Title Page

  • Conducted on

  • Prepared by

  • Location
  • Job Number and Name

  • Date & Time

General Safety and Documentation

  • Safety training and education are being provided (29 CFR 1926.21)

  • First aid and medical provisions are being provided (29 CFR 1926.23)

  • Housekeeping requirements are sufficient (29 CFR 1926.25)

  • Appropriate PPE is being provided (29 CFR 1926.28)

  • Corporate safety manualand site-specific safety policy(if applicable) on site

  • Appropriate SDS available on site

  • Materials/chemicals appropriately labeled

  • Required OSHA postings available, including OSHA Injury Summary posted from Feb. 1st to April 30th<br>(29 CFR 1903.2) All state and federal posters onsite

  • Safe means of egress are provided

  • Job site security in place (General Liability)

  • Adequate pedestrian protection in place (General Liability)

  • JHA's for FHP Self Performed work

  • JHA's for subcontractor's work

  • Are weekly safety meetings(toolbox talks) held on site and documented for all workers?

  • Competent Person identified for each subcontractor onsite

  • Preconstruction checklists completed for all subcontractors onsite?

Personal Protective & Life Saving Equipment

  • PPE is provided, used, and maintained when applicable (29 CFR 1926.95(a))

  • Hard hats are being utilized (29 CFR 1926.100)

  • Hearing protection being used when necessary (29 CFR 1926.52)

  • Eye and face protection being used (29 CFR 1926.102)

  • Adequate eye protection is being provided against radiant energy such as welding or lasers (29 CFR 1926.102)

  • Respirators are being provided when necessary (29 CFR 1910.134)

  • A written respiratory protection plan has been developed and implemented (29 CFR 1910.134)

  • Respirators, training, and medical evaluations have been provided to employee (29 CFR 1910.134)

  • Respirator selection is appropriate for evaluated hazards (29 CFR 1910.134)

  • Effective training has been provided to employees required to wear respirators (29 CFR 1910.134(k))

  • Documentation concerning medical evaluations, fit testing, and the respiratory program have been established and retained (29 CFR 1910.134)

  • Safety harnesses, lifelines, and lanyards are available when needed (29 CFR 1926.104)

Fire Protection

  • Adequate and appropriate fire extinguishers are provided w/ up to date tags (29 CFR 1926.150(a))

  • Fire extinguishers are provided in conspicuous locations (29 CFR 1926.151)

  • Indoor/Outdoor storage of combustible materials is adequate (29 CFR 1926.151)

  • Storage facilities are properly established/constructed (29 CFR 1926.152(b)(4))

  • Fire controls are in place when flammable or combustible liquids are stored on site (29 CFR 1926..152)

  • Proper clearance and mounting of temporary heating and cooling devices is achieved (29 CFR1926.154(b)-(c))

  • Are fire extinguishers available, fully charged, and easily visible within 75 feet for low hazard areas?

Welding and Cutting

  • Storage and handling of cylinders inside buildings is acceptable (29 CFR 1926.350(a)(11))

  • Gas cylinders are placed away from hazards (29 CFR 1926.350(b)(1)-(4))

  • Oxygen cylinders and fittings have been kept away form oil and grease hazards (29 CFR 1926.350(i))

  • Compressed gas cylinders are secured (29 CFR 1926.350)

  • Oxygen is separated from flammable/combustible materials (29 CFR 1926.350)

  • Cylinders in use are secured in cart (29 CFR 1926.350)

  • Welding cables and connectors are in serviceable condition (29 CFR 1926.351(b)(1)-(4))

  • Shielding for arc welding has been provided whenever practicable (29 CFR 1926.351(e))

  • Suitable fire extinguishing equipment was immediately available (29 CFR 1926.352(d))

  • Fire watch was established to guard against fire when normal fire prevention precautions were insufficient (29 CFR 1926.352(e))

  • Hot work Permit Completed

  • Flash Screen Used

Scaffolding

  • Scaffolds were compliant with capacity requirements (29 CFR 1926.451(a))

  • Scaffold platforms were fully planked (29 CFR 1926.451(b)(1))

  • Base plate supports provided and used (29 CFR 1926.451)

  • Scaffold not erected on concrete blocks, bricks, etc (29 CFR 1926.451)

  • Planks overlapped not less than 6" or more than 12" over end supports with toe boards in place?

  • Access to scaffold platform is available (29 CFR 1926.451(e)(1))

  • Scaffolds and their components were not overloaded (29 CFR 1926.451(f)(1))

  • Is scaffold system plumb and level?

  • Scaffolds and their components were inspected by a competent person daily. (29 CFR 1926.451(f)(3)-(f)(4))

  • Scaffolds have been erected, moved, dismantled, or altered under the supervision and direction of a competent person (29 CFR 1926.451(f)(7))

  • Workers evacuated scaffolds during hazardous weather conditions (29 CFR 1926.451(f)(8) and (f)(12))

  • Debris was not on scaffold platforms (29 CFR 1926.451(f)(13))

  • Fall protection was provided on scaffolds more than 10 ft (3.1 m) above a lower level (29 CFR 1926.451(g)(1))

  • Fall protection was being used (when and where feasible) while erecting and dismantling supported scaffolds (29 CFR 1926.451(g)(2))

  • Personal fall arrest systems were used on suspension scaffolds (29 CFR 1926.451(g)(3))

  • Employees on scaffolds were protected from falling objects (29 CFR 1926.451(h)(1)-(2))

  • Mobile scaffolds have been constructed and used IAW OSHA requirements (29 CFR 1926.451(w)(1)-(2) and (7)-(9))

  • Movement of mobile scaffolds was compliant (29 CFR 1926.451(w)(3)-(5) and (10)

Fall Protection

  • Employees who are constructing leading edges were protected from falling (29 CFR 1926.501(b)(2))

  • Employees in a hoist area were protected from falling (29 CFR 1926.501(b)(3))

  • Holes in work floor area had adequate fall prevention measures (29 CFR 1926.501(b)(4)

  • Ramps, runways, and other walkways had adequate fall protective measures in place (29 CFR 1926.501(b)(6))

  • Wall openings had adequate fall prevention measures (29 CFR 1926.501(b)(14))

  • Mid and Top rails were at appropriate heights(19-22" and 39-42") (29 CFR 1926.502(b)(1))

  • Guardrail systems were able to withstand 200 lbs. of force (29 CFR 1926.502(b)(3)-(4)

  • Is protection provided for all personnel working in areas where they could fall 6' or more?

  • Anchorages used for attachment of personal fall arrest systems were designed, installed and used IAW OSHA requirements (29 CFR 1926.502(d)(15))

  • Anchorage points positioned appropriately (29 CFR 1926.502)

  • Retractable lanyards used appropriately (29 CFR 1926.502)

  • Personal fall arrest systems and components are being inspected before each use (29 CFR 1926.502(d)(19 and 21))

  • Rescue procedures are established (29 CFR 1926.502(d)(20))

  • Warning lines around all sides of a roof work area met OSHA requirements (29 CFR1926.502(f)(1))

  • Warning lines did consist of ropes, wires, or chains, and supporting stanchions were being used (29 CFR 1926.502(f)(2))

  • Only authorized employees were allowed between the roof edge and the warning line (29 CFR 1926.502(f)(3))

  • Covers for holes were properly secured, marked, and capable of supporting 2 times the intended load (29 CFR 1926.502(i))

  • Toe boards were used as falling object protection (29 CFR 1926.502(j)(1)-(4))

  • Employer has provided fall prevention training for each employee who might be exposed to fall hazards (29 CFR 1926.503(a))

  • Are employees trained for fall protection systems in use?

Ladders and Stairways

  • Stairways and ladders have been provided (29 CFR 1926.1051(a))

  • Handrails and stair rails were properly installed (29 CFR 1926.1052 C (5)-12

  • Rungs and steps on ladders were spaced appropriately (29 CFR 1926.1053(a)(2)-(4))

  • All ladders, including job-made ladders were positioned at appropriate angles (1 to 4) (29 CFR 1926.1053(b)(5))

  • Extensions above access points were 36" (29 CFR 1926.1053(a)(24)-(27) and (b)(1))

  • All ladders, including job-made ladders were secured to prevent slipping (29 CFR 1926.1053(b)(6)-(14))

  • All ladders including job-made ladders have been inspected for defects (29 CFR1 926.1053(b)(15)-(18))

  • Step ladders opened fully (29 CFR 1926.1053)

  • No work performed from top-step of step ladder (29 CFR 1926.1053)

Steel Erection

  • Subpart R fall protection guidelines are being adhered to (29 CFR 1926.760(a))

  • Crane set-up on mats (ANSI)

  • Crane inspections being performed (29 CFR 1926.753(c))

  • Adequate access into site provided (29 CFR 1926.752(c))

  • Adequate ground conditions provided (29 CFR 1926.752(c))

  • LAZ being maintained under steel erection activities (29 CFR 1926.759(b))

  • Site-specific erection plan available when required (29 CFR 1926.752(e))

  • Columns equipped with 4 anchor bolts (29 CFR 1926.755(a))

  • Beams secured with 2 bolts or equivalent (29 CFR 1926.756(a))

  • Controlled decking zone in compliance (29 CFR 1926.760(c))

  • Perimeter cables installed on multi-storied structures compliant (29 CFR 1926.760(a))

  • Erection of multi-storied buildings compliant (29 CFR 1926.754(b))

Crane Safety and Procedures

  • ANSI approved hand signals being used & Signal person has a copy of his signal certification card onsite (29 CFR 1926.550(a)(4))

  • Equipment is being inspected daily and documentation maintained (29 CFR 1926.550(a)(5)-(6))

  • Employees are protected from the swing radius of the crane's rotating superstructure (29 CFR 1926.550(a)(9))

  • Employees were clear of suspended loads and loads about to be lifted (29 CFR 1926.550(a)(19))

  • Are rigging cables and slings in good repair free of kinks and cracks?

  • Equipment in use near power lines was operated IAW OSHA requirements and precautions (29 CFR 1926.550(a)(15))

  • No modifications or additions to equipment were observed (29 CFR 1926.550(a)(16))

  • Crane mats or cribbing being used as prescribed by ANSI 11.08 Annual inspection current (29 CFR 1926.550(a))

  • Capacities clearly posted (29 CFR 1926.550(a))

  • Procedures for critical lifts have been prepared (ANSI) 11.11 Cranes on barges secured (29 CFR 1926.550(f))

  • Procedures for personnel platforms are compliant (29 CFR 1926.550(g))

Equipment

  • A. Aerial and Scissor Lifts

  • Aerial lifts have not been "field modified" (29 CFR 1926.453(a)(2))

  • Fall protection provided and used (29 CFR 1926.453

  • Lifts operated within weight capacity limits (29 CFR 1926.453

  • Work performed from floor of lift (29 CFR 1926.453)

  • Guard rails and chains in place (29 CFR 1926.453)

  • Audible alarms function properly (29 CFR 1926.453)

  • No visual defects observed (29 CFR 1926.453)

Concrete and Masonry

  • All protruding reinforcing steel onto which employees could fall was guarded (29 CFR 1926.701(b))

  • Riding in concrete buckets was not observed (29 CFR 1926.701(d))

  • Employees working under concrete buckets followed established practices (29 CFR 1926.701(e))

  • Masonry saws were equipped with guarding devices (29 CFR 1926.702(i))

  • Limited access zones were established (29 CFR 1926.706(a))

  • All masonry walls over 8 ft in height were braced (29 CFR 1926.706(b))

  • Proper scaffold erection and use

  • Dust protection provided during cutting

Excavations

  • Surface encumbrances that create hazards have been removed or supported (29 CFR 1926.651(a))

  • Employees exposed to public vehicular traffic were provided with highly visible vests (29 CFR 1926.651(d))

  • Procedures are in place to safeguard employees against falling loads (29 CFR 1926.651(d))

  • Hazardous atmospheres in excavations have been evaluated (29 CFR 1926.651(g)(1))

  • Water accumulation in excavation area was not present (29 CFR 1926.651(h))

  • Stability of adjacent structures has been monitored and maintained (29 CFR 1926.651(i))

  • Employees in excavations were protected from falling rock and soil (29 CFR 1926.651(j))

  • Adequate protective systems are in place (29 CFR 1926.652(a))

  • The design of sloping and benching systems was compliant (29 CFR 1926.652(b))

  • Support systems, shield systems, and other protective systems were being used appropriately (29 CFR 1926.652(c))

  • Materials and equipment that are used for protective systems were free from damage or defects (29 CFR 1926.652(d))

  • Does excavation over 4' deep have a ladder within 25' and two means of egress?

  • Is excavation barricaded, etc., to prevent workers and public from falling into trench/hole?

  • Is excavated material at least 2' back from trench edge?

Electrical

  • Parts of electrical equipment that produce combustion sources were properly enclosed or separated (29 CFR 1926.403(f))

  • Working spaces were not used for storage and entrances were kept clear (29 CFR 1926.403(i)(1))

  • Live parts were guarded (29 CFR 1926.403(i)(2))

  • Electrical installations had proper enclosures (29 CFR 1926.403(j)(2))

  • Ground fault circuit interrupters were being used to protect employees on construction sites (29 CFR 926.404(b))

  • Equipment connected by cord and plug was properly grounded (29 CFR 1926.40(f)(7))

  • Temporary wiring was adequately protected (29 CFR 1926.40(a)(2)(i))

  • Guarding requirements for temporary wiring were observed (29 CFR 1926.405(a)(2)(iii))

  • Cabinets, boxes, and fittings were anchored (29 CFR 1926.405(b))

  • Enclosures for damp or wet locations met requirements (29 CFR 1926.405(e))

  • Temporary bulbs were protected (29 CFR 1926.405(a))

  • All live panels were covered (29 CFR 1926.403)

  • Extension cords free of frays, tears, etc (29 CFR 1926.416(e))

  • Extension cords equipped with ground plugs (29 CFR 1926.405(a))

  • No improper splices observed (29 CFR 1926.405(a))

Material Handling & Storage

  • Materials stored in tiers were adequately secured (29 CFR 1926.250(a)(1))

  • Bagged materials, bricks, and masonry blocks were stacked safely (29 CFR 1926.250(b)(4),(6)-(7))

  • Lumber was stored safely (29 CFR 1926.250(b)(8))

  • Structural steel and cylindrical materials were stored safely (29 CFR 1926.250(b)(9))

  • Material storage areas had adequate housekeeping (29 CFR 1926.250(a)(3) and (c))

  • Rigging equipment for material handling was adequate(29 CFR 1926.251(a)(1)-(4))

  • Appropriate rigging equipment being used for task (29 CFR 1926.251(a))

  • Appropriate rigging hitch used for task (29 CFR 1926.251(a))

  • Rigging free of frays, tears, rips, etc (29 CFR 1926.251(a))

  • No shop-made rigging equipment observed (29 CFR 1926.251(b))

  • Material was propertly protected from adverse weather conditions

Permit Required Confined Space

  • Is atmosphere being monitored?

  • Is space being ventilated?

  • Are entrants, attendants and entry supervisor properly trained?

  • Is rescue/retrieval system in place?

  • Are daily entry permits posted at point of entry and signed by entry supervisor?

  • Is point of entry posted "DANGER CONFINED SPACE"?

  • Has locking out of systems taken place?

Demolition

  • Has demolition plan been submitted and accepted?

  • If waste is being dropped > 6' is it in an enclosed chute and is area secured from traffic?

  • All service lines have been shut off, capped, or otherwise controlled prior to demolition (29 CFR 1926.850(c)-(d))

  • Employees were protected from the hazards of glass fragments and wall openings (29 CFR 1926.850(f)-(g))

  • Demolition of exterior walls and floor construction began at the top of the structure and proceeded downward (29 CFR 1926.850(j))

  • Sidewalk sheds or canopies were used to protect employee entrances to structures being demolished (29 CFR 1926.850(k))

  • All access ways were closed except stairways, passageways, and ladders designated as means of access to the structure of a building (29 CFR 1926.851(1)

  • All stairs, passageways, ladders, and their incidental equipment are inspected and maintained (29 CFR 1926.851(b))

  • Wall sections were in stable condition (29 CFR 1926.854(b))

  • Employees were not permitted to work on the top of a wall under adverse weather conditions (29 CFR 1926.854(c))

  • The storage of waste material and debris on any floor did not exceed allowable floor loads (29 CFR 1926.857(a))

Signatures

  • Auditor:

  • Site Superintendent:

  • Comments:

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.