Construction Jobsite Safety Assessment

• Assessment Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Work Environment

• Are all work area clean and dry?

  Yes

  No

  N/A

• Trash removed daily?

  Yes

  No

  N/A

• Are aisles, walkways, doorways, and exit routes kept clear and unobstructed?

  Yes

  No

  N/A

• Are toilets provided, kept clean, and safe?

  Yes

  No

  N/A

• Are all MSDS on site in an area that is readily accessible to all employees?

  Yes

  No

  N/A

• Are measures in place to protect the public from exposure to work activities and equipment?

  Yes

  No

  N/A

• Are required postings readily available to all employees in the workplace?

  Yes

  No

  N/A

• Are weekly "tool box" safety meetings held and documented with sign in sheets?

  Yes

  No

  N/A

• Is material piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, rolling, or spreading?

  Yes

  No

  N/A

• Comments:

  Yes

  No

  N/A

First Aid and Emergency Equipment

• Are emergency telephone numbers posted on the job site?

  Yes

  No

  N/A

• Is there at least one person on site trained in first aid and CPR?

  Yes

  No

  N/A

• Are first aid kits easily accessible, inspected, and stocked at least monthly?

  Yes

  No

  N/A

• Are there any exit that open into streets or other high traffic areas? Are adequate warnings provided to alert employees of the hazard?

  Yes

  No

  N/A

Fire Protection and Prevention

• Is there at lease one ABC fire extinguisher for every 3000 sq ft of work area?

  Yes

  No

  N/A

• Are fire extinguishers clearly visible and unobstructed at all times?

  Yes

  No

  N/A

• Are fire extinguishers inspected monthly for proper tags, pins, hoses not cracked or plugged, fully charged, and tags up to date?

  Yes

  No

  N/A

• Are fuel gas cylinders and oxygen cylinders secured, separated by 20 feet or have fire resistant barriers while in storage?

  Yes

  No

  N/A

Fall Protection

• Are holes and other openings guarded by a grate, cover, guardrail, or equivalent on all sides?

  Yes

  No

  N/A

• Are there stairrails or handrails on all stairways having four or more steps?

  Yes

  No

  N/A

• Are railings provided on ramps?

  Yes

  No

  N/A

• Do all elevated surfaces have guardrails at least 42 inches high?

  Yes

  No

  N/A

• Are all elevated surfaces equipped with a safe means of access?

  Yes

  No

  N/A

• Are fall protection harnesses and lanyards used by every employee working 6 feet or higher above the ground or on steeply pitched roofs, 6/12 or greater?

  Yes

  No

  N/A

• Are fall protection harnesses and lanyards a minimum of 1/2 inch nylon or equivalent, and short enough to prevent employees from falling more than 6 ft?

  Yes

  No

  N/A

• Are lifelines (lanyards) secure above the point of operation to an anchor point that will withstand 5,000 pounds of force for each attached worker?

  Yes

  No

  N/A

• Are harness, lanyards, and other fall protection equipment inspected prior to use?

  Yes

  No

  N/A

• Where a job site has protruding steel rebar below the work level, are the steel rebar protected by covers to prevent impaled injuries?

  Yes

  No

  N/A

Portable Ladders

• Are all ladders maintained in good condition and inspected before each use? Are broken and defective ladders taken out of service immediately?

  Yes

  No

  N/A

• Are ladders being used for their designed purpose only? (Step ladders/Extension ladders)

  Yes

  No

  N/A

• Are ladders being used beyond their maximum intended load?

  Yes

  No

  N/A

• Are ladder rungs/steps slip-resistant and free of dirt, grease, oil, ice, snow, etc?

  Yes

  No

  N/A

• Are employees facing the ladder when climbing up and down?

  Yes

  No

  N/A

• Are employees standing below the top 2 steps when using step ladders?

  Yes

  No

  N/A

• When ladders are used to gain access to elevated platforms, does the ladder always extend at least 3 feet above the elevated surface, and secured properly?

  Yes

  No

  N/A

• Are ladders placed on dry, stable footing, and properly secured?

  Yes

  No

  N/A

Materials - Handling, Storage, Use, and Disposal

• Are compressed gas cylinders (propane etc.) secured and stored properly, and blocked from traffic and vehicle hazards?

  Yes

  No

  N/A

• Are concrete batch/plants/mixing facilities properly inspected for electrical and other potential hazards or damage?

  Yes

  No

  N/A

Scaffolding

• Are scaffolds set up on level, stable ground with dry footings?

  Yes

  No

  N/A

• Has the scaffold been assembled and inspected by a competent person?

  Yes

  No

  N/A

• Was the scaffold inspected prior to use and scaffold tag properly filled out?

  Yes

  No

  N/A

• Do all scaffolds higher than 4 feet have 42 inch high guardrails and mid rails halfway between the top and platform?

  Yes

  No

  N/A

• Are scaffolds in good working condition with no damage or missing parts?

  Yes

  No

  N/A

• Do all planks on scaffolds fit tightly with no open spaces between boards?

  Yes

  No

  N/A

• Where planks are overlapped are they lapped over the supports?

  Yes

  No

  N/A

• Do all scaffold planks extend 6-18" beyond the end of the scaffold frame?

  Yes

  No

  N/A

• Are all ladders or stairs used to access scaffolds either tied or welded to the scaffolds for safe access? Are ladders positioned to provide direct access?

  Yes

  No

  N/A

• Are materials being stockpiled on scaffold? Are all materials removed from scaffold at the end of the day?

  Yes

  No

  N/A

• Are open sides of scaffold less than 14 inches from the face of the work?

  Yes

  No

  N/A

• Are platforms of 10 feet or less extending over their end supports no more than 12 inches?

  Yes

  No

  N/A

• Are guardrails in place at the open ends of the scaffold?

  Yes

  No

  N/A

• Has the movement of occupied scaffold been prohibited (unless designed by a registered professional engineer)?

  Yes

  No

  N/A

• Have toeboards been installed to prevent falling objects?

  Yes

  No

  N/A

• Is "X" bracing installed on the ends of the scaffold and every third set of post horizontally and every forth runner vertical?

  Yes

  No

  N/A

• Are all pins installed where required and locked?

  Yes

  No

  N/A

• Are castors locked during use?

  Yes

  No

  N/A

• Are castors pinned into the frames or adjustment screws?

  Yes

  No

  N/A

Electrical

• Are all cord-connected, electrically-operated tools and equipment double insulated or effectively grounded?

  Yes

  No

  N/A

• Are ground-fault circuit interrupters provided on all temporary electrical circuits?

  Yes

  No

  N/A

• Are all electrical rooms/panels secured and have proper signage?

  Yes

  No

  N/A

• Do all extension cords have 3-prong plugs and all 3 prongs intact?

  Yes

  No

  N/A

• Are all electrical cords inspected and in good working condition (i.e. no splices, frays, or the ground prong is removed)?

  Yes

  No

  N/A

• Are extension cords a No. 12 or larger gauge and properly marked?

  Yes

  No

  N/A

• Where electrical cords must cross roads, driveways, or walkways, are they protected by solid, weather-resistant bridges to prevent damage to the cords?

  Yes

  No

  N/A

• Are multiple plug adapters (octopus plugs) prohibited?

  Yes

  No

  N/A

• Are electrical circuits and equipment shut off, de-energized, and locked out before equipment installation, repairs, maintenance, or servicing?

  Yes

  No

  N/A

• Are unused switches, receptacles, and junction boxes covered with tight-fitting covers or plates

  Yes

  No

  N/A

Trenching and Shoring

• Are spoils, materials, and equipment set back a minimum of 2 feet from edge of the excavation?

  Yes

  No

  N/A

• Are barriers in place around excavation area?

  Yes

  No

  N/A

• Is a means of egress available in all trenches that are 4 feet deep or more

  Yes

  No

  N/A

• Are means of egress within 25 lateral feet of workers?

  Yes

  No

  N/A

• Is high visible PPE worn by all employees working in and around trenches?

  Yes

  No

  N/A

• Are employees protected from loose rock or soil?

  Yes

  No

  N/A

• If needed are trench boxes/shoring used?

  Yes

  No

  N/A

• For the soil type is the excavation sloped properly?

  Yes

  No

  N/A

Power-Actuated Tools / Hand and Power Tools

• Are employees who operate power actuated tools properly trained and carry a valid operator's card?

  Yes

  No

  N/A

• Are power actuated tools inspected for obstructions or defects before use?

  Yes

  No

  N/A

• Are all tools maintained in safe condition?

  Yes

  No

  N/A

• Are damaged and defected tools removed from service and repaired or replaced as soon as the damage or defect is found?

  Yes

  No

  N/A

• Are grinders, saws, and other tools with moving parts, equipped with appropriate safety guards to prevent physical contact with moving parts?

  Yes

  No

  N/A

Job Site Traffic Control

• Have traffic concerns been addressed? Subcontractors been advised of job site traffic requirements and parking areas?

  Yes

  No

  N/A

• Are all workers wearing Hi-Vis vests while on foot on job site?

  Yes

  No

  N/A

• Brakes, lights, signals, and alarms operative on ALL equipment on site?

  Yes

  No

  N/A