Title Page

  • Project

  • Conducted on

  • Prepared by

  • Location
  • Subcontractors present on site

JOB INFORMATION

  • OSHA and DOL posters posted?

  • OSHA 300 form posted (Feb 1 - Apr 30)

  • First-Aid kit fully stocked with non-expired items?

  • Safety Data Sheets are filed and accessible?

  • Emergency phone numbers are posted?

HOUSEKEEPING

  • Work areas are neat and organized?

  • Projecting nails are removed or bent over?

  • Passageways and walkways are clear?

  • Waste containers are provided and being used?

  • Smoking only in designated areas?

COVID-19

  • COVID-19 Daily Questionnaire completed daily by all project personnel?

  • Social distancing is practiced?

  • Hand wash/ sanitizing stations are provided?

  • Face covering worn when required?

  • Commonly touched surfaces are disinfected frequently?

  • Signage posted? (Social distancing, face covering, etc.)

PERSONAL PROTECTIVE EQUIPMENT

  • Hard hats are being worn?

  • Safety glasses are being worn?

  • Hearing protection are being worn?

  • High visibility clothing worn when working around equipment or traffic?

  • Proper clothing being worn? (Footwear, long pants, shirts w/ sleeves, etc.)

  • Respirators are worn when required?

ELECTRICAL

  • Extension cords with bare wires or missing ground plugs taken out of service?

  • Terminal boxes equipped with required covers?

  • GFCIs or double insulated tools are being used?

  • Temporary lighting suspended correctly and in proper condition?

FLAMMABLES & COMBUSTIBLES

  • Compressed cylinders stored properly?

  • Fuel storage is protected? (Impact, spills, etc.)

  • Adequate fire extinguishers provide and inspected?

HAND & POWER TOOLS

  • Hand tools are inspected regularly?

  • Guard in place?

  • Right tool is being used at the job at hand?

FALL PROTECTION

  • Guardrails and cables are erected and are secured properly?

  • Employees that are exposed to fall hazards are tied off?

  • Harness worn properly?

  • Employees below are protected from falling objects?

WALL & FLOOR OPENINGS

  • Floor openings planked over, secured and labeled "hole" or barricaded?

  • Wall openings are protected by guardrails?

  • Materials are stored away from the edge?

LADDERS

  • Ladders are extended at least 3 feet above landing?

  • Ladders are secured to prevent, slipping, sliding or falling?

  • Ladders with split or missing rungs taken out of service?

  • Stepladders used in fully open position?

  • No step at the top two rungs of stepladders?

SCAFFOLDING

  • Scaffolding inspected daily?

  • Erected on sound rigid footing?

  • Tied to structure as required?

  • Guardrails, mid-rails and toe boards are present?

  • Planking sound and sturdy?

  • Proper access provided?

  • Employees below are protected from falling objects?

TRENCHING AND EXCAVATION

  • Competent person identified and present?

  • Excavation is shored, sloped, or benched?

  • Means of egress provided every 25 feet?

  • Materials are stored at least 2 feet away from the excavation?

  • Equipment is safe distance from excavation?

MOBILE EQUIPMENT (Manlifts, forklifts, etc.)

  • Equipment inspected and maintained?

  • Machinery equipped with backup alarm and functioning properly?

  • Operator is trained for specific equipment?

  • Operator manual and warning labels are in place?

  • Overhead hazards are marked and proper clearance is maintained?

CRANE & RIGGING

  • Operator is trained to use specific crane?

  • Crane operator log is up to date?

  • Crane inspection complete and up to date?

  • Outriggers extended and swing radius is barricaded?

  • Taglines used to guide loads?

  • Employees are kept from suspended load?

  • Chains and slings inspected and tagged as required?

SILICA

  • Engineering control being used?

  • Area of silica producing activity is controlled and other subcontractors are not exposed to silica dust?

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.