Information

  • Project Name

  • Customer / GC

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Fall Protection (OSHA Sub Part "M")

  • 1.1. All employees trained in fall protection?

  • 1.2. Lack of leading edge protection?

  • 1.3. Unsafe or incomplete edge protection?

  • 1.4. All Body harness, lanyard and SRL been inspected?

  • 1.5 Are all anchor points rated at least 5,000 pounds?

  • 1.6 Are all body harnesses fitted properly?

2. Ladders (OSHA Subpart "X")

  • 2.1. All employees trained in ladder safety?

  • 2.2. Any unsafe or damaged ladders on the project?

  • 2.3. Any unsafe positioning of a ladder?

  • 2.4. Extension ladder tied off at top of ladder?

  • 2.5. Is there 3' of the extension ladder extended above the next elevation?

  • 2.6. Ladder being used on level ground?

  • 2.7. Are all labels on ladders?

  • 2.8. All ladders been inspected?

3. PPE ( OSHA Subpart "E")

  • 3.1. All employees wearing hard hats, safety glasses, vests and gloves?

  • 3.2. Hearing protection being worn when needed?

  • 3.3. Are there face shields, goggles on site and being worn when performing overhead work?

  • 3.4. Any PPE needed to be ordered?

4. Confined Space (OSHA Subpart "AA")

  • 4.1. All employees trained in confined space awareness?

  • 4.2. Has a confined space permit been completed?

  • 4.3. Is there a trained confined space competent person on site?

  • 4.4. Is there an air quality monitor on site?

  • 4.5. Is there a tri pod, wench, body harness and blower on site per confined space?

  • 4.6. Is there an emergency rescue person at each confined space?

  • 4.7. Is there an E.A.P. developed and understood by all personnel?

  • 4.8. Has there been a JHA developed for the work explaining the risks?

  • 4.9. Are there any known hazards in the confined space?

5. Hazard Communication (Subpart "Z")

  • 5.1. All employees been trained in Haz-com?

  • 5.2. Is there a MSDS binder on site?

  • 5.3. Do employees know what haz-com means and where the haz-com manual is?

  • 5.4. If we have chemicals on site is there a spill kit on site?

  • 5.5. Right PPE on site to deal with a chemical spill (chemical gloves, goggles)?

  • 5.6. Any unsafe storage of chemicals?

  • 5.7 Are all chemicals in labeled containers?

6. Excavations (OSHA Subpart "P")

  • 6.1. Has all employees been trained in excavation awareness?

  • 6.2. Has all existing utilities been located?

  • 6.3. Does heavy equipment have working back up alarms?

  • 6.4. Is there a trench ladder every 50'? On

  • 6.5. Is there an excavation permit completed?

  • 6.6. Any excavations over 4' deep?

  • 6.7. Is the sloping correct?

  • 6.8 Are the spoils at least 2' away from the excavation?

  • 6.9. Is there a possibility of carbon monoxide build up in the excavation?

  • 6.10. Will shoring be required in the excavation?

  • 6.11. Is there heavy equipment near excavation that may cause the walls to collapse?

  • 6.12. Is there a trained competent person on site?

7. Housekeeping (OSHA Subpart "C")

  • 7.1. General appearance of project (all trades)

  • 7.2. Are passageways and walkways clear of trash and debris?

  • 7.3. Any protruding nails in scrap lumber laying around?

  • 7.4. Are the FSG conex's clean and orderly?

  • 7.5. Is all FSG stored materials neatly stacked and orderly?

  • 7.6. Is all of FSG's trash picked up off of the floor and site?

  • 7.7. Are all FSG materials at a minimum of 15' from all leading edges?

8. Signs and barricades (OSHA Subpart "G")

  • 8.1. Holes 2" and larger in floors covered and Marked?

  • 8.2. All leading edge guard rails up and secure?

  • 8.3. Correct use of caution or danger signs / tape in place?

  • 8.4. Hazard warning signage posted as needed?

  • 8.5. Traffic cones or barricades in place if needed?

  • 8.6. All hazard signage in place? Temp panels, lasers in use, etc?

  • 8.7. Insufficient ventilation?

  • 8.8. Insufficient, or incorrect, PPE?

  • 8.9. Unsuitable storage containers? (unlabeled or stored in food containers)

9. Electrical Safety (OSHA Subpart "K")

  • 9.1. GFCI and Lighting logs being completed?

  • 9.2. Temporary power and lighting installed per code?

  • 9.3. Temporary power cables red tagged every 10'?

  • 9.4. Temporary panels/disconnects have locks and warning signage on?

  • 9.5. Temp lighting hung properly and cages on?

  • 9.6. Temp lighting sleeved from panel to ceiling?

  • 9.7. Temporary power transformer grounded properly?

  • 9.8. All joints in j-boxes have tape on them?

  • 9.9. All lamps have cages on them and burning?

  • 9.10. Any open voltage on job?

  • 9.11. LOTO being used when maintaining system?

  • 9.12. All cables hung with non conductive material? (Jet line)

  • 9.13. Extension cords have ground prongs?

Sign Off

  • On site representative

  • Auditor's signature

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