Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Foreman

  • Job Type

Jobsite Safety Inspection

General

  • Is the general work area neat and orderly?

  • Is trash and debris being placed in proper receptacles?

  • Does the Foreman know the MedCor reporting process?

  • Is there a first aid kit available?

  • Is there a fire extinguisher readily available?

Slip, Trip & Fall Protection

  • Are all hoses, cords, cables, metal banding, shovels, rakes etc. placed neatly away from walk ways?

  • Is the inside of the truck kept tidy and organized to prevent tripping hazards?

Personal Protective Equipment (PPE)

  • Are hard hats being worn when working below grade or around excavation equipment?

  • Are work boots work by all employees?

  • Are gloves, earplugs, safety glasses, mask(respirator) PPE readily available to all employees?

  • Are all forms of PPE worn by employees in good condition?

Excavation & Trenching

  • Is the crew aware of all potential existing utilities in the work area?

  • Is the crew aware of all overhead electrical lines in he work area?

  • Are all utilities marked?

  • Are excavations more than 5 feet deep protected from cave in by proper shoring or benching?

  • Are spoil piles kept back from the excavation edge by at least 2 feet?

  • Are excavation areas where crews are not actively working protected by barricades, fences or parked machines?

Hand & Power Tools

  • Are all tools stored neatly and protected from damage?

  • Are all power cords and extension cords free from cuts, frays and other damage?

  • Are all guards on tools in place and in working order?

  • Are all hands tools clean and in good repair?

Heavy Equipment & Excavators

  • Are all backup alarms functioning properly?

  • Are all seatbelts functioning and being used?

Heat & Hydration

  • Do all employees have access to cool shaded area to take breaks?

  • Do all employees have access to water?

Corrective Action

  • Do any areas need corrective action?

  • What corrective action was taken?

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.