Information

  • Site conducted

  • Job Site / Project Name

  • Location

  • Scope of work

  • Conducted on

  • Craft trades inspected

  • Inspected by

General Items

  • Emergency numbers and medical facility information posted?

  • First aid kits available and adequately stocked?

  • Tool box talks conducted weekly? Daily job briefings conducted when needed?

  • Potable water, hand wash, and toilet facilities available?

  • Material safety data sheets (MSDS) and/or Safety Data Sheets (SDS) available?

  • Ingress/egress to building/work location adequate and emergency exits marked?

  • General public and other trades protected from craft work?

  • Storage/lay-down area adequate?

  • General lighting and temporary electrical power adequate?

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Personal Protective Equipment (PPE)

  • Correct PPE worn when/where required?

  • Adequate spare PPE items on hand?

  • PPE properly maintained?

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Electrical

  • Temporary power panels, outlets in good condition?

  • Extension cords in good condition, adequate gauge size, inspected?

  • Extension cords laid along walls or up overhead to prevent tripping hazard?

  • GFCI used?

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Excavation, Trench, Shoring.

  • Spoil piles back at least two feet? Mechanized equipment kept clear?

  • Escape ladder within 25'? Extends 3' above?

  • 5' feet or deeper protected by sloping, benching or protective systems?

  • Inspected daily?

  • Fall protection for depth greater than 6' when not visible?

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Fall protection, slips, trips, falls.

  • Leading edges > 6' protected adequately?

  • Floor openings covered/marked/secured? Suitable for expected load?

  • Tripping/slipping hazards?

  • Rooftop work: Leading edges? Sky lights? Flagging system set back 15-25 feet?

  • Personal fall protection: Harnesses, lanyards, anchor points, free-fall clearance?

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Fire prevention.

  • Flammable/combustible liquids stored clear of ignition sources?

  • Portable containers approved for use, marked?

  • Adequate number of charged, inspected fire extinguishers available?

  • Flammable/combustible material/debris kept clear of hot work?

  • Hot work permits submitted?

  • Fire watch in place where required?

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Housekeeping.

  • Suitable containers available for trash/debris disposal?

  • Workers clear of debris trash chutes, debris removal process?

  • Walkways, aisles, passageways clear of trash, debris, material?

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Ladders, stairways.

  • Ladders inspected prior to use? Safety labels legible? Non-conductive material?

  • Step ladders used in fully opened position and on level surface?

  • Top two steps not used? Worker faces ladder, not leaning to reach work?

  • Straight ladders extend 3' above edge, pitched 4:1, secured from movement?

  • Job-built ladders constructed properly?

  • Stairways equipped with hand rail? Properly illuminated? Free of debris, slip, trip hazards?

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Material handling, storage.

  • Proper lifting techniques used for manual lifting?

  • Pipe carts, dollies, hand carts used when possible?

  • Stored clear of leading edges and not higher than toe boards? Secured from toppling?

  • Protected from elements where required?

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Scaffolding.

  • Erected on firm, level footings? Secured to structure where required?

  • Guard rails and toe boards in place when working surface greater than 10' high?

  • Planking OSHA approved, sound, secured, not excessively overlapped?

  • Adequate access provided?

  • Inspected daily? Inspection tag legible?

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Scissor, aerial lifts.

  • Inspected daily prior to use? Manufacturer's manual on board? Labels legible?

  • Operated on level footing as required by manufacturer?

  • PFAS used in aerial lift basket? Correct anchor point? Correct lanyard?

  • Workers below clear of overhead hazards?

  • Operated by trained workers only?

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Tools, equipment.

  • Tools, equipment in good condition? Inspected prior to use?

  • Defective equipment tagged and removed from work area?

  • Protective guards in place? Tool safety function not bypassed?

  • Correct tool, equipment used for task at hand?

  • Unused tools secured in gang box? Unused equipment secured with chains?

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Other

  • Other Items Inspected

Signature

  • Add media

  • Inspected by:

  • Inspected by signature:

  • Jobsite Foreman:

  • Jobsite Foreman sgnature:

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.