Title Page

Job Information

  • Conducted on

  • Job Name

  • Job Number

  • Foreman

  • Number of employees on site

  • Inside Conditions:

  • Outside Conditions:

Site Audit

Personal Protective Equipment

  • Hard Hat is warn at all times while working on site?

  • Safety Glasses are worn at all times while working on site?

  • Gloves are warn while handling material?

  • High-visibility vest warn around equipment and exposed infrastructure?

  • Appropriate footwear and apparel warn on site?

  • Face shield is applied for heavy carbide cutting activities?

  • Shade 3 or greater sealed eye protection or face shield is applied for Oxyfuel Gas Cutting activities?

  • Correct PPE applied for back welding activities?

  • Respirator used for required task?

Fall Protection

  • Safety Railing / Perimeter cable are maintained at areas that produce a fall hazard within the work area?

  • 100% tie off is established for accessing greater than 6' fall exposures?

  • Fall Arrest System used is correct to prevent failure?

  • Exclusion zone established to prevent exposed fall hazards?

  • Materials stored to prevent displacement?

Tools / Equipment

  • Angle grinders are supplied with Guards?

  • All hammer drilling activities comply with OSHA's Table 1 for silica exposure control?

  • Welding machines are in good mechanical condition with proper maintenance performed?

  • All power tools / Equipment are properly functioning?

  • Power tools / Equipment are properly insulated from electrical hazards?

  • Electrical cords are inspected and safe from exposed wiring?

  • Tools/Equipment in use are designed for applied tasks?

  • G.F.C.I. is established at all non temporary power supply?

  • Welding lead is in good working condition? (no exposed wiring, insulators in place)

  • Oxyfuel Gas Cutting system is free from damage and in working condition?

Material Handling

  • Material is delivered / stored to limit the amount of handling and distance to installation?

  • Appropriate manpower / mechanical means are supplied for weight and location?

  • Material carts are free from damage and not overloaded?

  • Duct hoist / Roust-About are free from damage and not overloaded?

Fire Protection

  • Supplied / Inspected fire extinguisher is within 50' of hot work being performed?

  • Hot work permit is filed for activity / location?

  • Fire watch personnel is present?

  • Fuel containers are labeled with no sign of leaks or damage.

  • Fuel containers are properly stored away from hot work / accelerants with supplied fire extinguisher at storage location?

  • Oxygen and Acetylene Cylinders are properly stored with fire extinguisher at storage location?

Ladders

  • Ladders in use?

  • Employee is working with ESI supplied ladder?

  • Ladders are inspected and in safe working condition? (no damage)

  • Employees are properly using selected ladder to access the work area?

  • Ladders are properly stored when not in use?

Scaffolding

  • Scaffolding in use

  • Scaffolding has been inspected and Tagged?

  • Working Platform is fully Planked?

  • Pins and braces are supplied and in place?

  • Safety Railing is supplied and completely surrounding working platform?

  • Fall arrest system is applied for access to unprotected platform above 6' in elevation?

Forklift

  • Forklift in use

  • Is the operator certified in the use of the equipment?

  • Safety restraint is warn during forklift operation?

  • Are forks fully engaged under load / loads appropriately fastened to mast?

  • Is the forklift appropriately rated for the load?

  • Does the forklift have signs of damage or leaks?

Aerial Lift / Scissor lift

  • Aerial / Scissor lift in use

  • Is the operator certified in the use of the equipment?

  • All safety rails latches and chains in place during lift operation?

  • Full body harness and form of fall arrest are applied for lift operation?

  • Personnel are correctly using the working platform and not standing on the side rails?

  • Personnel are correctly tied off to the manufacturers tie off point?

  • Does the personnel lift have signs damage and leaks?

Rigging

  • Is rigging in use?

  • Riggers involved in operation are certified riggers / signalman?

  • Chain-falls / Come-alongs are free from damage and rated for the applied load?

  • Anchorage point can sustain the load with a safety factor applied?

  • Wire rope chokers / Synthetic slings are free from damage and tagged for the applied load?

  • Rigging is stored properly?

Housekeeping

  • Is Extreme Steel Inc. controlling housekeeping appropriate and professional?

  • Has all material drops and debris produced by Extreme Steel Inc. been removed in completed work areas?

  • Has any ESI equipment been left behind in completed / vacant work areas?

Sub-Par Craftsmanship

  • Was a sub-par installation performed?

  • Pictures / Location

Supplies delivered

  • PPE consumables supplied

  • Was tracked safety equipment supplied or removed from site?

  • Equipment

Comments

  • Crew was working on?

  • Additional notes / information:

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.