Information

  • Document No.

  • Job Number

  • Job Name

  • Conducted on

  • Prepared by

  • Location
  • Supervisor

General Site Safety

  • State, Federal, and OSHA posters posted?

  • Company safety manual readily available?

  • First aid kits available?

  • Emergency contact information posted?

General Housekeeping

  • Site is neat and organized?

  • Work areas clear from obstructions?<br>

  • Adequate lighting?

  • Are impalement hazards protected?

Fire protection

  • Fire extinguishers readily available?<br>

  • Fire extinguishers charged?

  • Fire extinguishers inspected and tagged?

  • Flammable materials properly stored?

  • Gas cylinders properly stored and secured?

  • Hot work/burn permits used when necessary?

PPE

  • Hard hats

  • Safety glasses

  • Hand protection

  • Hearing protection

  • Respiratory protection<br>

  • Safety vests<br>

Electrical Safety

  • Cords inspected and in good shape?

  • GFCI in use

  • Cords protected from damage? (metal stud track, door ways, etc)

  • Proper clearance from overhead power lines?

  • Temp lighting properly hung?

  • Lockout/tagout

  • Electrical rooms and panels properly labeled and protected?

Fall protection

  • Do workers above 6 feet have proper fall protection?

  • Body harnesses being properly adjusted and worn?

  • Floor and deck openings labeled and protected?

  • Workers below protected from falling objects?

  • Unprotected edges properly protected?

Tools

  • Power tools being used properly?

  • All guards in place?

  • Tools are maintained and in good condition?

Scaffold

  • Scaffold components are in good condition

  • Proper access to the scaffold

  • Erected on solid ground with base plates and mud sills<br>

  • Guard rails in use after 10 foot elevation<br>

  • Secured to structure after exceeding 4:1 ratio (height:base width)

Excavations and Trenching

  • JULIE

  • Proper protection for trenches deeper than 5 feet (benching, sloping, shoring, or trench boxes)

  • Means of egress every 25 feet

  • Spoil piles and equipment minimum 2 feet from edge of excavation

Cranes and Lifting

  • Proper rigging<br>

  • Rigging is in good shape

  • Swing radius protected

  • Is crane on stable ground with proper cribbing under outriggers?

Aerial Lifts

  • Body harnesses for boom lifts<br>

  • Scissor lift safety chain or gate closed<br>

SDS/MSDS

  • SDS sheets available

  • Containers properly labeled

Corrective Actions

  • Corrective actions to be taken, by who, and when

Sign Off

  • Auditor

  • Site representative

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.