Title Page

  • Site conducted

  • Company Name

  • Job No./PM

  • Superintendent

  • Date & Time of Inspection

  • Inspected by

  • Location

ITEMS TO BE CHECKED

  • 1. Fall Exposure

  • 2. Electrical Exposure

  • 3. Struck By Risk

  • 4. Crushed By Risk

  • 5. Concrete Construction

  • 6. Covid-19 Protocol

  • 6a. Are we prescreening all LCC employees daily

  • 6b. Are subcontractors prescreening employees daily

  • 6c. Are employees safe distancing whenever possible

  • 6d. Are employees wearing face covering when necessary

  • 7. Cranes & Elevators

  • 8. Demolition

  • 9. Electrical

  • 10. Excavation / Site Work

  • 11. Fire Protection

  • 12. First Aid

  • 13. Flammable Materials

  • 14. Floor & Wall Openings

  • 15. Gases / Fumes / Dust

  • 16. General Safety

  • 17. Hazard Communications

  • 18. Heavy Equipment Safety

  • 19. Housekeeping

  • 20. Illumination

  • 21. Ladder Safety

  • 22. Lockout / Tag Out

  • 23. Material Handling

  • 24. Material Storage

  • 25. Miss Utility

  • 26. Motor Vehicles

  • 27. Noise Exposure

  • 28. Personal Protection

  • 29. Safety Training

  • 30. Sanitation

  • 31. Scaffold Safety

  • 32. Signs & Barricades

  • 33. Swing Radius

  • 34. Tools

  • 35. Trench Boxes

SIGN OFF

  • Inspector's Name & 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.