Title Page

  • Site

  • Person(s) Conducting Inspection

  • Inspection Date

Site Condition Inspection

House Keeping

  • Work area is clean and free of excess trash and debris

  • Walkways and passageways clear

  • Material and or equipment properly stored

  • Electrical cords, hoses, welding leads, etc. elevated to prevent trip hazard

  • Scrap materials free of protruding nails or other puncture hazards

  • Trash receptacles are provided for work areas emptied on regular basis

  • Barricades, and/or Rope tagged and maintained as required

  • Work area and walkways sufficiently illuminated

  • Security gates and fences in good condition and functioning

  • Security cameras working properly

  • Stairs and Handrails in good condition (slip prevention in place and in good condition)

  • Exits and Aisle ways clear, exit signs visible and illuminated

Person Protective Equipment

  • Hard hats worn and maintained as required, use of straps or tether for "drop" prevention

  • FR clothing, Long Sleeves worn, gloves, and high visibility being worn as required

  • Proper eye protection worn for the task and in proper manner

  • Proper foot protection worn for the task

  • Electrical gloves worn, tested as required

  • Hearing protection worn as required

  • Other; respirator, gloves, electrical flash or chemical resistant garments as required

Fall Protection

  • Body harness required and worn in proper manner

  • Lanyards are adequately secured to suitable anchorage

  • Perimeter guarding

  • Static lines, vertical life lines installed and capable of supporting 5400lbs (as per engineer's specifications)

  • Fall protection equipment is used for only fall protection

  • Fall protection equipment stored and maintained properly with up to date inspection

  • Other:

Scaffold and Ladders

  • Built per specification

  • Proper access and egress provided

  • Tagged correctly

  • Proper ladder for the job performed / properly secured

  • Proper angle and exceed the landing by 3'

  • Other:

Vehicle and Mobile Equipment

  • Lights, brakes, horn, alarms working properly

  • Seat belts provided and used

  • Properly maintained with documentation available

  • Equipment used properly

  • Licenses or certifications as required

  • Daily inspections carried out and documented

  • Other:

Tools and Equipment

  • Electrical cords good condition and current inspection

  • Tools are maintained in a safe condition

  • Tools are properly cleaned and stored

  • Pneumatic / hydraulic hose connections are properly secured

  • Proper tools used for the job performed

  • Tools tethered to prevent "drops"

  • Electrical panel(s) accessible (3' Clearance) and labeled(voltage and function)

  • Electrical switches, outlets, junction boxes covered and secured

  • Properly grounded and guarded as required

  • Other:

Life Critical

  • Applicable Permits in place and posted

  • JSA's Completed

  • Procedures being followed i.e., Hazard assessment, confined space, elevated work etc

  • Required Policies Posted i.e., Safety, Harassment, emergency

  • Safety Meeting minutes posted

  • Emergency Plan and Numbers Posted

  • First Aid Attendants' list posted

  • First Aid kits Inspected and stocked

  • Workers know where first aid kit is

  • Evacuation plan posted (do workers understand)

  • Muster Points Posted

  • Can workers identify nearest Muster and Staging area

  • Appropriate methods of communication for emergency

  • Can workers Identify emergency contact number

  • Proper Head count available

  • Eye wash stations and Safety Showers maintained and up to date

  • Emergency lighting checked and working

  • Containers labeled as to content

  • Office access/egress points in good condition

  • MSDS available for review

  • Emergency Generator Fuel Tank At Least Half Full

  • Process piping systems labeled for direction and contents

  • Other:

Environmental

  • Equipment and containers free from visible leaks

  • All secondary containment free from standing water, sealed and in good condition

  • Bulk storage tanks visually inspected for leaks, rust and overall integrity

  • Spill response equipment and clean up supplies available and accessible

  • Storm water outfalls visually inspected for evidence of erosion or potential pollution

  • All waste materials stored in proper collection containers and labeled

  • All oil and chemical containers have secondary containment

  • Pavement, soil, grounds are free from oil or oil stains

  • All trash cans & dumpsters have lids and are closed

  • Other:

Material Handling and Storage

  • Materials stored properly, not blocking aisle ways, stairs, emergency equipment or exits

  • Proper PPE used when handling material

  • Storage drums, containers, boxes ect. Free from leaks and labeled (including WHMIS and reference to MSDS)

  • Materials or equipment not left leaning or piled in any way that creates a hazard (fall onto worker, tripping ect.)

  • Flammables & combustibles stored properly (no combustibles in flammable cabinets)

  • Racking systems load rating visible

  • Items stored on racking systems properly, not overload

  • Other:

Hoisting/Rigging and Lifting

  • Lifting bags used to lift tools

  • Workers not carrying items up ladders

  • Proper rigging techniques being used

  • Hoisting slings and straps in good condition and inspected

  • Drop zone cleared and roped off

  • Overhead Mechanical lifting devices inspection records up to date

  • Hoists in good condition, inspected with safety latch in place and load rating visible

  • Other:

Fire Protection

  • Flammables stored properly

  • Containers labeled as to content

  • Gas cylinders properly stored in designated areas and secured

  • Caps on bottles when not in use

  • Proper type and size of extinguisher in place and ready for use

  • No tools, equipment or material stored in front of fire extinguishers/fir hose reels

  • Fire extinguishers properly located and inspected

  • Other:

Previous Inspections

  • Have all items from last inspection been corrected or addressed

  • 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.