Information

  • Site

  • Document No.

  • Client

  • Conducted on

General Work Environment

  • Is the work area housekeeping satisfactory?

  • Clean

  • Free of Rubbish?

  • Walkways clear and unobstructed?

  • Welfaire facilities provide, kept clean, and safe?

  • Other issues
  • Add media

First Aid and Emergency Equipment

  • Is there at least one person on site trained in first aid and CPR?

  • Are first aid kits available?

  • Other issues
  • Add media

Fire Protection and Prevention

  • Are there fire extinguishers present and in date?

  • Other issues
  • Add media

Fall Protection

  • Are holes and other floor openings guarded against falling?

  • Do elevated surfaces have a safe means of access?

  • Are fall protection harnesses and lanyards used as identified in the risk assessments?

  • Are harnesses, lanyards, and other fall protection equipment inspected prior to use?

  • Other issues
  • Add media

Portable Ladders

  • Are all ladders maintained in good condition and inspected?

  • Are ladders being used correctly?

  • Are ladders placed on dry, stable footing, and properly secured?

  • Other issues
  • Add media

Materials - Handling, Storage, Use, and Disposal

  • Is equipment being stored correctly before and during use?

  • Other issues
  • Add media

Scaffolding

  • Is scaffolding being used?

  • Are scaffolds set up on level, stable ground with dry footings?

  • Has the scaffold been assembled and inspected by a competent person?

  • Was the scaffold inspected prior to use and scaffold tag properly filled out?

  • Do all scaffolds higher than 4 feet have 42 inch high guardrails and mid rails halfway between the top and platform?

  • Other issues
  • Add media

Power-Actuated Tools / Hand and Power Tools

  • Does all equipment have a valid certificate (ie PAT)

  • Are power actuated tools inspected for obstructions or defects before use?

  • Are grinders, saws, and other tools with moving parts, equipped with appropriate safety guards to prevent physical contact with moving parts?

  • Other issues
  • Add media

  • Other issues raised during inspection
  • Add media

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.