Contractor Safety Checklist

• Conducted on

  Date

• Project Title

• Report Prepared By

• Location
  Address

Personal Protective Equipment (PPE)

• Identify the PPE required based on the hazards of the tasks to be performed.

  Select Full Face Shields Chemical Splash Goggles Welders Hood and Goggles Steel Toed Boots Work Gloves Ear Plugs or Ear Muffs Other (describe and attach media)

  • Full Face Shields
  • Chemical Splash Goggles
  • Welders Hood and Goggles
  • Steel Toed Boots
  • Work Gloves
  • Ear Plugs or Ear Muffs
  • Other (describe and attach media)

Hand and Power Tools

• Will the work involve the use of electrically powered tools?

  Yes

  No

  N/A

• Will the work involve the use of pneumatically powered tools?

  Yes

  No

  N/A

• Will the work performed on this project involve the use of powder-actuated<br>tools?

  Yes

  No

  N/A

Excavation and Trenching

• Will this work scope involve any excavation up to 5 feet deep?

  Yes

  No

  N/A

• Will this work scope involve any excavation deeper than 5 feet?

  Yes

  No

  N/A

• Will this work scope involve sanitary sewer line repair or replacement?

  Yes

  No

  N/A

Traffic & Pedestrian Control

• Will this work scope require ANY traffic or pedestrian disruptions?

  Yes

  No

  N/A

Fire and Emergency

• Are all emergency exits unobstructed, inside and out?

  Yes

  No

  N/A

• Can all emergency exit doors be opened from the inside without a key?

  Yes

  No

  N/A

• Are all exit doors in good condition and operate correctly?

  Yes

  No

  N/A

• Is there an evacuation diagram displayed on the exit routes?

  Yes

  No

  N/A

Floors, Stairs, and Walkways

• Are the walkways of suitable width for levels of traffic (between 600mm-1100mm)?

  Yes

  No

  N/A

• Is there any loose or damaged flooring?

  Yes

  No

  N/A

• Are there any slippery, wet or oily surfaces?

  Yes

  No

  N/A

• Are the handrails in place and secure?

  Yes

  No

  N/A

• Are the steps, stairs and walkways in good condition and clear of obstruction?

  Yes

  No

  N/A

Electrical

• Are there Power Points available for all teams (for approved devices)?

  Yes

  No

  N/A

• Are there any cord trip hazards?

  Yes

  No

  N/A

• Are there piggy-backed double adaptors?

  Yes

  No

  N/A

• Are the portable electrical equipment inspected and tagged properly?

  Yes

  No

  N/A

First Aid

• Are the first aid kits clearly marked, accessible, adequately stocked and in good condition?

  Yes

  No

  N/A

• Is the name and location of current First Aid Attendant/s (if applicable) clearly displayed?

  Yes

  No

  N/A

General Housekeeping

• Are there toilet facilities available for all teams (in appropriate ratios)?

  Yes

  No

  N/A

• Is there drinking water available for all teams?

  Yes

  No

  N/A

• Are there chairs with castors on smooth floors?

  Yes

  No

  N/A

• Are the light fittings in good condition and all lights working to required levels?

  Yes

  No

  N/A

• Is the safety signage visible and in good condition?

  Yes

  No

  N/A

• Result of Audit

  Select Pass Fail Action Required

  • Pass
  • Fail
  • Action Required

• Comments and Suggestions

• Audit Complete

  Sign