Information

  • Job Site

  • Conducted on

  • Conducted By

Aerial Lifts (Scissor & Boom)

  • Chains latched?

  • Employees wearing fall protection (Full body harness & Retractable lanyard)

  • Are lifts being kept away from floor holes?

Confined Spaces

  • Is the air monitor calibrated?

  • Is all the appropriate equipment in place and working properly?

  • Are employees trained to understand the hazards of the space & equipment?

  • Is the permit completed properly and posted?

Cranes

  • Is the crane inspected and is the inspection in the cab?

  • Is a clearance of at least 10' maintained away from overhead power lines?

  • Is there a qualified signal person?

  • Are the outriggers extended & is the swing radius protected?

Electrical

  • Is all temporary electrical installed properly and inspected (panels closed, off the ground, etc.)?

  • Are GFCI's being used and have they been tested before use?

  • Are cords free from defects (i.e. Ground prong missing, tears in the jacket, etc.)

  • Are workers staying at least 10' away from overhead electrical lines?

Fire Prevention

  • Is there a fire extinguisher at the hot work being performed?

  • Are the fire extinguishers inspected both monthly and annually?

  • Are there fire extinguishers placed at least every 100'?

  • Are combustibles kept 35' away from all hot work or are they covered?

  • Are fuels and Oxygen cylinders kept 20' apart or separated by a 5' half hour firewall or equivalent?

  • Does the flammable storage area have proper signage (No Smoking or Open Flame)?

First Aid

  • Are there first aid kits readily available to employees & are they stocked appropriately?

  • Is there a medical facility nearby and/or is there someone trained in First Aid & CPR?

Floor Hole, Wall Openings & Rooftops

  • Are Holes > 2" covered?

  • Are hole covers marked "Hole" or color-coded and designed to withstand 2 times the intended weight?

  • Are handrails in good condition and able to withstand 200 lbs of pressure downward and outward?

  • Are floor deviations/holes guarded or protected?

  • Are warning line systems set up and have employees been trained on their use and limitations?

Hazard Communication

  • Are Safety Data Sheets (SDS's) available or accessible?

  • Are all substances properly labeled?

Housekeeping & General Conditions

  • Are there adequate trash containers available?

  • Are the exits ands stairs kept clear?

  • Are the walkways free of trip/slip hazards?

Job Site Documentation

  • Are SPA's being completed for each task?

  • Are weekly tool box talks being completed?

  • Is there a Safety Manual on site?

  • Is the doctor panel posted?

Ladders

  • Are ladders free from defects?

  • Are step ladders being used in the open position?

  • Are extension ladders, used for access, placed at the proper angle, secured at the top and bottom & extended 3' above the landing?

  • Are the landings, where extension ladder access are, protected by an offset handrail?

  • Are employees staying off the top 2 steps of step ladders and working in the confines of the ladders rails?

Lighting

  • Is there adequate lighting?

  • Are all bulbs fully enclosed protecting the build from potential damage?

Lockout/Tagout

  • Are employees trained in the application & removal of locks & tags?

  • Are locks and tags being applied correctly?

Overhead Hoisting Equipment

  • Does the equipment have the annual inspection sticker on it & is it inspected?

  • Is the equipment in good working order?

Rigging, Slings, and Hoists

  • Does the equipment have the annual inspection sticker and is it inspected?

  • Is the equipment in good working order?

  • Is rigging equipment inspected prior to use?

  • Is the manufacturer name and capacity clearly marked on the rigging?

  • Are tag lines being used

  • Are softener being used on sharp edges?

Personal Protective Equipment

Hard hats

  • Are employees wearing hard hats?

Eye Protection & Face Protection

  • Are employees wearing safety glasses with side shields?

  • Are employees wearing face shields and safety glasses while grinding or chipping?

Hand Protection

  • Are employees wearing the proper hand protection?

Fall Protection

  • Has the fall protection equipment been inspected by a competent person?

  • Is the equipment free from defects?

  • Is the equipment installed properly to prevent employees from free-falling more than 6 feet or hitting the level below?

  • Are employees properly protected from falling off of rooftops?

Respirators

  • Are employees medically qualified to wear the respirator?

  • Are employees using the right respirator for the hazard?

Postings

  • Is the OSHA 300A Log posted (February 1 to April 30)?

  • Are the federal, state & local postings & emergency #'s posted?

Powered Industrial Trucks

  • Are seat belts being worn?

  • Is the machines's back up alarm working properly?

  • Are pre-use inspections being performed?

Scaffolding

  • Was the scaffolding built by a Competent Person?

  • Is the working platform > 18" & fully decked?

  • If the scaffolding is on wheels: Are holes/deviations covered or guarded to prevent scaffold from going in holes or tipping into deviations?

Stairs

  • Are handrails provide at stairs with 4 or more steps?

  • Is there steps provided at access points > 19"?

Sub Contractors

  • Was the Sub Contractor Orientation Done for all new Subs?

  • Are Sub Contractors working safely?

Tools & Equipment

  • Are tools in proper working order?

  • Do grinders have guards and handles on?

Trenches/Excations

  • Has the Competent Person classified the soil?

  • Is there proper protection in place at excavations > 5'(i.e. shoring/sloping/benching)?

  • Is there proper egress in out of excavations > 4' (ladders every 25')?

  • Are spoils kept at least 2' back from the edge of the excavation?

  • Are daily inspections being completed by the Competent Person?

Vehicles

  • Does the vehicle have an inspected fire extinguisher, emergency triangles, camera & accident reporting kit?

  • Is the back up alarm working and audible?

Welding, Compressed Gas Cylinders, and Cutting & Burning

  • Are weld leads and gas hoses free from defects?

  • Are boots covers in place over lead connections?

  • Are welding screens being used to protect others form UV exposures?

  • Do compressed gas cylinders have flashback Arrestors on them or are they are the torch handle?

  • Are compressed gas cylinders away from grease and oils?

  • Are compressed gas cylinders stored properly? (capped, separated & secured)

  • Do B tanks have keys on the stem?

Other

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.