Information

  • Conducted on

  • Project No.

  • Project Name

  • Location
  • Weather

  • Job Supervisor

  • Project Manager

Safety Inspection Check List

Personal Protective Equipment

  • Hard Hats

  • Eye Protection

  • Ear Protection

  • Respirators

  • Proper Clothing

  • Footwear

  • Fall Protection Equipment

Housekeeping

  • Exits & Stairs Clear

  • Piling & Stacking

  • Debris Removal

  • Nails Bent or Removed

  • Power Cords

Ladders & Stairs

  • Ladder Condition

  • Ladders Tied Off

  • Ladder 3' Above Landings

  • Stairs

Railings / Flooring Openings

  • Floor Openings / Shafts

  • Stairs / Ramps

  • Walkways

  • Elevator Door Openings

  • Perimeter

Electrical

  • Lighting

  • Grounding

  • Cords, Plugs & Receptacles

Fire Protection

  • Extinguishers

  • Flammable Materials

  • Required Permits

  • Welding / Cutting Equipment

Tools

  • Condition

  • Guarded

  • Power Cords

  • Temp. Power Boxes

Site & Public Protection

  • Excavation / Trenches

  • Earth Moving Equipment

  • Forklift / Cranes

  • Fences

  • Lighting

  • Barricades

  • Signage

  • Rebar Caps

First Aid

  • Trained Personnel

  • Emergency Evacuation Plan

  • Eye Wash Station

  • Kits / Supplies

  • Sanitation / Water

Program / Information

  • Daily Inspections

  • Orientation: New Emp / Haz Sub

  • Safety Meetings

  • Required Signs Posted

  • Job Safety Board

Other (Lists)

  • Safety Manual

  • Safety Data Sheets (SDS)

  • Cal / OSHA 300 Log

  • Pre Task Plan

  • Heat Illness Prevent Program

Additional Information

  • Comments

  • Add signature

  • Add signature

Equipment

  • Forklift Inspections

  • Scissor Lift Inspections

Safety Meeting Report

  • Safety Meeting

Information

  • Date of Meeting

  • Project Number

  • Project Name

  • Meeting Leader

Topics Discussed

  • Identify all Documents Discussed

  • Results of Inspection

Personnel In Attendance

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Additional Signers

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Additional Signers

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Additional Signers

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Additional Signers

  • ** If additional signers are required, attach photo of a sign in sheet below.**

  • Sign in sheet

  • Sign in sheet

  • Sign in sheet

  • Sign in sheet

Safety Recognition

  • Was a safety reward decal sticker issued?

  • How many Stickers were issued

  • Employee Name

  • Employee's Company

  • Sticker Number

  • Description of Safe Behavior

  • Employee Name

  • Employee's Company

  • Sticker Number

  • Description of Safe Behavior

  • Employee Name

  • Employee's Company

  • Sticker Number

  • Description of Safe Behavior

  • Employee Name

  • Employee's Company

  • Sticker Number

  • Description of Safe Behavior

  • Employee Name

  • Employee's Company

  • Sticker Number

  • Description of Safe Behavior

  • Employee Name

  • Employee's Company

  • Sticker Number

  • Description of Safe Behavior

  • Employee Name

  • Employee's Company

  • Sticker Number

  • Description of Safe Behavior

  • Employee Name

  • Employee's Company

  • Sticker Number

  • Description of Safe Behavior

  • Employee Name

  • Employee's Company

  • Sticker Number

  • Description of Safe Behavior

  • Employee Name

  • Employee's Company

  • Sticker Number

  • Description Of Safe Behavior

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.