Fall Protection

  • Use of anchor points.

  • PFAS worn in a proper manner?

  • Fall protection equipment maintained and inspected?

  • PFAS utilized at loading zones with guardrails in place.

  • Fall protection equipment shall not be used for rigging.

  • Guardrails/PFAS utilized when near perimeters, elevator shafts, windows, and stairways. > 6 ft. Fall hazard.

  • Wall openings are properly covered.

  • Guardrails shall be able to withstand at least 200 lbs. of force.

  • Workers protected near floor openings.

  • Workers protected around roof openings.

  • Guardrail height 42 inches +\- 3 inches

Housekeeping/General Safety

  • Project work areas are clean and free of excess trash and debris.

  • Walkways and passageways are clear.

  • Material or equipment is properly stored.

  • Electrical cords, hoses, etc. installed to prevent trip hazards.

  • Scrap metal/material free from protruding nails or other puncture hazards.

  • Trash receptacles are provided for work areas.

  • Barricades and/or rebar caps are installed and maintained

  • Wall openings/floor holes

  • Electrical

  • Slip/trip hazards

Personal Protective Equpment

  • Hard hats

  • Class 2 vest

  • Hearing protection

  • Eye protection

  • Proper foot protection

  • Face shield or goggles

  • Gloves

  • Respirators/chemical resistant garments


  • 18 inches of walking/working surface

  • Scaffold guardrail height (when 6 ft. or higher) 42 inches +\- 3 inches

  • Inspected and used properly.

  • Scaffold tag present when applicable.

  • Guardrails in place when required.

  • Proper access and egress required.

  • Components are free from defect.

  • Aerial and scissor lifts are properly inspected.

  • Fall protection utilized on aerial lifts.


  • Proper angle using 4:1 ratio.

  • Exceeds landing by 3 feet.

  • Ladder properly secured to prevent movement.

  • Worker is not using top 2 steps of stepladder.

  • Stepladder used only in the open position and fully locked.

  • Inspected and free from defect.

Tools and Equipment

  • Electrical cords- condition.

  • Tools are maintained in a safe condition

  • Pneumatic/hydraulic hose connections properly secured.

  • Tools are carried and stored.

  • Proper tools used for the job performed.

  • Guards and shields in place.

  • Hilti clips are free from live rounds.

  • Job lights have cages on them to prevent the glass from breaking.

Fire Protection

  • Flammables are stored properly.

  • Fire extinguishers are inspected.

  • Fire extinguisher is located near chop saw or other Hot Work procedures.

  • Combustibles removed in area of hot work.


  • Hot Work permit.

  • JHA

  • Toolbox talk.

  • MSDS's

  • Laser in use signage.


  • General Comments

  • Add media

  • Add media

  • Add drawing

  • Was anyone injured on site?

  • CDI Incident Report completed?

  • Add signature

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.