Title Page
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Project
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Conducted on
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Prepared by
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Location
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Subcontractors present on site
JOB INFORMATION
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OSHA and DOL posters posted?
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OSHA 300 form posted (Feb 1 - Apr 30)
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First-Aid kit fully stocked with non-expired items?
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Safety Data Sheets are filed and accessible?
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Emergency phone numbers are posted?
HOUSEKEEPING
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Work areas are neat and organized?
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Projecting nails are removed or bent over?
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Passageways and walkways are clear?
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Waste containers are provided and being used?
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Smoking only in designated areas?
COVID-19
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COVID-19 Daily Questionnaire completed daily by all project personnel?
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Social distancing is practiced?
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Hand wash/ sanitizing stations are provided?
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Face covering worn when required?
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Commonly touched surfaces are disinfected frequently?
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Signage posted? (Social distancing, face covering, etc.)
PERSONAL PROTECTIVE EQUIPMENT
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Hard hats are being worn?
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Safety glasses are being worn?
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Hearing protection are being worn?
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High visibility clothing worn when working around equipment or traffic?
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Proper clothing being worn? (Footwear, long pants, shirts w/ sleeves, etc.)
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Respirators are worn when required?
ELECTRICAL
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Extension cords with bare wires or missing ground plugs taken out of service?
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Terminal boxes equipped with required covers?
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GFCIs or double insulated tools are being used?
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Temporary lighting suspended correctly and in proper condition?
FLAMMABLES & COMBUSTIBLES
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Compressed cylinders stored properly?
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Fuel storage is protected? (Impact, spills, etc.)
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Adequate fire extinguishers provide and inspected?
HAND & POWER TOOLS
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Hand tools are inspected regularly?
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Guard in place?
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Right tool is being used at the job at hand?
FALL PROTECTION
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Guardrails and cables are erected and are secured properly?
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Employees that are exposed to fall hazards are tied off?
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Harness worn properly?
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Employees below are protected from falling objects?
WALL & FLOOR OPENINGS
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Floor openings planked over, secured and labeled "hole" or barricaded?
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Wall openings are protected by guardrails?
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Materials are stored away from the edge?
LADDERS
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Ladders are extended at least 3 feet above landing?
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Ladders are secured to prevent, slipping, sliding or falling?
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Ladders with split or missing rungs taken out of service?
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Stepladders used in fully open position?
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No step at the top two rungs of stepladders?
SCAFFOLDING
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Scaffolding inspected daily?
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Erected on sound rigid footing?
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Tied to structure as required?
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Guardrails, mid-rails and toe boards are present?
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Planking sound and sturdy?
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Proper access provided?
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Employees below are protected from falling objects?
TRENCHING AND EXCAVATION
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Competent person identified and present?
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Excavation is shored, sloped, or benched?
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Means of egress provided every 25 feet?
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Materials are stored at least 2 feet away from the excavation?
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Equipment is safe distance from excavation?
MOBILE EQUIPMENT (Manlifts, forklifts, etc.)
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Equipment inspected and maintained?
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Machinery equipped with backup alarm and functioning properly?
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Operator is trained for specific equipment?
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Operator manual and warning labels are in place?
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Overhead hazards are marked and proper clearance is maintained?
CRANE & RIGGING
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Operator is trained to use specific crane?
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Crane operator log is up to date?
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Crane inspection complete and up to date?
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Outriggers extended and swing radius is barricaded?
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Taglines used to guide loads?
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Employees are kept from suspended load?
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Chains and slings inspected and tagged as required?
SILICA
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Engineering control being used?
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Area of silica producing activity is controlled and other subcontractors are not exposed to silica dust?