Information
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Document No.
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Jobsite/Number
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Conducted on
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Prepared by
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Foreman/General Foreman
Section 1
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Tool Box Meetings Done/Documented
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Explain in detail what corrective actions have been taken.
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Drinking Water Available
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Explain in detail what corrective actions have been taken.
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Housekeeping
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Explain in detail what corrective actions have been taken.
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Proper Personal Protective Equipment available and used
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Explain in detail what corrective actions have been taken.
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GFCI on all temporary power
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Explain in detail what corrective actions have been taken.
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Condition/Use of extension cords
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Explain in detail what corrective actions have been taken.
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Energized electrical done under signed permit
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Explain in detail what corrective actions have been taken.
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Temporary Lighting adequate
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Explain in detail what corrective actions have been taken.
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Excavation sloping/shoring adequate
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Explain in detail what corrective actions have been taken.
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Excavation access/egress
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Explain in detail what corrective actions have been taken.
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Excavations inspected
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Explain in detail what corrective actions have been taken.
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Adequate fall protection at 6 feet
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Explain in detail what corrective actions have been taken.
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Perimeter Protection available
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Explain in detail what corrective actions have been taken.
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Floor holes/trip hazards properly covered
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Explain in detail what corrective actions have been taken.
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All scaffolds correctly built and used
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Explain in detail what corrective actions have been taken.
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Scaffold access provided
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Explain in detail what corrective actions have been taken.
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Scaffold fall protection adequate
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Explain in detail what corrective actions have been taken.
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Scaffold users trained
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Explain in detail what corrective actions have been taken.
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All tools in good condition
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Explain in detail what corrective actions have been taken.
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Ladders in good condition/properly used
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Explain in detail what corrective actions have been taken.
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Please describe in detail any items not covered above:
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Foreman/General Foreman Signature
