Job Site Safety Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Map/Arial Views

• Add media

  Media

PROGRAM ADMINISTRATION

• Emergency numbers / contacts posted or available?

  Yes

  No

  N/A

• Job scope available and understood?

  Yes

  No

  N/A

• Hospital information available?

  Yes

  No

  N/A

• Tailgate meeting performed and documented.

  Yes

  No

  N/A

• First aid kits - job trailer or site vehicle?

  Yes

  No

  N/A

• Emergency action plan posted / up to date

  Yes

  No

  N/A

• Fire extinguisher - trailer or site vehicle?

  Yes

  No

  N/A

HOUSEKEEPING

• Work areas orderly

  Yes

  No

  N/A

• Adequate lighting

  Yes

  No

  N/A

• Job site free of slips, trips and fall hazards

  Yes

  No

  N/A

• Stairways / walkways clear

  Yes

  No

  N/A

• Trash picked up

  Yes

  No

  N/A

• Break areas orderly

  Yes

  No

  N/A

ELECTRICAL / UTILITY

• Insulation intact on cords and wiring

  Yes

  No

  N/A

• Temporary lighting guarded

  Yes

  No

  N/A

• Electrical panels labeled HOT and covered

  Yes

  No

  N/A

• GFCI protection utilized

  Yes

  No

  N/A

• Underground utility locate performed?

  Yes

  No

  N/A

• Lockout procedures utilized

  Yes

  No

  N/A

HAND AND POWER EQUIPMENT

• Hand tools in good working order

  Yes

  No

  N/A

• Electrical cords in good working order

  Yes

  No

  N/A

• All mechanical safeguards in use

  Yes

  No

  N/A

• Handles not broken / splinter free

  Yes

  No

  N/A

EQUIPMENT

• Breaks, lights, signals and alarms operative

  Yes

  No

  N/A

• Daily equipment inspections performed and logged?

  Yes

  No

  N/A

• Spotter utilized?

  Yes

  No

  N/A

• Seat belts worn?

  Yes

  No

  N/A

• Aerial lift - PPE being used

  Yes

  No

  N/A

• Cranes- swing radius protected - level

  Yes

  No

  N/A

• Rigging equipment inspected - tag showing

  Yes

  No

  N/A

BARRICADES AND FENCING

• Roadways and sidewalks protected

  Yes

  No

  N/A

• Job site fenced or barricaded for securement?

  Yes

  No

  N/A

• Open pits or excavations barricaded?

  Yes

  No

  N/A

• Leading edges guarded

  Yes

  No

  N/A

EXCAVATION

• Entry and egress points within 25 feet inside excavations?

  Yes

  No

  N/A

• Spoil set back at least 2 feet

  Yes

  No

  N/A

• Rebar impalement protection

  Yes

  No

  N/A

LADDERS

• Ladders in good condition

  Yes

  No

  N/A

• Side rails extend 36 inches above landing

  Yes

  No

  N/A

• Proper for job and secure

  Yes

  No

  N/A

• Step ladders fully open when in use

  Yes

  No

  N/A

• Placement of ladder safe

  Yes

  No

  N/A

ENVIRONMENTAL CONTROLS

• Silt fence installed and maintained

  Yes

  No

  N/A

• Hazardous materials properly stored

  Yes

  No

  N/A

• Spill containment kit adequate / on site

  Yes

  No

  N/A

FIRE PREVENTION

• Are safety cans being used and properly labeled

  Yes

  No

  N/A

• Propane tanks - barricade installed - labeled -( flammable,no smoking, fuel type)

  Yes

  No

  N/A

• Compressed gas cylinders secured- upright- protected from damage

  Yes

  No

  N/A

• Fire extinguishers immediately available and inspection current

  Yes

  No

  N/A

PPE

• Hard hats worn

  Yes

  No

  N/A

• Gloves available - cut resistant for demo

  Yes

  No

  N/A

• Face shields being used - mason saw or other operations

  Yes

  No

  N/A

• Eye protection

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Safety harness and lanyards utilized with adequate anchorage points

  Yes

  No

  N/A

• Respirators and masks utilized

  Yes

  No

  N/A

• High visible clothing in use

  Yes

  No

  N/A

• On Site Supervisor

  Sign

• Auditor

  Sign