• Site secure to restrict access by unauthorized personnel.

  • Drinking water and toilets available for workers.

  • Worksite clean and free of dangerous waste material.

  • Chemical SDS's readily available and containers labeled.

  • Employees properly dressed including PPE: proper footwear, hearing protection, gloves, hard hat, safety glasses, face shield, fall protection, high-vis shirt/vest, respirator, etc. (if required for task).

  • Employees trained to safely complete assigned tasks.

  • Adequate lighting in work areas.

  • Rebar ends protected by caps or 2X4.

  • Proper ladders available for task / placed on firm and level base / sloped properly (4:1 Rule).

  • Fall protection provided where there is an unprotected side or edge. Fall protection equipment installed properly, inspected and worn.

  • Holes or wall openings barricaded or covered securely and marked.

  • Work areas kept free of cords and excess materials / equipment.

  • Power tools and cords in good condition with safety guards and devices (GFCI, etc.) in place while tools are in use.

  • Serviced, tagged and charged fire extinguishers in each work area.

  • Proper clearance distance maintained from electrical transmission lines (min. 10') or booting installed.

  • Scaffolding erected per the manufacturer's instructions and meets OSHA standards.

  • Underground utilities located and excavations protected and meet OSHA standards if necessary.


  • Supervisor 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.