JB Holland job site safety checklist

• Audit Title

• Client / Site

• Location
  Address

• Conducted on

  Date

• Document No.

• Prepared by

• Personnel

Posters

• OSHA/State

  Yes

  No

  N/A

• Emergency phone #'s

  Yes

  No

  N/A

• Map to medical facility

  Yes

  No

  N/A

• Emergency action plan

  Yes

  No

  N/A

• SDS updated

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Inspections as Required

• Vehicles and equipment

  Yes

  No

  N/A

• Fire extinguishers

  Yes

  No

  N/A

• Hand/Power tools

  Yes

  No

  N/A

• Ladders

  Yes

  No

  N/A

• Fall protection

  Yes

  No

  N/A

• Rigging

  Yes

  No

  N/A

• Excavation

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

PPE

• Hard hats

  Yes

  No

  N/A

• Safety glasses Z87

  Yes

  No

  N/A

• Safety toed shoes

  Yes

  No

  N/A

• Respiratory protection

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• High visibility clothing

  Yes

  No

  N/A

Ladders

• Extension, legs, rungs, 4 to 1 ratio

  Yes

  No

  N/A

• Step, locked open

  Yes

  No

  N/A

• Inspected before use

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Fall Protection

• Harness inspected prior to use

  Yes

  No

  N/A

• Lanyard inspected prior to use

  Yes

  No

  N/A

• Proper tie off

  Yes

  No

  N/A

• Guard rails, etc

  Yes

  No

  N/A

• Proper anchorage point

  Yes

  No

  N/A

• Proper tie off device

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Excavations

• Utilities located

  Yes

  No

  N/A

• Proper shoring / cutback >5'

  Yes

  No

  N/A

• Spoil piles >2'

  Yes

  No

  N/A

• Access/Egress 25' max. >4'

  Yes

  No

  N/A

• Barricade >6'

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Housekeeping & Sanitation

• Material yard

  Yes

  No

  N/A

• Site areas

  Yes

  No

  N/A

• Enough restroom facilities/Clean

  Yes

  No

  N/A

• Drinking water/ Fresh daily

  Yes

  No

  N/A

• Offices & trailers clean

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Equipment

• Inspections complete

  Yes

  No

  N/A

• Back up alarm working

  Yes

  No

  N/A

• Seat belts used

  Yes

  No

  N/A

• Cab clean of trash

  Yes

  No

  N/A

• Equipment off during fueling

  Yes

  No

  N/A

• Horn used prior to moving

  Yes

  No

  N/A

• Lock box usage

  Yes

  No

  N/A

• Wheel chocks/Blocking

  Yes

  No

  N/A

Rigging Equipment

• Sling/Choker size

  Yes

  No

  N/A

• Safety latches

  Yes

  No

  N/A

• Shackles/Softeners

  Yes

  No

  N/A

• Inspected before use

  Yes

  No

  N/A

• Used properly

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Electrical

• GFCI in use

  Yes

  No

  N/A

• Cords and/or leads undamaged

  Yes

  No

  N/A

• Illumination

  Yes

  No

  N/A

Permits

• Excavation

  Yes

  No

  N/A

• Confined Space

  Yes

  No

  N/A

• LO/TO

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Miscellaneous

• Hole covers

  Yes

  No

  N/A

• Proper barricades

  Yes

  No

  N/A

• Safety forms

  Yes

  No

  N/A

• First aid kits & supplies

  Yes

  No

  N/A

• Flammable signage-fuel

  Yes

  No

  N/A

• Air lines secure-whip check

  Yes

  No

  N/A

• Comments / Notes

• Supervisor signature

  Sign

• Safety director signature

  Sign