• Is first aid equipment available on site.

  • Are first aid kit properly stocked?

  • Are first aid trained coworkers on site?

  • Are coworkers aware of the address of the site and the nearest hospital?

  • Are coworkers aware of the address of the site and capable of giving directions to emergency crew


  • Are MSDS sheets maintained on each product in use?

  • Are MSDS labels on each chemical container that is unmarked.?

  • Are coworkers properly trained on hazardous chemicals present?


  • Is general neatness of working areas aceptable?

  • Is good housekeeping observed?

  • Are passageways and walkways clear and free of debris?

  • Are exposed nails removed or bent over?

  • Is there regular removal of waste and trash from the containers?

  • Is temporary storage of materials and supplies done in a organized fashion?


  • Are materials properly stored and stacked?

  • Are passageways clear?

  • Proper number of workers for each operations?


  • Are hard hats being worn?

  • Are proper steel toe boots utilized for foot protection?

  • Is eye protection worn at all times?

  • Is respiratory protection being used when conditions require them?

  • Is hearing protection being used by coworkers that may be exposed to noisy conditions?

  • Are coworkers using proper hand protection?

  • Are all staff and visitors are wearing Hi-Viz vests or jackets.
    Ensure Hi-Viz clothing is not damaged.

  • Are respirators stored and worn properly?


  • Is adequate ventilation provided?

  • Is protective equipment used to protect against over-exposure?

  • Are coworkers made knowledgeable of the hazards when working with harmful agents?


  • Are extinguishers readily accessible?

  • Do fire extinguishers have current inspection tags?

  • Is there a clear path to fire hydrants for the fire deparment?

  • Are "No Smoking" signs posted where needed?

  • Are all flammable liquid containers clearly identified?

  • Are all flammable liquid containers metal cans that are OSHA approved?

  • Have proper storage practices for flammables been observed?

  • Have gas cylinders been chained upright with valve caps securely fastened?

  • Are temporary heaters located at a safe distance from combustibles?

  • Is ventilation adequate for temporary heaters?


  • Has there been proper segregation between flammable gas cylinders?

  • Proper labeling of full and empty flammable gas cylinders?

  • Are proper type and number of fire extinguishers nearby?


  • Are stairs with four or more risers equipped with standard hand rail protection?

  • Are walking/working surfaces protected from tripping/stepping into holes by covers?

  • Are hole covers marked with the word HOLE or COVER?

  • Are employees on a walking/working surface with an unprotected edge or side which is 6' or more above a lower level, protected from falling by the use of guardrail systems, safety net systems, or personal fall arrest systems?


  • Are the accessible areas within the swing radius of the rotating superstructure of the crane protected in such a manner as to prevent an employee from being struck or crushed by the crane?

  • Do all cranes have an anti-two-blocking device installed?

  • Are daily inspections of the crane on file?

  • Are tag lines used?

  • The riggers had the appropriate training

  • Are the rate capacity/safe working loads clearly marked

  • Is lift positioned on solid level ground

  • Is the rigging equipment been inspected daily before use?

  • Are the lifting operations at a minimum clearance of 20" from the power lines

  • Everyone in the lift basket standing firmly on the floor, wearing proper fall protection or protection equipment?


  • Is all protruding reinforcing steel guarded to eliminate the hazard of impalement?

  • Proper PPE use during placement of concrete?

Mechanized equipment

  • All earthmoving or compacting have an operational reverse signal alarm?

  • Seat belts worn at all times?

  • All windshields/windows free from cracks?


  • Are tools neatly stored and accessible when not in use?

  • Are tools being carried safely?

  • Is the proper hand tool used for the task?

  • Are hand tools and other equipment regularly inspected for safe conditions?

  • Are the handles on hand tools in good condition, not bent, splintered or broken?


  • Are power tools inspected before use?

  • Are tools inspected for frayed and damaged cords?

  • Are tools and cords properly grounded and are ground pin in good condition?

  • Are double insulated tools in use and in good condition?

  • Are tools neatly stored and accessible when not in use?

  • Are tools being carried safely?

  • Is the proper power tool being used for the task?

  • Are guards in place on the tool and in good condition?

  • Are portable circular saws equipped with guard above and bellow the base or shoe?

  • Are rotating or moving parts of equipment guarded to prevent contact by coworker?

  • Are all hoses on air or hydraulic tools in good condition?


  • Are electric panels covered?

  • Are extension cords free of nicks, gouges or cuts?

  • Are cords ends inspected for proper grounded prongs?

  • Are power cords protected in traffic ways?

  • Are GFCI's and/or assured equipment grounding conductor programs being used?

  • Lockout / tagout devices available and used on circuits that could be come energized?

  • If temporary lighting is provided, are bulbs protected against accidental breackage?


  • Is the proper ladder being used for the task?

  • Are portable ladders adequate for their purpose?

  • Are step ladders fully open when in use?

  • Are ladder rungs in good condition, none missing or broken?

  • Are safety shoes/cleats on the bottom of the ladder?

  • Is the proper foundation present at base of ladder?

  • Are ladder properly secured to prevent slipping, sliding or falling?

  • Do side rails extend 36" above top of each landing?

  • Are portable ladders used at such a pitch that the horizontal distance from the top bearing to the foot of the ladder is about 1/4 of the working length of the ladder?

  • Are ladders prohibited from being used in a horizontal position as platforms, runways or scaffolds?

  • Are areas around the top and bottom of the ladder kept clear?


  • Is erection movement and dismantling properly supervised by a competent person?

  • Are scaffold components visible free of any physical damage with no bent support or braces?

  • Are scaffold no greater than 14" away from the wall?

  • Is the scaffold plumb, square and in good condition?

  • Are scaffold which are 4 times higher that the width tied off?

  • Is scaffold erected on a firm and substantial surface (concrete, base plate, mud sill)?

  • Is scaffold properly erected with all pins and two braces installed?

  • Is platform area free of debris/trash?

  • Is planking of sufficient stress grade of scaffold grade timber?

  • Is planking in good condition and fully installed across the platform?

  • Is planking overlapped at least 6" but not greater than 12"?

  • Are planking overlaps centered over a support member?

  • Is planking secured from movement?

  • Area access rungs at least 8" wide and evenly spaced no greater than 16 3/4" apart?


  • Are guardrails, intermediate rails and toe-board in place?

  • Are guardrails and toe-boards installed on all open sides and ends of scaffold platforms?

  • Are scaffolds equipped with toe-board wherever there is a possibility that falling material could cause a hazard?

  • Are toe-board at least 4" in height?

  • Are top rails between 38" & 48" above the planking?

  • Can top rails withstand a downward force of 200 lbs.?

  • Are coworkers on the ground protected from falling objects?

  • Are coworkers on the scaffold protected from falling objects?


  • Are rolling scaffolds equipped with locking wheels?

  • Are wheels locked when scaffold is in use?

  • Are ladders provided for access to scaffold work platform?


  • Employees protected from cave-ins, excavations 4'or more?

  • Do excavations 4' or more have a safe means of egress, not more than 25' of lateral travel for employees?

  • Are open excavations barricaded?

  • Is a flag person provided to direct traffic when needed?

Notes / Comments

Crew at time of inspection

J Kokolakis responsible party on site

  • Add signature

Completed by

  • Corey Hires, Jacobs Site HSE Manager

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