Information

  • Client / Site / Job Number:

  • Prepared by

  • Location
  • For the Week Ending:

Ensure that the Jobsite is safe in accordance with the PREVENT Safety Guide:

  • All Sub-Contractors have an AWAIR Program if this site is in Minnesota

  • Right To Know / GHS / SDS

  • Lead, Asbestos, Silica Exposures

  • Respiratory Protection (Voluntary & Required Use)

  • Fall Protection (6' Trigger Height)

  • Steel Erection (15' & 30' Trigger Heights, Controlled Decking Area, Controlled Access Below)

  • Ladders (Proper Use)

  • Stairways (Handrails, Steps, etc.)

  • Scaffolding (10' Trigger Height for Fall Protection, fully planked, mud sills, safe access, secured)

  • Cranes (Operator License, Inspections, Lifting Calculations, Critical Lifts)

  • Hoisting & Rigging, Signalers (Must be Trained/Certified)

  • Electrical Wiring & Equipment (Cords, Panels, Covers, Protect from Damage, Overhead Power Lines)

  • Forklift Operators trained & certified 3 years, inspections, seatbelts

  • Aerial Work Platforms (PFAS, Guardrails, Secured)

  • Excavations (2,4,5 Rules - A,B,C Soil Types)

  • First Aid & CPR (EMS Response within 4 Minutes)

  • Woodworking Machines (Guards in Place, Push Sticks

  • Power Tools (Cords, Guards/Shields, Proper Use

  • Fire Extinguishers

  • Demolition (Stability Dust Control, Safe Access/Egress, Holes)

  • Personal Protective Equipment - Proper Use

  • To the Best of Your Knowledge All Other Jobsite Hazards are Controlled

  • Please Sign Here When Your Safety Inspection is Complete

Equipment In Use:

  • Bobcat Days/Hours Used

  • Bobcat Asset #BB-

  • Bobcat Task Code

  • Forklift Days/Hours Used

  • Forklift Asset #FL-

  • Forklift Task Code

  • Generators Days/Hours Used

  • Generators Asset #GN-

  • Geneators Task Code

  • Heaters Days/Hours Used

  • Heaters Asset #H-

  • Heaters Task Code

  • Jobsite Trailer Days/Hours Used

  • Jobsite Trailer Asset#TR-

  • Jobsite Trailer Task Code

  • Scaffold (Per End) Days/Hours Used

  • Scaffold Task Code

  • Concrete Blankets Days/Hours Used

  • Concrete Blanket Task Code

  • Plate Compactor Days/Hours Used

  • Plate Compactor Asset #PC-

  • Plate Compactor Task Code

  • Other Equipment Days/Hours Used:

  • Other Equipment Task Code:

Superintendent Weekly Job Update:

  • Project Status:

  • Equipment on Site:

Hospital

  • Construction personnel are wearing appropriate ID

  • Construction personnel are wearing appropriate PPE (hardhat, protective eyewear, footwear, covers)

  • All windows, doors and debris chutes are secured after hours.

  • All exits provide free and unobstructed egress

  • There is free unobstructed access for emergency services.

  • The temporary construction partitions are smoke tight and built of non-combustible materials.

  • The temporary fire alarm devices and sprinklers are unimpaired

  • There is additional firefighting equipment provided and personnel are trained to use it.

  • Smoking is prohibited on hospital property.

  • Storage, housekeeping and debris removal procedures are enforced daily.

  • Construction area is cleaned daily to minimize infection control risks to adjacent areas.

  • Construction area air is negative to adjacent areas.

  • Hot Works are Conducted after Permit Approved?

  • Possible disruption to water, oxygen, power, etc. is planned in advance of work to be performed

  • Construction Progress Notes are Being Maintained/Kept

  • Demolition practices minimize dust creation

  • Debris carts are have tight fitting covers

  • Hallways & Areas adjacent to Construction are clean

  • Sufficient cleaning equipment is available

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.