Title Page
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Site conducted
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Conducted on
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Prepared by
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Project
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Project Manager(s)
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PM Email(s)
Site Summary
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Construction Activities
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Hazard Analysis
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Upcoming Concerns Needing Pro-Active Attention
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Accident and/or injuries to report
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Details
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Site Documentation
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Overall Site Rating
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Reason
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Safety Meeting Held
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Date
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Topic
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Reason
Weekly Inspection
Aerial Lifts
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Employees using full body harness and lanyard
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Fall protection properly tied-off
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Hard hats worn
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Eye protection worn when needed
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Lift used on level, solid surface
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Lift no loaded beyond capacity
Compressed Gases
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Cylinders upright and secured
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Flammables separated from oxidizers (20 ft min)
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Safety caps in place on all stored cylinders
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Cylinders not stored in wet areas
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Cylinders stored away from exits
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Hoses and fittings are in good condition
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Flashback arrestors in safety cans
Concrete & Masonry
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Dust masks used for demolition
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Rebar caps being used
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Walls over 8 ft in height are properly braced
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Exclusion zones set up near walls 8 ft or higher
Confined Spaces
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Confined spaces identified with warning signs
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Entrants and attendants are safe
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Permit obtained before entry
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Egress/access devices are in place
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Cave in protection in place
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Other hazards are guarded against (atmosphere, fire, engulfment, etc.)
Electrical
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GFCI protection in use
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Electrical cords free from damage
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Electrical cords protected from damage
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Ground plugs in place
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Energized panels are covered or barricaded
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Lockout/tag out is utilized
Fall Protection
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Fall protection used at 6 ft or higher
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Open sides and leading edges protected by railing
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Fall protection equipment is in good condition
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Railings are visible and secure
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Substantial anchor points present for proper fall protection
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Slips/trips/falls hazards eliminated
Fire Protection
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Portable fire extinguishers located every 3000 sqft
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Fine extinguishers charged and ready
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Flammable liquids stored in safety cans
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No smoking near flammables/combustibles
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Housekeeping maintained
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Spill retention placed around mobile fuel tanks
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Open flames controlled & monitored
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All parts of exits working properly
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Hot work permit obtained and completed
Illumination
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Temporary lights enclosed in protective cages
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Area properly illuminated
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Lights protected from damage
Signs
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Construction warning signs are in place
Stairways
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Stairs are free of obstructions
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Stairs protected with railings if height exceeds 19 inches
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Metal pan stairs filled prior to use
Egress
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All exits are properly marked
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Exits are clear of debris and other obstacles
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All exits lead to safe areas
Barricading
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All hazard areas are barricaded to prevent unauthorized access
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All fall hazards, open holes, etc. barricaded
Carbon Monoxide
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Indoor worksites ventilated
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Fuel powered equipment kept to a minimum
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Areas monitored for CO
Housekeeping
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Trash cleaned up daily
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Exposed nails and other sharps controlled
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Exit ways kept clear
Hand & Power tools
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Equipment free of damage
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Protective guards in place
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Eye protection being used
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All tools have ground plug or are double insulated
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Users of powder operated equipment are properly licensed
Hazard Communication
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Hazardous containers properly labeled
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SDS sheets are readily available
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Eyewash available in work area
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Chemical PPE used as needed
Ladders
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A-frame ladders fully opened with locking spreader in place
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Ladders used for designed purpose (a-frame not used as straight ladder)
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No standing or sitting on top two rungs
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Type 1 or 1A ladder used
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Straight ladders extending 3 ft over access area
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Straight ladders secured from movement
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All ladders free from damage
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Metal ladders not used around electric
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Ladders used on solid, level surface
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Three points of contact maintained; not climbing with hands full of equipment
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Halyard present on extension ladders
Personal Protective Equipment
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Respiratory protection used as required
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Hearing protection used in areas over 85 dBa
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Safety glasses used at all times when area posted or eye hazard exists
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Hard hats used at all times when posted or overhead hazard exists
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Hi-visibility clothing used at all times when posted or hazards exist
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Workers not wearing sleeveless shirts or shorts
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Work style boots worn at all times; no tennis shoes
Scaffolds
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Erected and dismantled by competent person
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Employees properly trained in use
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Fall protection provided at 6 ft or greater
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Erected on solid, level surface
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Access method provided
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Casters locked when in use
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Feet in place and secured
First Aid Kits
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First Aid kits available on working floor
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Properly stocked and in good condition
Lasers
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Warning sign posted
Material Handling
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Slings etc. free of damage and properly rated
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Lifting equipment has proper capacity
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Hoist hooks provided with throat latch
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Hoisting areas protected against fall hazards
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Fork truck operators trained
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Material and equipment stored in such a way to be clear of exits and hallways and in orderly condition with no tripping hazard
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Safety devices operational and being used
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Crane swing radius protected
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Seat belts used on mechanized equipment
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Pre-operation inspection documented
Asbestos/Lead
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Suspected areas tested
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Positive test areas identified
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Employees using proper PPE
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Other areas protected from exposure
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Areas posted with proper warning signs
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Proper documentation available
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Areas sealed to prevent outside contamination
Silica
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Subcontractor silica control program documented
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Dust controlled via wet method or vacuum
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Masks worn if dust cannot be controlled via wet method or vacuum
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Cutting of block performed outdoors when possible
Documentation
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All required S&H manuals available, updated
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Safety meeting and inspection documents
Steel Erection
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Fall protection, steel erection activities
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Beams 2 bolted prior to release
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Columns 4 bolted and secure
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Organized lay down area
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Concrete curing certificate filed
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Hot work permits/fire watch
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Cable bracing
Trenching and Excavation
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Competent person on site
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Protection installed if over 5 ft deep
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Access ladder or equivalent
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Spoils set back 2 ft or more
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Water free
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Step back slopes
