Construction Services Representative Safety Inspection

• Use this form to document safety, both positive and negative in order promote a safer work site.

• Project Name

• GC/CM Name

• Conducted on

  Date

• Audit conducted by:

Overall Jobsite

• Is required Safety information posted at the job site?

  Compliant

  Non-Compliant

  N/A

• Are barriers and/or barricades in place? This includes construction fencing or other means to isolate the jobsite.

  Compliant

  Non-Compliant

  N/A

• Comments / Corrective Actions

Housekeeping

• Is the project cleaned/maintained on a regular basis?

  Compliant

  Non-Compliant

  N/A

• Comments / Corrective Actions

Electrical

• Are extension cords and other electrical cords free of damage? (I.e. cuts, not missing ground prong)

  Compliant

  Non-Compliant

  N/A

• Comments / Corrective Actions

Ladders

• Are there ladders currently in use?

  Yes

  No

  N/A

• Are ladders in safe working condition and free of damage?

  Compliant

  Non-Compliant

  N/A

• Are ladders that are in use the right size for the task at hand? (I.e. No standing on top rung, extends 3' above elevated area when used for access)

  Compliant

  Non-Compliant

  N/A

• Comments / Corrective Actions

Scaffold

• Is there scaffolding present on site?

  Yes

  No

  N/A

• Is scaffold erected/inspected by a designated competent person? (Initially and prior to each shift)

  Compliant

  Non-Compliant

  N/A

• Scaffold wheels locked or feet installed on mud sills?

  Compliant

  Non-Compliant

  N/A

• Is fall protection utilized for scaffolding erected over 6'? (Harness or guardrail system)

  Compliant

  Non-Compliant

  N/A

• Comments / Corrective Actions

PPE

• Are employees wearing the minimum PPE required on the site?

  Compliant

  Non-Compliant

  N/A

• Comments / Corrective Actions

Fall Protection

• Employees working at heights above 6' are wearing fall protection or protected by compliant fall protection?

  Compliant

  Non-Compliant

  N/A

• Comments / Corrective Actions