• 300A Posted Feb.1 to April 30?

  • Emergency Phone#?

  • Cal/OSHA/CSO/Code Safe Practices/Clinic/Hospital Info?

  • SDS/Labeling?

  • Excavation Notification/Project/Permits/USA?

  • Door or Gate Signage/Wall Map


  • Lighting/String Lights/Cages/Securing?

  • Task/Area lighting sufficient/Flashlights?


  • Inspections/Weather Reports?

  • Rain Gauge Readings/Spill Kit/Waste Handling?

  • BMP's Maintained?

  • Porta-can Secured In Place?


  • Training Cards/Safety Meetings/Special Tailgates?

  • Safety Audit Conducted/Documented/JHA?


  • Temp Boxes/GFCI?

  • Cords/Plugs/Properly Placed/Protected/Inspected?

  • Overhead Power Lines/Signage?

  • Grounded/Bonded/LOTO/NFPA70E?


  • Fire Extinguishers/Monthly Inspection Tag/Trailer/Exit Sign?

  • Fire Extinguisher/Accessible<75'/Hung?

  • Safety Cans/Flammable Storage Cabinets/Signage No Smoking 50'?


  • Caps/Trough/Lanyards/SRL?

  • Perimeter Rail/Cable/Openings/Holes Covered

  • Scaffolded/ Inspected/Tied/Ladder/Tagged/ToeBoard?


  • Ladder/Use/Access/Secured/Guarded/Labels?

  • Access/Temporary Job Built Stair or Ramp

  • Excavation/25' to Stair/Ladder/Ramp/Trench

  • Forms/Falsework/Rebar/Bracing/Cap?

  • Traffic/Paddle/Signs/Barricades?

  • Water Supply/Cups/Bottles/Covered Disposal?

  • Ventilated/Shade/100% Seating?

  • Laser/Warning Signage/PAT?

  • Cutting/Grinding/Concrete/Wetting/Vacuuming?

Personal Protective Equipment (PPE)

  • Eye Protection/Side Shields/Face Shield/Goggles?

  • High Visibility Vest/Clothing

  • Foot Protection/Rubber Boots/Toe Caps?

  • Hands/Gloves/Leather/Nitrile?

  • Head Protection/Overhead Cover?

  • Hearing Protection/Plugs/Muffs?

  • Respiratory Protection/Storage/ Disposal?


  • Floor/Aisles/Obstructions/Cords?

  • Parking Area/Storage Areas/Lunch Areas?

  • Secondary Containment/Diesel/Gasoline

  • Slipping/Tripping Hazard/Ramps/Walkways?

  • Toilet/Wash/Maintained/Covered Waste Disposal?

  • Tools and Material Properly Stored?

  • Work Areas Maintained Clean/Orderly?


  • Cylinders/Stored/Secured/BFP/Cart Fire Wall?

  • Adequate Housekeeping on floorboards?

  • Equipment-Visual Inspection Documentation/Condition/ Records?

  • Air Compressor <30 psi/Pins/Valves/Whip Checks

  • Proper Tools/Good Condition?

  • Safeguards in Place/Guards/Tool Rest?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On Site Representative

  • Auditor's signature

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