Title Page

  • Conducted on

  • Prepared by

  • Location

Personal Protective Equipment

  • Safety glasses being used?

  • Face shield used for Grinding, Chipping, Blowing?

  • Hand protection used as required?

  • Safety toe boots worn?

  • Hearing protection worn where required?

  • Hard hats worn correctly?

  • Respirators used as required?

  • High visibility vest worn as needed?

Electrical Safety

  • GFCI's used for all portable electrical hand tools?

  • LO/TO is being used for appropriate tasks?

  • No exposed electrical parts?

  • Electrical cords inspected and have all prongs intact?

  • Electrical power tools are double insulated or grounded?

Compressed Gasses

  • Compressed gas cylinders stored upright and secured?

  • Oxygen/acetylene torch units have flash back arrestors?

  • Compressed gas cylinders not in use have caps in place?

Excavation

  • Ladders if >4ft deep? Extended 3ft? 50ft apart?

  • Protection from caveā€ins for >4ft?

  • Sloping, shoring, benching evaluated?

  • Daily inspection?

Hand Tools/Power Tools

  • Grinders have guards in place?

  • Pneumatic power tools have hoses secured?

  • Circular/table saws equipped with protective guards?

  • Unsafe hand tools are removed from service?

  • Impact tools, hammers kept free of splinters/mushrooms?

Haz Com

  • SDS available to all employees?

  • Flammable liquids are in approved safety cans?

  • Flammable liquids containers labeled properly?

  • All hazardous containers labeled appropriately?

  • Supplies on hand for accidental chemical spills?

Ladder/Stair Safety

  • Ladders are safe and inspected?

  • Stairs or ladder provided for access points >19" high?

  • Extension ladders extend 3' beyond landing and secured?

  • Stepladders are only used in open position?

Confined Space

  • Confined space entry work sign posted?

  • Retrieval device in place and utilized?

  • Permit for confined spaces?

  • Fire/Rescue notified for confined space entry?

  • Air monitoring?

  • Training in place?

Material Handling

  • Rigging is free of hazardous defects?

  • Crane setup and use is done by qualified operator?

  • Hooks used for lifting have safety latch in place?

  • Storage areas are well maintained?

  • Use and practice by workers is acceptable?

  • "Free rigging" from forks not observed?

Emergency/First Aid

  • Emergency phone numbers posted?

  • Emergency eyewash units accessible?

  • First aid kit available at work site?

  • Fire extinguishers readily available?

  • Fire extinguishers inspected?

General Safety

  • General housekeeping is neat and orderly?

  • Wall and floor openings are covered or guarded?

  • Rebar caps used for protruding bars?

  • Concrete work is completed wet or with dust collection?

  • Scaffolding guardrails used at 6' or greater?

  • Competent person on site?

  • Scaffold design by qualified person?

  • Monitoring of personnel and/or atmosphere as required?

Other

  • Permits in place (critical lift, hot work, lockout/tagout, excavation, confined space entry, working at heights?

  • Toolbox talks conducted and documented?

  • Signs/signals/barricades in place?

  • Training conducted and documented?

  • THA completed and reviewed with workers?

Confirmation

  • General Comments:

  • Inspection Completed By:

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.