Daily Pre-Start Safety Inspection

• Site conducted

  Select

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• # of Company Workers

• # of Subcontractors

Daily Work Summary

• What type(s) of work are being performed today? Select all that apply.

  Select General Abatement Demolition Pile Driving Formwork Reinforce Steel Steel Erection Mechanical Electrical Plumbing Glazing Roofing Drywall Painting Sitework Excavation Underground Work Stair Installation Cleanup OTHER

  • General
  • Abatement
  • Demolition
  • Pile Driving
  • Formwork
  • Reinforce Steel
  • Steel Erection
  • Mechanical
  • Electrical
  • Plumbing
  • Glazing
  • Roofing
  • Drywall
  • Painting
  • Sitework
  • Excavation
  • Underground Work
  • Stair Installation
  • Cleanup
  • OTHER

• Site / Project Name

• Describe the works to be undertaken today

• Have all crew members performed daily stretch and flex activities?

  Yes

  No

  N/A

Today's Task Breakdown

• Break today's work into individual step-by-step-tasks below. Assess each task for hazards and controls

Work Task

• Describe this task

• What category does this task fall under?

  Select General Abatement Demolition Pile Driving Formwork Reinforce Steel Steel Erection Mechanical Electrical Plumbing Glazing Roofing Drywall Painting Sitework Excavation Underground Work Stair Installation Cleanup OTHER

  • General
  • Abatement
  • Demolition
  • Pile Driving
  • Formwork
  • Reinforce Steel
  • Steel Erection
  • Mechanical
  • Electrical
  • Plumbing
  • Glazing
  • Roofing
  • Drywall
  • Painting
  • Sitework
  • Excavation
  • Underground Work
  • Stair Installation
  • Cleanup
  • OTHER

• Select potential hazards that may be encountered while completing this task today.

  Select Fall / Gravity Equipment Issues Power Lines Electricity Sharp Objects Slippery / Wet Surfaces Gasses Dust Underground Utilities Overhead Obstructions Hazardous Substances Working In Isolation Ignition Sources Manual Handling High Pressure Lifting Equipment Rotating Machinery Entry & Exit Hazards Ground Openings Entanglement Animals / Pests High Voltage Confined Space Adverse Weather Conditions Pollution Grinding Hazards to Public Areas Hazardous Chemicals Extreme Temperature Noise Radiation Biological Social / Interpersonal Staffing Issues Project Delay OTHER

  • Fall / Gravity
  • Equipment Issues
  • Power Lines
  • Electricity
  • Sharp Objects
  • Slippery / Wet Surfaces
  • Gasses
  • Dust
  • Underground Utilities
  • Overhead Obstructions
  • Hazardous Substances
  • Working In Isolation
  • Ignition Sources
  • Manual Handling
  • High Pressure Lifting Equipment
  • Rotating Machinery
  • Entry & Exit Hazards
  • Ground Openings
  • Entanglement
  • Animals / Pests
  • High Voltage
  • Confined Space
  • Adverse Weather Conditions
  • Pollution
  • Grinding
  • Hazards to Public Areas
  • Hazardous Chemicals
  • Extreme Temperature
  • Noise
  • Radiation
  • Biological
  • Social / Interpersonal
  • Staffing Issues
  • Project Delay
  • OTHER

• Describe the other potential hazards that may be encountered while completing this task today.

• What categories of hazard control will you apply to this task?

  Select Elimination - Remove the hazard Substitution - Replace the hazard Engineering - Isolate people from the hazard Administrative - Change the way people work PPE - Protect workers with personal protective equipment

  • Elimination - Remove the hazard
  • Substitution - Replace the hazard
  • Engineering - Isolate people from the hazard
  • Administrative - Change the way people work
  • PPE - Protect workers with personal protective equipment

• What specific controls will you apply to the above hazards for this task?

  Select Training Replacement Removal Repair Spotters Lighting Isolation Respiratory Protection Application of PPE Signage Barricades Fall Arrest Extinguishers Screens Additional Resources Fire Blankets Updated Procedures Competent Persons Locating Equipment UV Protection Gas Detection Designated Work Areas Supervision of Public Elevation to Senior Management OTHER

  • Training
  • Replacement
  • Removal
  • Repair
  • Spotters
  • Lighting
  • Isolation
  • Respiratory Protection
  • Application of PPE
  • Signage
  • Barricades
  • Fall Arrest
  • Extinguishers
  • Screens
  • Additional Resources
  • Fire Blankets
  • Updated Procedures
  • Competent Persons
  • Locating Equipment
  • UV Protection
  • Gas Detection
  • Designated Work Areas
  • Supervision of Public
  • Elevation to Senior Management
  • OTHER

• Describe any other specific controls will you apply to the above hazards for this task.

Final Checks

• Does every member of the on-duty crew have adequate and appropriate PPE for today's work tasks?

  Yes

  No

  N/A

Crew Sign Off

• Each present team member to sign name and signature acknowledging the above tasks, hazards and controls.

Team Member

• Name & Signature

  Sign