Status

PERSONNEL
Number of Personnel on Site
Number on Day Shift
Number on Night Shift
SCHEDULE
How Many Days Per Week are We Working?
Day Shift Work?
Hours per Shift?
Night Shift Work?
Hours Per Shift?
Names of all General Foreman / Foreman
Foreman

Foreman's Name

Shift
PROJECT PHASE
Number of Weeks We Have Been Working on This Project.
Percent Complete
PROJECT STATUS

Current Phase of the Project

Look Ahead for Next Week

Inspection

PROJECT MANUALS & POSTINGS

Federal & State Posters

Anti-Harrassment

Safety Manual

MSDS

Toolbox Talks

NOI, Employee Warnings, Termination Slips

Weekly Job site Safety Inspections conducted?

FLOORS

Slip, Trip, or Fall Hazards

Openings covered or enclosed

Clean, orderly and free of oil or grease hazards

STAIRS

Uniform height & tread depth

Grating-type tread on exterior stairs

Sturdy railings on all open sides

No storage of materials on stairs

Proper lighting on stairs

SCAFFOLDS

Level and plumb

Proper access to scaffolding

Fully planked

Wheels in locked position when in use

LIGHTING

Illumination level sufficient for work being performed

All temporary lighting cages closed

Temporary lighting on separate branch circuit

Temporary lighting utilizes non-conductive supports

Temporary lighting supported every 10 feet

PORTABLE TOOLS & EQUIPMENT

Electrically grounded

Guards and safety fixtures safe and operable

Personnel trained on their use of tools

Cords in good condition

ELECTRICAL

Panels clearly identified and secured

Only qualified electricians allowed access

Extension cords free of frays and absent of splices

Panel schedules updated

LOCK-OUT TAG-OUT SYSTEMS

Locks with individual keys given to each electrician

Personalized danger tags provided to each person

Lock-out system will reduce power to zero-energy state

All personnel test to confirm zero energy

PERSONAL PROTECTIVE EQUIPMENT

Gloves properly chosen for work performed

100% eye protection in use by personnel

Hard hats used by personnel

Foot protection properly selected for work performed

Hearing protection selected for areas above noise standard (85dB)

LADDERS

Serviceable

Proper use

Not on top two steps

Proper height for the task

Stepladders in the fully opened and locked position

Straight ladders used for access are 3 feet above edge

Proper ratio (4:1)

3 points of contact when ascending and descending

FALL PROTECTION

100 % tied off

Anchor point capable of supporting 5000 lbs.

Utilized while in man-lifts or bucket trucks

EXCAVATION AND TRENCHING

All trenches and excavations have been inspected

Spoil piles located 2 feet from edge

Access & Egress located within 25 feet of personnel

At 5 feet, protective system in place (shielding or shoring)

All soil treated as type 'C' and slipped at 1 1/2 : 1

Excavations over 20 feet designed by Engineer

ADDITIONAL COMMENTS:

Additional Comments?

SIGN OFF
Individual Conducting Inspection
Project Superintendant
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.