Title Page

  • PO #

  • Client/Site

  • Conducted on

  • Prepared by

  • Location
    Crew On site
  • Paul

  • Curtis

  • Jason

  • Dirk

  • Any other crew members?

  • Is today a monday or the first day on site?

PPE - All Workers

  • Harnesses - Inspected and in good condition

  • Ropes - Inspected and in good condition

  • Rope Grabs - Inspected and in good condition

  • Lanyards - Inspected and in good condition

  • Hard Hats - Inspected and in good condition

  • Roof Jacks - Inspected and in good condition

  • Planks - Inspected and in good condition

  • Safety Shoes - Worn, inspected and in good condition<br>

  • Safety Glasses - Inspected and in good condition

  • Pants worn?

  • Shirts worn?

Tools and Equipment

  • Compressors and hoses in good working condition (ie. not missing guards, leaking oil etc.)?

  • Nail guns and drills in good working condition?

  • Extension cords and electrical tools in good working condition?

  • Fully charged fire extinguishers?

  • First aid kit fully stocked?

  • Eye wash station available?

  • Ladders in good working condition (ie. Rails, rungs, safety shoes free from defects)?

Posters & Safety Documentation

  • Ontario Health and Safety Act & Construction Regulations (ie. the Green/Orange book)

  • Company workplace violence and harassment policy

  • Company Health & Safety policy and program

  • MOL Orders & Reports (if any issued)

  • Material Safety Data Sheets

  • Emergency response plan and fall arrest rescue procedures

  • In Case of Injury Poster issued by the workplace safety and insurance board

  • Health & Safety at work: Prevention starts here poster issued by MOL

  • Truck/trailer maintenance required?

  • Dayus Roofing job sign displayed?

Hazard Assessment

  • What is the fall distance?

  • Are there any electrical hazards on site (ie. Hydro stacks, AC Units etc.)

  • Are skylights present on the roof?

  • Any visibly unsafe areas of deteriorated roof decking?

  • Any unusual features of building/inaccessible areas?

  • Emergency first aider on site?

  • Proximity to emergency services

  • Notes & topic of toolbox talk:

  • Foreman Signature:

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.