Title Page

  • Site conducted

  • Project Location

  • Project Name

  • Job Number

  • Conducted on

  • Prepared by

Housekeeping

  • Project work areas are clean and free of trash or debris

  • Walkways and passageways clear of tripping hazards.

  • Material or equipment properly stored?

  • Scrap metal/wood free of protruding nails or other puncture hazards

  • Warning signs posted, work areas barricaded as required.

  • Drinking water containers labeled properly

  • Other

Personal Protective Equipment (PPE)

  • Hard hats

  • Proper footwear

  • Ear protection

  • Eye protection

  • Hand protection

  • Safety Vests

  • Other

Fall Protection

  • Guardrails in place.

  • Safety harness/lanyards worn in a proper manner

  • Floor openings guarded

  • Proper fall protection used

  • Fall protection equipment maintained and has current inspection

  • Other

Motor Vehicles and Equipment

  • Daily inspections of lifts

  • Fire extinguisher in place and fully charged

  • Equipment in good condition

  • Spotters present

  • Other

Excavations

  • Support systems in place for adjacent structures.

  • Ladders provided

  • Competent person on site

  • Underground utilities located and marked

  • Soil bank and equipment sufficient distance from excavation

  • Sharing adequate for soil type and depth

  • Access and egress provided ever 25ft.

  • Other

Welding And Cutting

  • Qualified personnel performing task

  • Screens, shields, goggles, gloves

  • Gas cylinders secured in upright position

  • Fire extinguisher available

  • Electrical equipment properly grounded

  • Valve protection caps in place when not in use

  • Fire watch present

  • Other

Electrical

  • GFCIs in use

  • Terminal boxes equipped with required covers

  • Extension cords are 3-wire with ground pin

  • Electrical tool are 3-wire with ground pin

  • Extension cords inspected with monthly color code

  • Other

Scaffolding

  • Supervised properly by a competent person

  • Daily inspection performed and available for review

  • Scaffolding tied to structure

  • Ladder access provided

  • Fall protection in use while working from elevated scaffolding

  • Base plates used

  • Other

Stairways and Ladders

  • Inspected and in good condition

  • Properly secured

  • 3 point contact method used

  • Extension ladder used on 4 to 1 pitch

  • Employees not exceeding max rung height

  • Guardrails provided for stairways

  • Other

Fire Protection

  • Approved gas cans in use.

  • No smoking in undesignated areas

  • Proper number of extinguishers provided and charged

  • Combustibles >10’ from structures

  • Other

First Aid and Emergency

  • First aid kits fully stocked

  • Employees aware of emergency procedures

  • Employees aware of evacuation procedures and meeting points

  • Other

Administration

  • Pre-construction meetings (tailgate) (Tool Box topic)

  • Emergency phone numbers posted

  • SDS on site

  • SPAs completed

  • SORs completed

  • Other

Comments

  • undefined

Worker Training and Performance

  • Employees following all safety practices

  • Employees need retraining

  • Supervisors informed of audit results

Signatures

  • Supervisor

  • Supervisor

  • Inspected 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.