SafetyCulture Checklist

• Conducted on

  Date

• Prepared by

• Location
  Address

General Conditions (Subpart C, E, hazardous communication, first aid)

• Is all scrap lumber with protruding nails set aside, away from work area?

  Yes

  No

  N/A

• Are all labels on chemicals intact and legible?

  Yes

  No

  N/A

• Are containers holding chemicals also labeled?

  Yes

  No

  N/A

• Is the closest first aid kit fully stocked?

  Yes

  No

  N/A

• Is the closest eyewash/ emergency shower clear and functioning?

  Yes

  No

  N/A

Housekeeping (29 CFR 1926.25)

• Are there any damages (dents, scuffs) to the tools?

  Yes

  No

  N/A

• Is the insulation around the cords on power tools sealed and free from lacerations?

  Yes

  No

  N/A

• Is there any rust/ excess grease on the tools?

  Yes

  No

  N/A

• Are vents clear from debris?

  Yes

  No

  N/A

• Are tools being stored in assigned drawers, cabinets, or shelves?

  Yes

  No

  N/A

Trenching and Excavation (29 CFR 1926.651)

• Is there a ladder, stairway, or ramp in all trenching excavations over 4ft. deep?

  Yes

  No

  N/A

• Have all sewage pipes and power lines been identified and marked?

  Yes

  No

  N/A

• Has trenching excavation site been tested for atmospheric contaminants (before entering)?

  Yes

  No

  N/A

• Are all materials and equipment placed a minimum of 2ft. away from excavation?

  Yes

  No

  N/A

• Are all crosswalks crossing over excavation secured?

  Yes

  No

  N/A

Fall Protection (29 CFR 1926.502)

• Are all connectors drop-forged, pressed, and formed steel?

  Yes

  No

  N/A

• Horizontal life lines are in use?

  Yes

  No

  N/A

• Are anchors being installed independently from other anchors?

  Yes

  No

  N/A

• Are warning line systems and warning signs in place near the roofs edge?

  Yes

  No

  N/A

• While working on a roof, is a competent safety monitor present?

  Yes

  No

  N/A

Struck by Hazards [29 CFR 1926.451(h)]

• Are all required employees wearing hard hats?

  Yes

  No

  N/A

• Are materials being properly stacked as to avoid a collapse or falling?

  Yes

  No

  N/A

• Are toe boards and debris nets in place and intact?

  Yes

  No

  N/A

• Are all tools being secured when working at heights as to avoid dropping them?

  Yes

  No

  N/A

• Have tools (saws and lathes) been inspected for proper guards?

  Yes

  No

  N/A

Electrical Hazards (29 CFR 1926.403)

• Is all electrical equipment securely mounted?

  Yes

  No

  N/A

• Are all disconnecting means and circuits?

  Yes

  No

  N/A

• Is there 3 inches of overhead clearance?

  Yes

  No

  N/A

• Is all electrical equipment stored in secure cabinets or other forms of closure?

  Yes

  No

  N/A

• Does all PPE follow NFPA 70E?

  Yes

  No

  N/A