Title Page
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Client / Site
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Prepared by
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Location
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Conducted on
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Job Name & Number
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Superintendent:
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Project Manager(s):
PERSONAL PROTECTIVE EQUIPMENT
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Proper job site clothing
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Head protection
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Steel tipped (if required) , hard soled boots
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Eye protection
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Fall protection
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Hearing protection
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Proper/Maintained PPE in use
HOUSEKEEPING
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Immediate work area clean
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Overall jobsite clean
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Proper storage of materials
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SDS on jobsite
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Proper record keeping Ex: Job tool box docs. Etc.
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Proper posting-Comp. Poster/OSHA Logs
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First Aid Kit on jobsite & stocked
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Clinic & Hospital maps accessible
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Employees aware of the injury procedures
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Employees aware of the injury procedures
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Water Keg, water bottles on jobsite
TOOLS
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All shields, hoods, & guards in place
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Licensed employees using tools
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Correct use of tools
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Damaged tools not on site or being used
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Damaged tools not on site or being used
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Tools properly stored when not in use
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Signs up when using powder actuated tools
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Actuated tools unloaded when not in use
LADDERS
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All rungs and steps in place
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Proper base
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No debris build up on rungs or steps
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Ladders tied, blocked or secured
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Barricades in use while in passageways
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No one climbing with materials/equipment
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No one standing on top 2 steps
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Approved ladders on jobsite
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No damaged ladders in use
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Proper use of ladders, not to be used as planks, scaffolding
GUARDRAILS & OPENING PROTECTION
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Holes covered & marked
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Guardrails at building edges 6' or greater fall
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Guardrails on scaffolding 6' or greater fall
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Proper materials used for guardrails
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Maintained guardrails
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Impalement hazards protected
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Tie off system in place when installing guardrails
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Fall protection executed where applicable
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Compliance of safety monitoring system when in use
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Wall openings protected 39" a.f.f.
ELECTRICAL
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Extension cords compliant with OSHA standards
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Lockout/Tagout when applicable
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Electrical line hazards
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Power tools are being used in dry conditions
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Knowledge of underground utilities
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Plugged into OSHA approved jobsite power (circuits/breakers)
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No cutting or drilling in energized walls
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No overloading of circuits
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No homemade electrical devices such as cords, receptacles
MATERIAL STOCKING/STAGING
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No materials stocked 10' from slab edge
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Drywall not stocked more than 4' high
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No strapped/bundled materials over 4' high
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No overloading of materials on scaffolds
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Materials stocked on suitable platform
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Employees trained on how to handle mtls.
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Workers aware of stocking and staging zones
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Drywall leaned up against studs marked
SCAFFOLDING
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Competent person on jobsite
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Proper equipment
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Employees are trained on erect/dismantle
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Proper erection or dismantling of scaffold
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Safety rails when working above 6'
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Wheels locked on scaffolding when in use
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Outriggers on scaffold above 1 set
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Scaffolding set up on suitable terrain
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Ladders to elevated platforms
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When 4 to 1 height to base, (tie off)
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Toe boards where applicable
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Separate towers tied together
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Working platforms are completely planked
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Cross brace in place
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Mud sills in place
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Awareness of electrical overhead hazards
MOBILE EQUIPMENT
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Seatbelts or restraint system in use
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Proper use of cranes, forklifts, & lifts
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Licensed operators
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Equipment inspection with inspection records
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Overhead hazards identified
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Working in adequate illumination
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Proper guards/shields in place
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Equipment maintained
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Construction barricades in traffic areas
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Shift inspection records available if applicable
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Operable working reverse alarm
PRESENCE OF SAFETY SUMMARY
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Project Manager Signature:
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Superintendent Signature:
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Safety Director Signature:
