• Project / area inspected:

  • Inspectors:

  • Select date

Administration / Program:

  • First aid trained personnel on project, mutual aid contacted and verified.

  • Safety bulletin board with safe workdays posted and current safety information.

  • (Sub)Contractors competent persons identified.

  • CM weekly safety meetings held with (Sub)contractors supervision.

  • MSDS provided to Merck, maintain in field office.

  • Job Safety Analyses / risk assessment / method statement completed as needed / required.

  • Distracted working and outside influences are addressed in planning.

  • Daily task safety planning completed, and white board coordination meetings help.

  • SOR program in place, & feedback given to craft.

  • Emergency phone numbers posted in office areas and field.

  • Drinking water & wash facilities.

  • Toilet facilities available, accessible and clean.


  • Contractors inspect work areas daily.

  • Job site organized, not cluttered

  • Walking surfaces clear, clean, trip hazard eliminated

  • Trash / construction debris emptied regularly, disposal area neat, receptacles available.

  • Nails, scrap metal / wood picked up from previous days

  • Materials storage, proper segregation, stacked properly, chocked, no danger of falling.

  • Site perimeter maintained

Personal Protective Equipment PPE:

  • Hard hats, safety glasses, class II high visibility work vest, safety toe work boot, task appropriate gloves meets GES requirements.

  • Safety glasses with secure side shields being worn.

  • Face shields / goggles worn where appropriate

  • Hearing protection used where appropriate

  • Glove program in effect & meets GES requirements

  • Respirators / dust mask worn where appropriate, program in place, fit test etc

Fall Protection:

  • 100% fall protection used above 6 feet (EU 2 m)

  • Full body harness worn (incl. high reaches) inspection certificates available

  • Fall protection equipment in good shape and inspected

  • Anchorage points for fall arrest meet required ratings

  • Lanyards with shock absorbers and double locking clips

  • Perimeter guarding provided, perimeter cables or wire rope properly installed

Fire Safety & Emergency Procedures:

  • Proper fire extinguishers available and inspected

  • Used rags in labeled metal cans with cover

  • All walkways, stairs, access, egress free of combustibles

  • Trained fire watch on duty during hot work - area monitored after hot work completed

  • Workers know evacuation alarm signals and evacuation routes

  • First aid kit policy established and followed (CM or contractor provided)

  • Eye wash stations provided in field

  • Sprinkler heads unobstructed

  • Temporary heaters, ventilation, dehumidifiers, lighting properly installed

General Safety:

  • Work area barricaded, access limited

  • PPE signs posted near access points, safety posters, signage, banners in field

  • Flaggers for mobile equipment movements

  • Containers, chemical materials labeled (labels legible)

  • Fuels, flammable materials stored properly

  • Temporary lights provided where needed. Adequate task lighting provided as appropriate.

  • Temporary power provided, in good working order

  • Equipment / tools in good working condition

  • Equipment / tool guards in place, where needed

Ladders / Stairs / Scaffolds:

  • Proper types of ladders being used

  • Ladders in good operating condition, inspected and stored properly

  • Extension ladders tied off, and/or footed and secure, extended 36" (EU 1 m) above landing, 4/1 slope maintained

  • Stairs provided where needed >19" (EU >0.5 m), secured. Stairs greater than 4 risers equipped with hand rail

  • Scaffolds erected properly, mobile scaffolds with rollers locked when in use, all scaffolds tagged correctly,and inspected daily.

  • Holes / penetrations protected with secured covers labeled HOLE or barricaded. Hole cover removal / replacement procedure in place.

  • Backup alarms, horns on mechanized equipment

Welding, Cutting:

  • Compressed gas cylinders secured with chain, capped when not in use, separated flammable/oxygen by 20 feet or 30 min fire wall, hoses and cables in good condition, flash back equipped.

  • Hot work permit in use, fire watch established

  • combustible material within 35 feet of hot work cleared or covered.

  • Welding screens used where needed

Lifting / Rigging:

  • Lifting and crane area barricaded, no lifting over personal, rigger and Flagger in place

  • Crane usage approved, pre-lift checklist completed, operator certification on hand. Daily and annual crane inspection documented

  • Tag lines used to control loads

  • Rigging equipment used properly, in good condition

Excavation / Confined Spaces:

  • Trenches / excavations sloped properly or shored and barricaded

  • Adequate access in / out of excavations (max 25') (EU max 7.5 m)

  • Spoils, tools, etc kept 2 feet (EU 0.6 m) back from excavation edge

  • Soil classification identified

  • Ventilation used for confined spaces

  • Confined space; personnel properly trained

  • Confined space; retrieval equipment available and usedropriately

  • Confined space; standby attendant present, communication means available

  • Confined space; air monitoring (including continuous) performed

Motorized Equipment:

  • Mechanized equipment used properly

  • Proper inspections performed / documented

  • Rollover protection in place and maintained

  • Seat belts used by all operators

Electrical Safety:

  • Cords in good condition, no cuts or repairs W / tape cables secured and off floor to minimize trip hazard

  • All electric extension cords inspected within last month (color coding)

  • GFCIs used for lead cords, GFCIs tested monthly

  • Grounding in working order on power tools, equipment

  • Temp electrical panels labeled, grounded

  • Conduit tightly connected to junction / outlet box, all breakers labeled and field outlets w/ circuit#

  • Adequate illumination

  • Temporary wiring; power / lighting isolated from building structure and not presenting trip hazard

  • Precautions taken where overhead lines are present, no work within min 20' (EU 6 m) clear

Hazardous Work (Permits):

  • Required permits completed properly, posted

  • Fire watch present for high energy (class A) hot work

  • Flammable / combustible materials removed from hot work area

  • Hazardous energy sources locked out properly


  • Containment for petroleum products adequate and in good condition (no debris, rainwater accumulated)

  • Petroleum tank / containment inspections and inventory adequately documented

  • Storm sewers protected

  • Threading machine catch box in place

  • Drip pans in place for equipment such as generators and welders

  • Containers labeled & closed when not in use

  • Chemical storage away from storm sewers and on impervious surface

  • Erosion and sedimentation control at project site (silt fences, tarps, mulching, as necessary)

  • Roll-offs labeled (contents, date waste first placed in container, designated non-haz or hazardous waste), covered and in good condition.

  • Appropriate residual waste handling, accumulation and disposal

  • Lay down in appropriate areas (not on unimproved landfill)

  • Dust generation minimized / controlled

Other / Miscellaneous:

  • Safety culture measurement plan in place. (Hearts and minds)

  • Safety surveys are being done to gain feedback.

  • Safety mentoring program is in place

  • Comments and Notes:

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.