Title Page

  • Project Title

  • Conducted on

  • Prepared by

  • Location

Contractor Management

Contractor Management

  • Are the contractors in possession of their Contractor Safety Card or ISN Pass?

  • Is a JSSP available for the job?

  • Has a Safe Work Permit been completed?

  • Has a Pre Job Safety Briefing been conducted?

  • If the job has lasted longer than 1 day, has a Contractor Safety audit been performed by the contractor?

  • Are all contractors parked in designated location?

  • Only contractor-owned and insured vehicles on site? (inside main gate)

  • Are all contractors rated A, B or C in ISN or working under a current Variance?

  • Have the contractors been placed on the Contractor Safety Board by the project leader?

  • Is the Project Leader (Hydro) conducting Safe Work Permit Audits?

Free Moving Mobile Equipment

Free Moving Mobile Equipment

  • Is a documented pre-op inspection available for this shift and is it completed properly?

  • Do observations confirm all operators are wearing seat belts when provided?

  • Does equipment come to a complete stop at posted intersections and blind corners?

  • Are horns sounded when approaching pedestrians from the rear and at blind intersections?

  • Are loads on forklifts being carried in a manner that does not obstruct forward vision?

  • Do vehicle operators look while backing up?

  • Is equipment turned off and parking brake set when operator is more than 25 feet from the vehicle and anytime the vehicle is out of view? (forklifts)

Fall Prevention/Protection

Fall Prevention/Protection

  • Has the Roof Work Permit been properly completed?

  • Is the job being conducted in accordance with the provisions of the roof work permit?

  • Is suitable railing being used around floor openings and holes?

  • If railing is unable to be used, is Red Danger Tape deployed at a minimum of 6 feet from the edge of the hole/opening?

  • Are contractors using the handrails when climbing or descending stairs?

  • Are the employees maintaining 3-point contact while ascending, descending or working from a ladder? (six foot ladders and larger)

  • If not maintaining 3-point contact, is the employee wearing fall protection and tied off? (six foot ladders and larger)

  • Are the ladders stored properly?

  • Are the ladders clean and free from grease and debris?

  • Are employees tying off to the structure before exiting the basket of the highreach or scissors lift?

  • Are employees using anchor points provided?

  • All fall protection equipment has been inspected within the last six months (documented) and has undergone a daily inspection?

Elevated Work/Overhead Crane Repair

Elevated Work/Overhead Crane Repair

  • If High Reach, Ladder or Scissors lift (including any material or person) is extending into the crane envelope, are rail stops and banners in place?

  • If High Reach, Ladder or Scissors lift (including any material or person) is extending into the crane envelope, are blocking cranes in place?

  • If High Reach, Ladder or Scissors lift (including any material or person) is extending into the crane envelope, is bay isolated electrically (LTV)?

  • Are there active cranes adjacent to High Reach, Scissors Lift activity? If so, do the adjacent cranes have an Orange Warning tag on the bridge controller?

  • Are adjacent (same bay) cranes operating at a reduced speed inside of the warning zone, which are located 40 feet from the stops?

  • Do adjacent cranes remain at least ten feet from blocking cranes?

  • Has a pre-op inspection been performed on the equipment?

Lockout Tagout Verify

Lockout Tagout Verify

  • Are Red and White Danger Tags legible?

  • If a lock box is used, are Red, Yellow, and Black Lock Box tags attached to the lock box locks and the lock box?

  • Are tags filled out properly?

  • If the job/task will cross shifts or is incomplete at the end of the current shift, is an Orange/Black Equipment Out of Service Tag placed on the lock box and/or the equipment?

  • Have Orange/Black Equipment Out of Service Tag Stubs been returned to the Supervisor?

  • Did the contractor properly isolate the equipment?

  • Did the contractor notify personnel affected by their work?

  • Did each contractor involved with the isolation place their lock and tag on the energy isolation device(s) or lock box?

  • Did the contractor verify the isolation be attempting to start the equipment?

  • Did the contractor clear the equipment of personnel prior to verifying the isolation?

  • At the completion of the task, was the lock and tag removed?

Electrical Safety

Electrical Safety

  • Are electricians using the correct PPE for the task?

  • Has a Safe Work Zone been created?

  • Are fixed lead voltmeters used to verify de-energization?

  • Has voltmeter been tested for proper operation before and after verifying de-energization?

  • Are electricians using insulated tools to work in close proximity to energized conductors?

  • Are all cords and power tools being used GFCI protected?

  • Are insulated tools, rubber hose, blanket and gloves within the inspection window?

  • Are Electrical Cabinets closed or guarded when craftsman leave the area?

  • Are all power tools, extension cords and plugs free of obvious damage?

Confined Space

Confined Space

  • Is the Contractor using a Hydro Permit?

  • Is the Confined Space Permit completed correctly?

  • Is a copy of the Confined Space Assessment with the Confined Space Permit?

  • If possible, is rescue equipment set up at the job site?

  • Is the contractor using a properly calibrated monitor?

Machine Guarding

Machine Guarding

  • Is equipment locked and tagged before machine guarding is removed?

  • If troubleshooting is required while the equipment is energized, is a Safe Work Permit and an additional person at the E-Stop being used?

  • Are all fastening devices in place and secure on the machine guarding?

  • Are the machine guards in good condition?

  • Does the machine guarding pass the AUTO Test? (Around, Under, Through, Over)

  • Interview craftsmen. Do they understand that all machine guards must be replaced before equipment is returned to production?

Emergency Preparedness and Fire Protection

Emergency Preparedness and Fire Protection

  • Interview several employees. Do they know the emergency phone number and the location of the head count area?

  • Are fire extinguisher inspections up to date?

  • Are all fire extinguishers observed unobstructed?

  • Are hot work permits available and properly completed when performing “hot work” such as welding, cutting and grinding?

  • Are two “charged” fire extinguishers provided at the Hot Work job?

  • Are yellow flammable liquid cabinets free of combustibles such as boxes, rags, gloves, paper, etc.?

  • Are red/yellow flammable liquid cabinets grounded?

  • Are flammables not in use, stored in flammable liquids cabinet?

  • Are containers for oil and chemical soaked rags provided with a lid, is the lid tightly closed and has the container been emptied daily?

  • Is the White copy of the Hot Work Permit posted on the board in building 108 during the Hot Work operation?

  • Has all hot work equipment undergone a daily inspection?

  • Is the plant operating on propane, and if so, are the contractors aware of the increased hazards?

Personal Protective Equipment

Personal Protective Equipment

  • Were all contractors observed wearing hearing protection properly?

  • Were all contractors observed wearing safety glasses, a hard hat and approved foot protection?

  • Select several employees and review the fit of their safety glasses. Are they wearing side shields? Do the glasses fit the employee well? The glasses should fit close to the face with very small spaces on the sides and under the eyes.

  • Are Hard Hats clean and free of damage?

  • Are the employees wearing the appropriate PPE for the task?



  • Is the contractor lifting with legs and not the back?

  • If a hoist is available, is the contractor using the hoist?

  • Are the proper tools being used for the job?



  • Randomly select some work areas and locate chemical containers. Does each container have a readable warning label?

  • Randomly select work areas that use Mallets. Check for “mushroomed” heads, cracked handles and any other damage. Are the Mallets in serviceable condition?

  • Are all safety signs clean and readable?

  • Are eyewash and safety shower units unobstructed, clearly marked and operable? Activate the shower/eyewash to verify operation.

  • Visually inspect designated walkways. Are they free of holes, missing floor blocks or other items that could cause someone to trip?

  • Is overhead lighting in working condition?

  • Barricades are properly installed and tagged

  • Complete a visual inspection of the lockers and toolboxes. Are the lockers and toolboxes free from chemicals?

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.