Information
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Job Number/Name/Foreman
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Conducted on
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Prepared by
General Work Environment
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Are all work areas clean?
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Trash bin(s) available?
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Are aisles, walkways, doorways, and exit routes kept clear and unobstructed?
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Are toilets and washing facilities provide, kept clean, and safe?
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Are SDS on site in an area that is readily accessible to all employees?
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Are required postings DOL, Code of Safe Practices, etc.?
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Are weekly "tool box" safety meetings held?
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Is material piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, rolling, or spreading?
First Aid and Emergency Equipment
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Are emergency telephone numbers posted on the job site?
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Is there at least one person on site trained in first aid and CPR?
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Are first aid kits easily accessible?
Fire Protection and Prevention
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Is there at lease one ABC fire extinguisher for every 3000 sq ft of work area?
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Are fire extinguishers clearly visible and unobstructed at all times?
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Are fire extinguishers inspected monthly for proper tags, pins, hoses not cracked or plugged, fully charged, and tags up to date?
Fall Protection
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Are holes and other floor openings guarded by a grate, cover, guardrail, or equivalent on all sides (except at entrances to stairways or ladders)?
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Are fall protection harnesses and lanyards used by every employee working 6 feet or higher?
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Where a job site has protruding steel rebar or other protrusions below the work level, are they protected by covers to prevent impalement injuries?
Portable Ladders
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Are ladders being used for their designed purpose only? (Step ladders/Extension ladders)
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Do they have the appropriate labels?
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Are they in good condition?
Personal Protective Equipment
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Is the appropriate PPE worn by employees?
Materials - Handling, Storage, Use, and Disposal
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Chemicals being stored and labeled correctly?
Scaffolding
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Was the scaffold inspected prior to use and scaffold tag properly filled out?
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Are scaffolds in good working condition with no damage or missing parts?
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Have toeboards been installed to prevent falling objects?
Electrical
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Are all cord-connected, electrically-operated tools and equipment double insulated or effectively grounded?
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Are ground-fault circuit interrupters provided on all temporary electrical circuits?
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Are all electrical rooms/panels secured and have proper signage?
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Are all electrical cords inspected, protected from damage and in good working condition (i.e. no splices, frays, or the ground prong is removed)?
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LOTO in place?
Trenching and Shoring
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Are spoils, materials, and equipment set back a minimum of 2 feet from edge of the excavation?
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If deeper than 6 feet, is there protection from falling?
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Is an appropriate ladder available in all trenches that are 4 feet deep or more?
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If deeper than 5 feet, is there cave-in protection?
Power-Actuated Tools / Hand and Power Tools
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Are employees who operate power actuated tools properly trained and carry a valid operator's card?
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Are grinders, saws, and other tools with moving parts, equipped with appropriate safety guards to prevent physical contact with moving parts?
Traffic Control
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Have flaggers been properly trained and carry their flagger certification card?