Information

  • Conducted on

  • Prepared by

  • Address

  • Personnel on Site

Site Access

  • Is ground free of debris and level? Are adequate ramps, stairs, ladders and lighting present?

Housekeeping

  • Are walkways,work areas, and access points clear?

Material Storage

  • Is material properly piled, stacked, bundled, and placed in a safe location?<br>

Personal Protective Equipment

  • Is PPE required To perform task? Are workers wearing proper PPE?

Guardrails

  • Are guardrails located where required, and properly constructed and secure?

Emergency Preparedness

  • Are safety rules and emergency contacts posted? Are fire extinguishers and first-aid kits available?

Fall Protection

  • Is there a risk of workers falling? Is fall protection needed?

Ladders

  • Are ladders installed properly?

Scaffolds

  • Are scaffolds properly erected and secured? Are guardrails in place?

Elevated Work Platforms

  • Are they properly used? Is ground flat and free of debris?

Power Tools and Equipment

  • Good general condition and guards in place?

Temporary Power or Gas

  • Proper location and secured?

Trenching and Excavating

  • Proper signage or controls? Site fencing needed?

Trade Hazards

  • Have any hazards or conditions been left over from previous trades?

  • Signature of 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.