Jobsite Safety & Environmental Checklist

• Site conducted

• Conducted on

  Date

• Prepared by

• Location
  Address

• Weather

• Number of People on sign in sheet

• Date and Time of Inspection

  Date

HAZCOM and 1st Aide

• SDS onsite

  Yes

  No

  N/A

• Safety Manuel onsite

  Yes

  No

  N/A

• Site Safety Plan if required

  Yes

  No

  N/A

• Trained 1st Aid personnel available

  Yes

  No

  N/A

• Emergency Procedure in Place

  Yes

  No

  N/A

• 1st Aid Kits Available

  Yes

  No

  N/A

• Hazardous Waster Spill Kits Available

  Yes

  No

  N/A

PPE

• Hards Hats being worn

  Yes

  No

  N/A

• Safety Glasses being worn

  Yes

  No

  N/A

• Face Sheilds being worn when required

  Yes

  No

  N/A

• Welding Helmet when required with correct shade classification

  Yes

  No

  N/A

• Hearing Protection when required

  Yes

  No

  N/A

• Foot Protection

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Respiratory worn when required

  Yes

  No

  N/A

Housekeeping

• Storages Areas, aisles and walkways clear

  Yes

  No

  N/A

• Materials neatly piled and stacked

  Yes

  No

  N/A

• Refused Piles Removed

  Yes

  No

  N/A

• Containers are properly labeled

  Yes

  No

  N/A

• Spills Cleaded up

  Yes

  No

  N/A

Fire Protection

• Fuels in proper label containers

  Yes

  No

  N/A

• Fire Extinguishers Provided

  Yes

  No

  N/A

• Liquids properly stored and labeled

  Yes

  No

  N/A

Ladders and Scaffolding

• Damaged ladders are removed and tagged

  Yes

  No

  N/A

• Access ladders extend 3ft above landing

  Yes

  No

  N/A

• Access ladder(s) are secure

  Yes

  No

  N/A

• Scaffolds not overloaded

  Yes

  No

  N/A

• Guardrails installed as required

  Yes

  No

  N/A

• Plankings are scaffold grade

  Yes

  No

  N/A

• Access ladders provided for scaffolding

  Yes

  No

  N/A

Concrete and Masonry

• Reinforced steel is capped

  Yes

  No

  N/A

• Masonry walls braced as required

  Yes

  No

  N/A

Fall Protection

• Guardrails Installed and properly set

  Yes

  No

  N/A

• Perimeter cables installed and flagged

  Yes

  No

  N/A

• Fall arrest systems are being worn

  Yes

  No

  N/A

• Holes are properly covered

  Yes

  No

  N/A

• Wall opening are properly protected

  Yes

  No

  N/A

Electrical

• Lighting is sufficient for work

  Yes

  No

  N/A

• Extension cords are grounded

  Yes

  No

  N/A

• Damaged cords are removed and tagged

  Yes

  No

  N/A

• Exposed electrical components are guarded

  Yes

  No

  N/A

• GFCI are used when possible

  Yes

  No

  N/A

• GFCI Pigtails being used when required

  Yes

  No

  N/A

Tools

• Pneumatic lines are secured

  Yes

  No

  N/A

• Training for Powder Actuated Tools

  Yes

  No

  N/A

• Damaged tools removed and tagged

  Yes

  No

  N/A

• Electrical tools are damaged

  Yes

  No

  N/A

• Guards on tools in place when required

  Yes

  No

  N/A

Welding and Cutting

• Cylinders are stored upright, with Caps

  Yes

  No

  N/A

• Cylinders away from electrical contract

  Yes

  No

  N/A

• Hot Work Permit obtained when required

  Yes

  No

  N/A

• Regulators installed and functional

  Yes

  No

  N/A

• Fire Watches in place when required

  Yes

  No

  N/A

Hoisting and Lowering Machinery

• Lift Plan is onsite and approved

  Yes

  No

  N/A

• Cranes are properly inspected

  Yes

  No

  N/A

• Rigging equipment inspected before use

  Yes

  No

  N/A

• Back Up alarms functional

  Yes

  No

  N/A

• Clearance to overhead power lines

  Yes

  No

  N/A

Excavcation and Trenching

• Underground utility installations are located

  Yes

  No

  N/A

• Excavations are protected from cave ins

  Yes

  No

  N/A

• Spoil piles and materials 2ft from the edge

  Yes

  No

  N/A

• Permit filled out when required

  Yes

  No

  N/A

• Means of access, egress available

  Yes

  No

  N/A

• Air Monitoring Conducted

  Yes

  No

  N/A

• Rescue equipment conducted

  Yes

  No

  N/A

• Employees trained

  Yes

  No

  N/A

Aerial Work Platform (AWP)

• Equipment inspected before use

  Yes

  No

  N/A

• Employees trained

  Yes

  No

  N/A

• Employees wearing fall protection

  Yes

  No

  N/A

• Lift is for proper terrain

  Yes

  No

  N/A

General Jobsite Conditions

• All employees orientated

  Yes

  No

  N/A

• All employees drug tested

  Yes

  No

  N/A

• Drinking water available

  Yes

  No

  N/A

• Bathrooms available

  Yes

  No

  N/A

• Toolbox Talks conducted weekly

  Yes

  No

  N/A

• All accidents/incidents/near misses reported

  Yes

  No

  N/A

Environment Health

• Jobsite Regulatory Compliance

  Yes

  No

  N/A

• Required Permits Posted

  Yes

  No

  N/A

• Erosion controls in place

  Yes

  No

  N/A

• Containers free of leaks and labeled

  Yes

  No

  N/A

• Secondary containment free of leaks

  Yes

  No

  N/A

• Dust control measures taken

  Yes

  No

  N/A

• Storm water management

  Yes

  No

  N/A

• SDS adn Safety Manuel On-Site

  Yes

  No

  N/A

• Trained 1st Aid Personnel Available

  Yes

  No

  N/A

• Emergency Procedures in Place

  Yes

  No

  N/A

• 1st Aid Kits Availavble

  Yes

  No

  N/A

• Hazardous Waste Spill Kits Available

  Yes

  No

  N/A

• Hard Hats

  Yes

  No

  N/A

• Eye and Face Protection

  Yes

  No

  N/A

• Hearing Protection when Required

  Yes

  No

  N/A

• Foot and Hand Protection

  Yes

  No

  N/A