Information

  • Workplace

  • Location
  • Prepared by

  • Date of inspection

  • Time of Inspection 1

  • Time of Inspection 2

  • Time of Inspection 3

  • Document No.

Office

  • Reviewed?

  • Emergency numbers posted on site board.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Waste disposed of properly.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Outlets, cords, and appliances in good condition.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Smoking in designated areas only.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Fire extinguisher properly placed, visible and inspected.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Floors clean and clear of tripping hazards.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Lunch areas are clean including small appliances.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Safety files organized and available for review. Dropbox up to date.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Safety equipment available and in working condition.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Rules, Regulations and Written Procedures

  • Reviewed?

  • Orientations completed for all workers on-site.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Hazard Assessments completed prior to work by workers and contractors.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Toolbox safety meetings completed weekly.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Emergency response plans posted on site board.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Hot work permits are issued for all hot work.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

First Aid

  • Reviewed?

  • First Aid Assessment completed.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • First aid kits.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • First aid room.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • First aid supplies.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Eye wash station.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Personal Protective Equipment (PPE)

  • Reviewed?

  • Hard hats.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • High Visibility Clothing.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Safety toed boots.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Eye protection.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Face protection.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed By Townline or Trade Contractor?

  • Hand protection.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Skin protection.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Hearing protection.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Respiratory protection.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Access Egress

  • Reviewed?

  • Safe means of entrance and egress.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Workers using safe means.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Atmospheric Conditions

  • Reviewed?

  • Dust, fumes, vapours controlled at source.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Workers wearing appropriate protection from the natural elements.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Fans and ventilation set up when required.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Traffic

  • Reviewed?

  • Warning signs in place.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Traffic control plan in place.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Traffic control person in place.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Appropriate high visibility clothing worn.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Vehicles

  • Reviewed?

  • Parked in designated location.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Parked in safe locations.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Air Tools

  • Reviewed?

  • Hearing protection worn.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Hoses set up to minimize tripping hazard.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Grinders

  • Reviewed?

  • Safety glasses worn.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Face shield worn.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Hearing protection worn.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Wheel guard in place.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Powder Actuated Tools

  • Reviewed?

  • Hearing and eye protection worn.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Cartridges safely stored and handled.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Operator authorized and trained.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Power Tools

  • Reviewed?

  • In good working condition.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Hearing protection worn when required.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Defective tools tagged out or removed.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Hazardous materials

  • Reviewed?

  • Labelled properly as per WHMIS/GHS.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Flammables liquids (gasoline) stored in safe well ventilated area.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Compressed gasses stored safely.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Concrete Grinding and Cutting

  • Reviewed?

  • Silica Exposure Control Plan complete.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Area restricted.

  • Silica Exposure Control Plan complete.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Adequate lighting and ventilation.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Adequate respiratory protection worn

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Concrete Formwork and Falsework

  • Reviewed?

  • Protruding reinforcing rods at eye level removed or guarded.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Dismantled formwork safely stacked in non-hazardous location.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Compressed Gas Cylinders

  • Reviewed?

  • Strapped or chained and standing on end.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Away from heat and sparks.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Empty cylinders have regulators removed, are capped and tagged.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Electrical

  • Reviewed?

  • Cords are intact.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Cords elevated or covered, do not present tripping hazard.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Three-prong plugs are used.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Energized junction boxes and electrical panels are covered.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Ground fault circuit interrupters (GFCI) used in temporary panels.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Temporary lighting does not have broken or missing bulbs or guards.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Excavations and Trenches

  • Reviewed?

  • Sloped and/or shored as required.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Ladder provided in immediate work area and extends at least 3’ above ground level<br>for access/egress.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Spoil pile is at least 1m (3’) away from edge of excavation.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Ground disturbance permit has been issued and is current.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Utility locates and/or utility as-builts are current and displayed on site board.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Fall Protection

  • Reviewed?

  • Fall protection equipment provided and used properly where falling hazard exists.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Lifelines attached to an adequate anchor point as per WorkSafeBC OH&S Legislation.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Fall protection equipment has been inspected prior to use.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Copies of workers’ fall protection certification are available on site.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Guardrails/Opening

  • Reviewed?

  • Installed where there is a falling hazard.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Floor and roof openings covered, secured and marked or guarded.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Hazard Controls

  • Reviewed?

  • Lock-out or tag-out systems used.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Signs, tags, and caution/danger tape available and used.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Housekeeping

  • Reviewed?

  • Work areas clean and free of debris.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Adequate garbage containers available.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Nails bent over.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Materials and equipment stored in a safe manner.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Ladders

  • Reviewed?

  • Rungs, rails, and ropes in good condition.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Placed ¼ of ladder length away from base of structure.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Extend 1 m (3’) above platform being accessed.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Secured to prevent movement (top and bottom).

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Workers not working on top two rungs.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Barricaded when used in passageways and stairwells.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Scaffolding

  • Reviewed?

  • All connectors on.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Firm base and mud sill used, as required.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • All braces in place.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Tied to structure.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Stairways

  • Reviewed?

  • Free of obstruction.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Guardrails adequately secured.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Concrete Pumping Trucks

  • Reviewed?

  • Copy of annual certificate available.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Access under boom(s) restricted.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Cranes

  • Reviewed?

  • Adequate barriers around swing radius.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Adequate clearance from power lines.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Log book present on site.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Copy of crane annual certification onsite.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Powered Mobile Equipment

  • Reviewed?

  • Refuelled in safe location – well ventilated.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Forks lowered and levelled when not in use.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Operated by competent and authorized personnel.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Pre-use documented inspections taking place.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Fire extinguisher available.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

  • Back-up signal operational.

  • Corrective Action:

  • Person or Group Responsible:

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Corrective Action Completed by Townline or Trade Contractor?

Hazard Assessment

  • Townline Risk Assessment Matrix

    TL Risk Assessment Matrix.JPG
  • Hazard Assessment

  • Hazard Identified
  • Hazard

  • Severity (S)

  • Probability (P)

  • Risk (R)

  • Control

  • Person or group responsible for correction

  • Required Date and Time of Completion:

  • Date and Time Completed:

  • Completed by Townline or Trade Contractor?

Head Count and Review

Head Count

  • Townline Staff

  • Carpenters

  • Cement Finishing

  • Cleaners

  • Concrete

  • Delivery

  • Drywall

  • Demolition

  • Excavation

  • Electrical

  • Elevator

  • Finishing Carp.

  • Fire Stop

  • Formwork

  • Glazier

  • HVAC

  • Gutter

  • Insulation

  • Landscaping

  • Masonry

  • Painting

  • Plumbing

  • Rebar

  • Roofing

  • Safety/Flagging

  • Siding

  • Surveying

  • Sprinklers

  • Temp Labour

  • Utilities

  • Visitors

  • Window Cleaners

  • Other

Review and Finalization

  • Construction Safety Officer or Safety Representative

  • End of Inspection: report emailed to Site Superintendent or Supervisor?

  • End of Shift: report emailed to Safety Manager?

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.