Information

  • Job Site

  • Conducted on

  • Conducted By

Personal Protective Equipment

Hard hats

  • Are employees wearing hard hats?

Eye Protection & Face Protection

  • Are employees wearing safety glasses with side shields?

  • Are employees wearing face shields and safety glasses while grinding or chipping?

Hand Protection

  • Are employees wearing the proper hand protection?

Fall Protection

  • Has the fall protection equipment been inspected by a competent person?

  • Is the equipment free from defects?

  • Is the equipment installed properly to prevent employees from free-falling more than 6 feet or hitting the level below?

Respirators

  • Are employees medically qualified to wear the respirator?

  • Are employees using the right respirator for the hazard?

Aerial Lifts (Scissor & Boom)

  • Chains latched?

  • Employees wearing fall protection (Full body harness & Retractable lanyard)

  • Are lifts being kept away from floor holes?

  • Are employees trained to use the equipment?

Postings

  • Is the OSHA 300A Log posted (February 1 to April 31)?

  • Are the federal, state & local postings & emergency #'s posted?

Job Site Documentation

  • Are weekly tool box talks being completed?

  • Is there a Safety Manual on site?

  • Is the doctor panel posted?

Overhead Hoisting Equipment

  • Does the equipment have the annual inspection sticker on it & is it inspected?

  • Is the equipment in good working order?

Cranes

  • Is the crane inspected and is the inspection in the cab?

  • Does the operator have a current training certification?

  • Are the outriggers extended & is the swing radius protected?

  • Is a clearance of at least 10' maintained away from overhead power lines?

  • Is there a qualified signal person?

Lockout/Tagout

  • Are employees trained in the application & removal of locks & tags?

  • Are locks and tags being applied correctly?

Trenches/Excations

  • Has the Competent Person classified the soil?

  • Is there proper protection in place at excavations > 5'(i.e. shoring/sloping/benching)?

  • Is there proper egress in out of excavations > 4' (ladders every 25')?

  • Are spoils kept at least 2' back from the edge of the excavation?

  • Are daily inspections being completed by the Competent Person?

Confined Spaces

  • Is the air monitor calibrated?

  • Is all the appropriate equipment in place and working properly?

  • Are employees trained to understand the hazards of the space & equipment?

  • Is the permit completed properly and posted?

Rigging

  • Is rigging equipment inspected prior to use?

  • Is the manufacturer name and capacity clearly marked on the rigging?

  • Are tag lines being used

  • Are softener being used on sharp edges?

  • Does the crew know the weight of the load they are lifting

Housekeeping & General Conditions

  • Is the site housekeeping acceptable

  • Are there adequate trash containers available?

  • Are the containers emptied regularly

  • Is the Lighting adequate?

  • Are the exits ands stairs kept clear?

  • Are the walkways free of trip/slip hazards?

Fire Prevention

  • Is there a fire extinguisher at the hot work being performed?

  • Are the fire extinguishers inspected both monthly and annually?

  • Are there fire extinguishers placed at least every 100'?

  • Are combustibles kept 36' away from all hot work or are they covered?

  • Are fuels and Oxygen cylinders kept 20' apart or separated by a half hour firewall or equivalent?

  • Does the flammable storage area have proper signage (No Smoking or Open Flame)?

Tools & Equipment

  • Are employees using the tools for their intended purpose?

  • Are tools in proper working order?

  • Do grinders have guards and handles on?

Compressed Gas Cylinders

  • Are compresses gas cylinders from grease & oils?

  • Are compresses gas cylinders stored properly (capped, separated & secured)?

  • Do B Tanks have keys on the stem?

Welding, Cutting & Burning

  • Are weld leads free from defects?

  • Are gas hoses free from defects?

  • Are boots covers in place over lead connections?

  • Do compressed gas cylinders have flashback Arrestors on them or are they are the torch handle?

  • Are welding screens being used to protect others form UV exposures?

Electrical

  • Is all temporary electrical installed properly and inspected (panels closed, off the ground, etc.)?

  • Are GFCI's being used and have they been tested before use?

  • Are cords free from defects (i.e. Ground prong missing, tears in the jacket, etc.)

  • Are workers staying at least 10' away from overhead electrical lines?

Hazard Communication

  • Are Safety Data Sheets (SDS's) available or accessible?

  • Do all employees know how to obtain SDS's?

  • Are all substances properly labeled?

Lighting

  • Is there adequate lighting?

  • Are all bulbs fully enclosed protecting the build from potential damage?

Powered Industrial Trucks

  • Are all operators trained and certified to operate the equipment?

  • Are seat lets being worn?

  • Is the machines's back up alarm working properly?

  • Are pre-use inspections being performed?

Ladders

  • Are ladders free from defects?

  • Are step ladders being used in the open position?

  • Are extension ladders, used for access, placed at the proper angle, secured at the top and bottom & extended 3' above the landing?

  • Are the landings, where extension ladder access are, protected by an offset handrail?

  • Are employees staying off the top 2 steps of step ladders?

  • Are employees working within the confines of the ladders rails?

Stairs

  • Are handrails provide at stairs with 4 or more steps?

  • Is there steps provided at access points > 19"?

Floor Hole, Wall Openings & Rooftops

  • Are Holes > 2" covered?

  • Are the covers affixed or designed to not be kicked or inadvertently moved?

  • Are hole covers marked "Hole" or color-coded and designed to withstand 2 times the intended weight?

  • Are handrails in good condition and able to withstand 200 lbs of pressure downward and outward?

  • Are floor deviations/holes guarded or protected?

Scaffolding

  • Was the scaffolding built by a competent person and tagged appropriately?

  • Is the working platform > 18" & fully decked?

  • Is there adequate access provided?

  • If the scaffolding is on wheels are there any floor deviations nearby?

Vehicles

  • Does the vehicle have an inspected fire extinguisher, emergency triangles, camera & accident reporting kit?

  • Is the back up alarm working and audible?

First Aid

  • Are there first aid kits readily available to employees & are they stocked appropriately?

  • Is there a medical facility nearby and/or is there someone trained in First Aid & CPR?

Sub Contractors

  • Was the Sub Contractor Orientation Done for all new Subs?

  • Are Sub Contractors working safely?

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.