Job Site Safety Inspection

• Job Site Safety Inspection

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Yes

  No

  N/A

• Executive Summary (Items Noted)

General

• Vehicle parked to pull out?

  Safe

  At Risk

  N/A

• Housekeeping (trash & debris removed, proper storage of material)?

  Safe

  At Risk

  N/A

• SDS binder-works app available? Do employees know where SDS information is on the job site?

  Safe

  At Risk

  N/A

• Silica plan is being followed with effective dust controls?

  Safe

  At Risk

  N/A

PPE

• PPE being worn? ( gloves, glasses, hard hats, etc.)

  Safe

  At Risk

  N/A

• PPE in good condition?

  Safe

  At Risk

  N/A

• Specialty PPE ( arch flash, respiratory, Kevlar, ect. )?

  Safe

  At Risk

  N/A

Hand and Power Tools

• Using the right tool for the task?

  Safe

  At Risk

  N/A

• Tools in safe condition?

  Safe

  At Risk

  N/A

• Line of fire hazards?

  Safe

  At Risk

  N/A

Fall Protection

• Fall protection needed? If so, is it being used and appropriate?

  Safe

  At Risk

  N/A

• Fall Protection equipment in good condition?

  Safe

  At Risk

  N/A

• Other ( falling object protection, warning lines, safe roof access, ect.)?

  Safe

  At Risk

  N/A

Fire Protection / Prevention

• Fire extinguishers ( accessible, identified, charged)?

  Safe

  At Risk

  N/A

• Hot Work ( fire watch, fire blankets, permit, debris clear)?

  Safe

  At Risk

  N/A

• Fuel Storage ( location, container, extinguisher, traffic protection)?

  Safe

  At Risk

  N/A

Ladders

• Step Ladders ( stable, proper use, inspected, non- conductive)?

  Safe

  At Risk

  N/A

• Extension Ladder (4V:1H, secured at top, 3’ above landing, 3 points of contact)?

  Safe

  At Risk

  N/A

• Fixed Ladder (Safe access, caged, fall protection )?

  Safe

  At Risk

  N/A

Electrical

• Safe electrical work practices ( LOTO, electrical rated gloves, arch flash gear, ect.)?

  Safe

  At Risk

  N/A

• Extension cords in safe condition?

  Safe

  At Risk

  N/A

• GFCI being used?

  Safe

  At Risk

  N/A

Mobile Equipment

• Aerial & Scissor lifts ( proper use, fall protection, inspected)?

  Safe

  At Risk

  N/A

• Forklifts ( proper use, seatbelt worn, inspected)?

  Safe

  At Risk

  N/A

Cranes

• Set Up ( barricaded, level, power lines 20’)?

  Safe

  At Risk

  N/A

• Operation ( load path, tag lines, signal person, PPE being worn)?

  Safe

  At Risk

  N/A

• Sling Condition ( wire rope, synthetic, hardware)?

  Safe

  At Risk

  N/A

Excavations

• Excavation safe ( inspected, utilities located, competent person on site)?

  Safe

  At Risk

  N/A

• Access / Egress @ 4’ (ladder, ramp, within 25’)?

  Safe

  At Risk

  N/A

• Protection @ 5’ ( slope, bench, shore)?

  Safe

  At Risk

  N/A

TWC

• Think - Preplanning, eyes and mind on task?

  Safe

  At Risk

  N/A

• Watch - Proper lifting techniques? Safe body position?

  Safe

  At Risk

  N/A

• Control - Line of fire hazards? Work area surrounding awareness?

  Safe

  At Risk

  N/A

Other ( Action Items )

• Miscellaneous or safety items not captured in categories?

  Safe

  At Risk

  N/A

• What Safety Best Practices were observed?

  Safe

  At Risk

  N/A

• Add signature

  Sign