Title Page

  • Conducted on

  • Site

  • Prepared by

  • Location
  • Company

  • Division if applicable

  • Work Description

  • Site Forman

  • PM

Subcontractor(s)

  • undefined

  • Housekeeping

  • First Aid Kits/Location

  • Sanitation

  • HazCom & Right to Know

  • Eye Protection

  • Hard Hats

  • Respiratory Protection

  • Hearing Protection

  • Work Boots

  • Trousers

  • Shirts/Sleeves

  • Additional PPE

  • Fire Safety/Controls Protection and Prevention

  • Gasoline Safety & Storage

  • Materials Handling, Storage, Use, and Disposal

  • Fork-Lifts / Material Handling

  • Hand and Power Tools

  • Equipment Guarding

  • Welding and Cutting

  • Electrical

  • Grounding Compliance/GFCI

  • Scaffold Safety

  • Suspended Scaffold

  • Powered Work Platform -AWP/MEWP/mast-climber

  • Fall Protection

  • Floor Openings/Covers/Rails

  • Floor Surface

  • Open Sided Floors

  • Helicopters, Hoists, Elevators, and Conveyors

  • Motor Vehicles, Mechanized Equipment, and Marine Operations

  • Excavations

  • Powered Equipment

  • Concrete and Masonry Construction

  • Steel Erection

  • Workplace Hazards I.D

  • Property Protection

  • Safety Alert & Sign Posting

  • Controlled Access Zone

  • Supervisor Control

  • Employee Training

  • Competent Person

  • Lifting Safety

  • Lock Out/ Tag Out

  • Stairways

  • Ladder Safety

  • Confined Spaces

  • Cranes and Derricks

  • Chemical Storage/Safety

  • Oxy/Acetylene

  • Compressed Air Equipment & Safety

  • OSHA Posters and Required Posters

  • Company Safety Policy

  • Weekly Safety Meeting

  • Traffic Safety

  • Public Safety

  • Emergency Numbers

  • Other not addressed above

  • applicable regulation(s)

  • undefined

  • SAFETY IS THE RESPONSIBILITY OF ALL PERSONAL ON SITE, WITH THIS IN MIND, INCIDENTS, ACCIDENTS AND HAZARDOUS CONDITIONS SHALL BE BROUGTH TO THE ATTENTION OF SUPERVISORS IMMEDIATELY SO CORRECTIVE ACTIONS CAN BE TAKEN TO REPAIR OR CORRECT THE CONDITIONS

  • Comments, Recommendations and or Reminders

  • Corrective Actions Taken if Applicable (add notes)

  • Photos

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.