • Lighting conditions

  • Lockout and Hi voltage

  • Electrical tools and power cords

  • Power lines tagged , under ground warnings, 3033 m

Fall Protection conditions and procedures

  • Guardrails and handrails

  • Fall Protection procedures and site specific plans

  • Training and documentation

  • Equipment condition

  • Elevated devices

Documentation

  • Daily inspections

  • Tool box talks

  • Monthly trade safety meetings

  • Orientations

  • Safe work procedures

  • OH&S Programs on site

  • First aid record book

  • WCB reports and incident reports

  • WHMIS and MSDS

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.