Information

  • Client / Site

  • Conducted on

  • Prepared by Jonathan Molas

    Preplanning

Preplanning

  • Daily safety plan done each day?

  • Stretching out every morning?

  • AWAIR manual/MSDS on site?

  • PPE

Personal Protective Equipment (PPE)

  • Safety Glasses worn by all employees?

  • Hard hats are being worn by all employees?

  • Gloves worn by all employees?

  • Hearing protection worn when required?

  • Respirator used when required?

  • PPE properly used and maintained?

  • High visibility vest worn?

  • Housekeeping

Housekeeping

  • Work area clean and clear?

  • Lunch area clean?

  • Trash barrel with lid in lunch areas?

  • Walkways kept free of obstacles?

  • Dust levels are acceptable?

  • Electrical

  • Monthly inspection on electrical panels?

  • GFI used when required?

  • Electrical panels labeled and covered?

  • Lockout/Tagout procedures followed when required?

  • Extension and equipment cords free from visible damage?

  • Do all cords have a grounded plug?

  • Fall Protection

Fall protection

  • Employees exposed to fall hazards tied off?

  • Tied off point can hold at least 5000 pounds?

  • Employees below protected from falling objects?

  • Power tools

Power tools

  • All guards in place?

  • Side handle in place (not removed)?

  • Cords in good condition?

  • Ladders

Ladders

  • Used in fully open position?

  • Free from defects?

  • No step at top two rungs of stepladder?

  • Secured to prevent slipping, sliding or falling?

  • Extended at least 3 feet above landing?

  • Ladder used properly?<br>

  • Man Lifts

Lifts

  • Gate chains and swing gates closed?

  • Free from tripping hazards?

  • Tied off when required?

  • Operator standing on platform and not on railing?

  • Fire Protection

  • Flammable materials cleared out of work area?

  • Fire extinguishers located at all hot work?

  • Fire watch utilized when required?

  • Hot work permit filled out?

  • Proper PPE worn

  • Swing stage scaffold

Suspended scaffold

  • Checklist completed each day

  • Outriggers beams w/counterweights assembled to support the rated load of the hoist with a 4:1 safety factor

  • Parapet clamps or hooks (if needed) are mounted on parapet wall capable of carrying rated load of hoist with a 4:1 safety factor

  • Rigging secured against unintentional movement

  • Tie back cables installed at right angle to face of building without slack and to a structurally sound portion of building

  • Wire ropes free of kinks and flat spots. Bullet ends checked

  • Clamps, pins, bolts tightened or fastened securely

  • Proper fall protection used

  • Confined space

  • Atmospheric testing completed?

  • Permit completed and posted?

  • On-site rescue device provided (if needed)

  • Competent person on site?

  • Entering employees properly trained?

  • Lockout/Tagout procedures followed?

  • Attendant present when required?

  • Excavation

  • Competent person present?

  • Properly shored or shielded?

  • Materials stored at least 2ft away from trench?

  • Ladders provided every 25 ft?

  • Underground utilities marked?

  • Material handling

  • Proper lifting techniques followed?

  • Proper number of workers for each operation?

  • Fork Lifts

  • Daily inspection filled out?

  • Seat belts worn?

  • Load secured?

  • Vehicle inspection
  • Fire extinguisher in the vehicle?

  • First aid kit in the vehicle?

  • Other observations

  • Observation
  • Add media

  • Auditor

  • Foreman
  • Foreman

  • Project Manager
  • PM

  • General Contractor contact
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.