Information

  • General Contractor name

  • Jobsite

  • Conducted on

  • Prepared by

  • Area of inspection, i.e. forth floor or penthouse, etc.
  • Lead or Foreman

1. House keeping

  • 1.1. Materials and debris not allowed to accumulate?

  • 1.2. Clear access to and from job task maintained?

  • 1.3. Work area has sufficient safe lighting?

  • 1.4. Be sure not to start work if another trade is working above you.

2. Equipment Inspection

  • 2.1. Has equipment been inspected before use and documented?

  • 2.2. Operators and others using seat belt or tied off in equipment?

  • 2.4. Are operators current with training and license ?

  • 2.5. Equipment left in safe condition and placement?

  • 2.6. Are Barricades in place under over head work?

3. Scaffolds

  • 3.1. Scaffold erection supervised by competent person?

  • 3.2. Scaffold parts are not damaged or mixed manufacturer?

  • 3.3. Has the inspection been documented?

  • 3.4. Ladder access available and secured to structure at 4:1 ration?

  • 3.5. Scaffold fully planked and complete guardrail system?

4. Lifting Equipment

  • 4.1. Are provisions in place so not to lift loads over workers?

  • 4.2. Has rigging equipment been inspected and documented at least 1X monthly?

  • 4.3. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

  • 4.4. Lifting equipment missing lifting tags?

  • 4.5. Are riggers certified with current validation?

  • 4.6. Swing area barricaded and not closer than 15 feet from overhead electrical?

5. PFAS (arresting and restraint)

  • 5.1. Are tethers used while working at perimeter of building?

  • 5.2. Proper selection of connector for height working?

  • 5.3. Harness components are inspected before each use?

  • 5.4. Are anchor point adequate to hold 5000 lbs?

  • 5.5. Safety rescue plan in place in the case of an emergency?

  • 5.6. Users are have donned harness in proper fashion and following safe protocol?

6. Ladders

  • 6.1. Have ladders been inspected for damage?

  • 6.2. Unsafe positioning of ladders? i.e. using a ladder other than intended by manufacturer, blocking a doorway?

  • 6.3. Ladder not properly secured?

  • 6.4. Ladder unsuitable for job? (i.e. other than heavy duty- so no green color ladders by Werner) ?

7. Protection from repetitious manual tasks

  • 7.1. Are provisions given to ergonomics of each manual task?

  • 7.2. Are there adequate workers to rotate during manual labor?

  • 7.4. When carrying long loads, (8 foot or more) are 2 employees utilized?

8. Hazardous Chemical (including fuel and oil)

  • 8.1. Are flammables stored away from entrance to buildings or connex?

  • 8.2. Do employees have access to SDS sheets on job site?

  • 8.3. Are emergency procedures in place, i.e. fire extinguishers and spill containment?

  • 8.4. Are flammable chemicals in a cabinet or less than 25 gallons in one area?

  • 8.5. Are employees using proper safety methods under SDS guideline?

11. Personal Protective Equipment (PPE)

  • 11.1. Is proper PPE available to employees?

  • 11.2. Are employees using PPE correctly and caring for same?

  • 11.3. Is all PPE used as per GC and JT Murphy requirements?

12. Silica Protection

  • 12.1. Is the task a silica dust producing task?

  • 12.2. Are table 1 safety methods being used completely?

  • 12.3. When cutting, chipping or grinding are 2 forms of face/eye protection used?

13. Electrical Hazards

  • 13.1. Have cords and tools been inspected prior to use?

  • 13.2. GFCI used with every electrical cord and tool?

  • 13.3. Leads placed on ground creating trip hazard?

  • 13.4. Electrical equipment near water?

  • 13.5. Electrical equipment near flammables?

  • 13.6. Electrical cords over sharp metal studs?

14. Employee wellness

  • 14.1. Areas available to cool down or warm up during extreme weather conditions?

  • 14.3. Drinking water available for all employees on site?

  • 14.4. Emergency evacuation plan is active and understood by employees?

15. Administrative Procedures

  • 15.1. Is there an SSSP written for job and understood by team?

  • 15.2. Have all required permits been completed before starting task?

  • 15.3. Is there at least one competent person on site while work is active? Who?

  • 15.4. Is competent person adequately trained for task?

  • 15.5. Has a safe work plan been written and reviewed by team for high risk tasks?

  • 15.7. Have safety inspections and tool box talks been completed?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's signature

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.