Information

  • Job Site

  • Project Description

  • Conducted on

  • Prepared by

  • Foreman

  • Crew Members

Cuts, Scraps and Abrasions (PPE)

  • Safety Glasses

  • Face Shield

  • Hearing Protection

  • Safety Shoes

  • Hard Hat

  • Respiratory Protection

  • Safety Vest

  • Correct Gloves For The Task

  • Jewelry Standard Being Followed

Slips, Trips and Falls

  • No Tripping Hazards

  • No Slippery Working Surfaces

  • No Unprotected Head Knockers

  • Proper Lighting

  • Cords Properly Taped and Routed Overhead

  • GFCI Circuits In Use

  • Ladders Used Properly & In Good Working Condition

  • Scaffolding Erected Properly

  • Fall Protection Properly Inspected

  • Full Body Harness In Use - Post Fall Rescue Plan Complete

  • Proper Tie Off - Aerial Lift OSHA Compliant

  • Safety/Ground Watch Required and In Place

  • Signs And Barricades In Place

  • Area Clutter Free / Good Housekeeping Standards

  • Materials Stored Properly

  • MSDS On Site And Available

  • Equipment And Tools Properly Stored After Use

Lock Out / Tag Out

  • Gang Box In Use

  • Individual Locks In Use

  • Confined Space Entry Permit(s) Required

  • Line Breaking Permit Issued

Fire Prevention

  • Hot Work Permit(s) Completed

  • Fire Watch In Place

  • Proper Extinguisher Readily Available

Sign Off

  • Foreman On Site

  • Inspector

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.