Jobsite Safety Inspection

• Job Name

• Job Number

• Project Manager

• Location
  Address

• Crew Size

• Brief Description of Scope of Work

• List of Subcontractors On-Site

• Jobsite Contact Name and Job Title

• Prepared by

• Conducted on

  Date

• Inspector's Signature

  Sign

COVID

• COVID Site-Specific Safety Program posted on site?

  Yes

  No

  N/A

• Are COVID-related postings displayed in an area employees can see? (Handwashing practices, social distancing etc.)

  Yes

  No

  N/A

• Does the jobsite have a designated break area?

  Yes

  No

  N/A

• Are handwashing stations available?

  Yes

  No

  N/A

Required Jobsite Postings and Docs

• Cal/OSHA's "Safety and Health Protection on the Job" posted

  Yes

  No

  N/A

• Code of Safe Practices (COSP) posted

  Yes

  No

  N/A

• Emergency Phone Numbers posted

  Yes

  No

  N/A

• Labor Board Poster with Wage Info etc.

  Yes

  No

  N/A

General Safety Requirements

• Are safety tailgate meetings being conducted and documented on a weekly basis?

  Yes

  No

  N/A

• Are JSAs being completed by Supervisor on a daily basis?

  Yes

  No

  N/A

• Employee ID cards worn and visible by all ACE employees?

  Yes

  No

  N/A

• Is drinking water available onsite?

  Yes

  No

  N/A

• Are toilets available onsite and kept clean?

  Yes

  No

  N/A

PPE

• Hard Hats / If overhead work

  Yes

  No

  N/A

• Safety Glasses

  Yes

  No

  N/A

• High Visibility Vest

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Hearing Protection (As Required)

  Yes

  No

  N/A

• Boots in Good Condition

  Yes

  No

  N/A

• Appropriate Respirator (As Required)

  Yes

  No

  N/A

First Aid

• Employees First Aid/CPR certified onsite?

  Yes

  No

  N/A

• First Aid kits onsite and in compliance?

  Yes

  No

  N/A

• Why not? Explain

  Yes

  No

  N/A

Material Handling/Tools/Equipment

• Are appropriate danger or caution signs in place to notify workers of possible hazards?

  Yes

  No

  N/A

• Are damaged or worn tools removed from service?

  Yes

  No

  N/A

• Are tools inspected, cleaned and repaired regularly?

  Yes

  No

  N/A

• Are materials stored in their designated place and stacked to avoid fall or collapse?

  Yes

  No

  N/A

• Pneumatic/Air tools being used properly according to manufacturer guidelines?

  Yes

  No

  N/A

Hazard Communication

• SDS onsite and available to employees?

  Yes

  No

  N/A

• Are hazardous materials properly labeled?

  Yes

  No

  N/A

• Are hazardous materials properly stored?

  Yes

  No

  N/A

Housekeeping

• Are walkways and working surfaces dry, clean and clear of debris?

  Yes

  No

  N/A

• Are tools, materials, equipment kept clear of walkways to allow for adequate passage and emergencies?

  Yes

  No

  N/A

• Any additional housekeeping issues?

  Yes

  No

  N/A

• Is Forklift being used?

  Yes

  No

  N/A

• Does the operator have a valid certification?

  Yes

  No

  N/A

• Was inspection done prior to starting work?

  Yes

  No

  N/A

• Is forklift in good working condition?

  Yes

  No

  N/A

• Is the seatbelt being worn by operator?

  Yes

  No

  N/A

• Is scissor lift / boom lift being used?

  Yes

  No

  N/A

• Does the scissor lift / Boom lift operator have training and valid certification?

  Yes

  No

  N/A

• Manufacturer's Instructions and ANSI/SIA Manuals Onboard

  Yes

  No

  N/A

• Data Plate and Maintenance Placard - Present and Legible

  Yes

  No

  N/A

• Other Placards, Labels and Decals- Present and Legible

  Yes

  No

  N/A

• Was inspection done prior to starting work?

  Yes

  No

  N/A

• Are ladders inspected on a regular basis?

  Yes

  No

  N/A

• Stickers/weight ratings affixed to ladder and legible?

  Yes

  No

  N/A

• Are damaged/defective ladders immediately tagged out and removed from service?

  Yes

  No

  N/A

• Are employees using ladders as intended?

  Yes

  No

  N/A

Scaffolds

• Does This Project Have Scaffolding?

  Yes

  No

  N/A

• Do all scaffolds have green tags signed off by scaffold erector?

  Yes

  No

  N/A

• Are scaffolds green-tagged and inspected by an ACE Competent Person on a regular basis?

  Yes

  No

  N/A

• Is scaffold free of debris and obstructions?

  Yes

  No

  N/A

• Are scaffolds planks overlapping 12"

  Yes

  No

  N/A

• Are plank gaps less than 1"

  Yes

  No

  N/A

• Are all scaffold ladders, handrails and guardrails properly installed?

  Yes

  No

  N/A

• Toe Boards & Nets In Place?

  Yes

  No

  N/A

Fall Protection (Other)

• Are employees working at heights 6' or more? (not on a scaffold)

  Yes

  No

  N/A

• Are employees wearing the appropriate fall protection based on the scope of work?

  Yes

  No

  N/A

• If no, explain why

  Yes

  No

  N/A

Fire Extinguishers

• Tag signed off every month?

  Yes

  No

  N/A

• Fully charged and in good working condition?

  Yes

  No

  N/A

Hot Work

• Is Hot Work Being Performed?

  Yes

  No

  N/A

• Scope of Hot Work

• Has Hot Work Permit been properly filled out and posted near the hot work being done?

  Yes

  No

  N/A

• Is Extinguisher Within 25ft Of Hot Work

  Yes

  No

  N/A

• Is Fire Blanket Needed and Available?

  Yes

  No

  N/A