Title Page

  • Site conducted

  • Project Name

  • Location
  • Prime / Sub Contractor

  • Date of inspection

  • Prepared by

  • Instructions:

    1. List the Sub Contractors, then answer "Satisfactory", "Unsatisfactory", "N/A" on the questions provided.
    2. Add photos and notes by clicking on the paperclip icon.
    3. To add a Corrective Actions, click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF, Word, Excel or Web Link.

  • List the Sub Contractors (click add "Sub Contractor")

  • Sub Contractor
  • Sub Contractor's Name

PPE

  • Hardhat

  • Eye / Face Protection

  • Hearing Protection

  • Hand Protection

  • Foot Protection

  • Welding Hood

  • Protective Sleeves

  • Respirators

  • Fire Resistant Clothing

  • Harness/Fall Protection

  • Cert. Rebar Caps

  • Inspections of PPE

  • Site Specific PPE

  • Gas Detector

Medical

  • Person Trained CPR/FA

  • First Aid / Bloodborne Kits

  • Eyewash Stations

  • Eye Wash Bottles In Date

Field Office Areas

  • Emerg Procedures Posted

  • Emerg. Numbers Posted

  • Safety Meetings

  • Training/Cert's

  • Contractor H&S Plan

  • Job Safety Analysis

  • SDS Binder

  • OSHA Poster

  • All Other Documentation

Fire Extinguishers

  • In Smoking Areas

  • In Office Trailers

  • In Tool Rooms

  • In Equipment/Vehicle

  • In Haz/Storage Area

  • Welding Rigs/Areas

  • Field Locations

Parking Areas

  • Housekeeping

  • Vehicles Parked Uniformly

  • Pull Forward to Exit

  • Leaks / Drips

  • Other

Environmental

  • Spill Response Equip

  • Haz Mat Storage

  • Chemical Storage

  • Labels

  • Containment

  • Spills / Drips

Equipment

  • Inspections as Required

  • Qualified Operator

  • Spotter

  • Safety Devices Working

  • In Good Repair/Clean

  • No Leaks / Diapers

Tools/Machines

  • Good Repair

  • All Guards in Place

  • Cords in Good Repair

  • No Leaks

  • Inspections Current

  • Safety Devices Working

  • Other

Aerial Lifts

  • Qualified Operator

  • Daily Inspection

  • Grounded & Barricaded

  • Warning Labels

  • Controls Labeled

  • Fall Protection

Fall Protection

  • Competent Person

  • Guardrails

  • Safety Nets

  • Body Harness/Lanyard

  • Positioning Device

  • Warning Line

  • Safety Monitor

  • Barricaded/Control Zone

  • Falling Object Protection

  • Daily Inspections

Confined Space

  • Competent Person

  • Permitted/Non-Permitted

  • Atmosphere Tested

  • Hole Watch

  • Man Hole Guard

  • Forced Ventilation

  • Rescue Equip / Team

  • Hot Work Permit

  • Warning Signs

  • Contractors Notified

  • Confined Space Log Book

Electrical

  • Daily Inspec. Tools, Cords

  • GFCI/Assured Grounding

  • Overhead Powerlines (10' min)

Completion

  • Person Performing Inspection

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.