Information
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Document No.
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Conducted on
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Prepared by
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Location
GENERAL SITE/GROUNDS CONDITION
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First Aid Kit
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Fire Extinuishers
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Proper PPE
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Extension Cords
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Site Security/Safety
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Project Housekeeping
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Ladders
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Stairs/Platforms
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Exits Clear
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Temporary Power
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Access Roads
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GFCI's
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Material Storage
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Trash/Dumpsters
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Temporary Toilets
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General Grounds
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Notes
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Photos
TRENCHING/EXCAVATION/CONCRETE
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Open Trench or Excavation
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Daily Inspection
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Exit from Trench
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Trucks/Pumpers
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Shoring
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Sloping of Sides
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Spoils Location
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Have Employees Been Trained
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Material Storage
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Rebar Caps
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Forms
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Notes
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Photos
SCAFFOLING
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Scaffolding in Use
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Scaffolding Tied Off
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Proper Foot Pads/Cribbing
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Guard Rails in Place
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Flooring
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Have Employees Been Trained
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Competent Person
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Scaffold Ladder
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Notes
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Photos
FALL PROTECTION
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Guardrails in Place
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Conditions of Rails
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Roof Edge Protected
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Have Employees Been Trained
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Wire Rails Flagged
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Floor Openings Protected
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Floor Openings Labeled
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Body Harness/Lanyards
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Proper Tie Offs
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Safety Belts in Use
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Notes
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Photos
OTHER
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Welding/Proper PPE
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Cylinder Storage
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Emergency Action Plan Posted
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MSDS Sheets on Site
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HAZ Com Program
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Training Video Being Watched
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Cranes-Review Safety
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Have Employees Been Trained
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Notes
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Photos
