Field Safety Walk

• Project/Job #

• Conducted on

  Date

• Prepared by

• Location of Site / Address

ARRIVING ON SITE

• A. Site Foreman

• B. Competent Person on site?

  Yes

  No

  N/A

WORK AREAS

• A. General Housekeeping

  Pass

  Fail

  N/A

• B. Walking - Working Surfaces

  Safe

  At Risk

  N/A

• C. Unprotected Sides or Holes

  Safe

  At Risk

  N/A

• D. Impalement Hazards

  Safe

  At Risk

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• A. Hard Hats

  Safe

  At Risk

  N/A

• B. Safety Glasses with Side Shields

  Safe

  At Risk

  N/A

• C. Respiratory Protection (If Required)

  Safe

  At Risk

  N/A

• D. Hearing Protection (If required)

  Safe

  At Risk

  N/A

• E. Clothing (FRC etc. if required)

  Safe

  At Risk

  N/A

• F. Gloves

  Safe

  At Risk

  N/A

• G. Foot Protection

  Safe

  At Risk

  N/A

FALL PROTECTION

• A. Trained Personnel (Competent Person)

  Safe

  At Risk

  N/A

• B. Worn Properly

  Safe

  At Risk

  N/A

• C. Suitable Anchorage Points

  Safe

  At Risk

  N/A

• D. Inspected/Color Coded

  Safe

  At Risk

  N/A

LADDERS/LIFTS

• Correct type for job/Appropriately inspected

  Safe

  At Risk

  N/A

TOOLS AND EQUIPMENT

• A. In Good Condition

  Safe

  At Risk

  N/A

• B. Employees appropriately trained on equipment

  Safe

  At Risk

  N/A

EXCAVATIONS

• A. Trained Personnel (Competent Person)

  Safe

  At Risk

  N/A

• B. Access/Egress

  Safe

  At Risk

  N/A

• C. Soil Condition

  Safe

  At Risk

  N/A

• D. Water Accumulating

  Safe

  At Risk

  N/A

• E. Shoring/Shielding/Sloping

  Safe

  At Risk

  N/A

• F. Barricades

  Safe

  At Risk

  N/A

• G. Spoil Pile

  Safe

  At Risk

  N/A

• H. Emergency Rescue Plan

  Safe

  At Risk

  N/A

CONFINED SPACE

• A. Trained Personnel (Competent Person)

  Safe

  At Risk

  N/A

• B. Air Monitoring

  Safe

  At Risk

  N/A

• C. Emergency Rescue Plan

  Safe

  At Risk

  N/A

ELECTRICAL

• A. G.F.C.I.'s

  Safe

  At Risk

  N/A

• B. Lock Out/Tag Out

  Safe

  At Risk

  N/A

• C. Other

FIRE SAFETY

• A. Fire Watch Assigned (Competent Person)

  Safe

  At Risk

  N/A

• B. Fire Extinguisher/Inspected

  Safe

  At Risk

  N/A

• C. Combustibles removed/isolated

  Safe

  At Risk

  N/A

• D. Hot Work Barricade (if required)

  Safe

  At Risk

  N/A

• E. Gas Can(s)

  Safe

  At Risk

  N/A

RIGGING AND HOISTING

• A. Capacity Tags

  Safe

  At Risk

  N/A

• B. Hooks and Latches

  Safe

  At Risk

  N/A

• C. Chain falls/Come-a-longs

  Safe

  At Risk

  N/A

• D. Tag Lines

  Safe

  At Risk

  N/A

• E. Inspected/Color Coded

  Safe

  At Risk

  N/A

• F. Designated Qualified Rigger

  Safe

  At Risk

  N/A

• G. Damage

  Safe

  At Risk

  N/A

SCAFFOLD

• A. Trained Personnel (Competent Person)

  Safe

  At Risk

  N/A

• B. Hand and Mid-rails, Toeboards

  Safe

  At Risk

  N/A

• C. Platform Decked/Secured

  Safe

  At Risk

  N/A

• D. Level Footing/Set up

  Safe

  At Risk

  N/A

• E. Access/Egress

  Safe

  At Risk

  N/A

• F. Away from Powerlines

  Safe

  At Risk

  N/A

• G. Barricades

  Safe

  At Risk

  N/A

• H. Inspection/Tagged Correctly

  Safe

  At Risk

  N/A

CRANE EQUIPMENT

• A. Crane Inspection

  Safe

  At Risk

  N/A

• B. Operator Manual

  Safe

  At Risk

  N/A

• C. Crane Setup

  Safe

  At Risk

  N/A

• D. Crane Swing Radius

  Safe

  At Risk

  N/A

• E. Flagman with Vest

  Safe

  At Risk

  N/A

• F. Operator Qualified and Certified

  Safe

  At Risk

  N/A

• G. Designated Qualified Signaller

  Safe

  At Risk

  N/A

• H. Fall Zone Procedures

  Safe

  At Risk

  N/A

• I. Lift Plan (if required)

  Safe

  At Risk

  N/A

EQUIPMENT

• A. Equipment Inspections

  Safe

  At Risk

  N/A

• B. Operator Qualified and Certified

  Safe

  At Risk

  N/A

• C. Operator Manual

  Safe

  At Risk

  N/A

• D. Flagman with Vest

  Safe

  At Risk

  N/A

• E. Proper setup and use

  Safe

  At Risk

  N/A

HAZCOM

• A. Training - Right to Know

  Safe

  At Risk

  N/A

• B. MSDS on Site

  Safe

  At Risk

  N/A

• C. MSDS for all Chemicals on Site

  Safe

  At Risk

  N/A

• D. Proper Storage of Chemicals

  Safe

  At Risk

  N/A

• E. Proper PPE for Handling Chemicals

  Safe

  At Risk

  N/A

OTHER

• Other Comments

Comments/Recommendations

• Enter any corrective actions that will be undertaken

Sign Off

• Safety Representative

  Sign

• Leadman

  Sign