Title Page

  • Client / Site

  • Conducted on (Date and Time)

  • Inspected by

  • Location

HAZARD IDENTIFICATION, REMOVAL, AND CLEANUP

  • Debris is cleared from work surfaces, passages, and stairs.

  • Nothing is within 18" of building per FSA requirements.

  • Sufficient waste or trash containers are provided, used and emptied when appropriate.

  • Open-top dumpsters are covered.

  • Exit doors and pathways are clear.

  • Fire Hydrants and riser rooms are easily accessible.

  • Any object protruding at head height has been removed or flagged.

BULK MATERIAL STORAGE

  • All items stored outside are tarped/covered.

  • All material, toolboxes, supplies, equipment, etc. on roof shall be placed on carts that have rubber air filled tires.

  • Pipe or rod is stored in racks if more than one layer high.

  • Surplus materials are returned to the stockpile.

HAZARDOUS MATERIAL STORAGE AND DISPOSAL

  • Flammable material is always stored in separate closed containers.

  • Smoking and chewing tobacco is prohibited everywhere except for designated smoking area or personal vehicle.

  • Flammable and combustible scrap, debris, and waste are removed promptly from buildings or structures.

  • Leftover hazardous products and waste are properly stored, labeled, and disposed of according to the instructions on the product’s Material Safety Data Sheet (MSDS).

WORK PRACTICES

  • Housekeeping occurs constantly on the job, not just once a week or at the end of the project.

  • Fabrication areas will be predetermined and kept organized. No other fabrication areas shall existing unless authorized.

  • All lift equipment is stored, when not in use, away from operational areas.

  • Extension cords, lines, welding leads, hoses, etc. are coiled up when not in use.

  • Tools are returned to the gang box or tool room.

  • Vehicles are to be kept to a minimum in the yards. One vehicle with all necessary tools is encouraged to keep in the yard as well as carpooling to minimize congestion.

COMPLETION

  • Recommendations

  • Full Name and Signature of the Inspector

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.