Title Page

  • Job Name

  • Checked by

  • Inspection Date

  • All guards to machine (grinders, etc.) in place.

  • All flammable materials clearly marked and safely stored.

  • All used rags, oils, cleaners properly disposed of.

  • Barricades and kick boards installed at hoistway openings.

  • "Men Working Below" signage attached to barricades.

  • All rigging is safely secured and moused.

  • Extension ladders are safely tied off at the top.

  • Employees are wearing hardhats, gloves, and eye protection.

  • All employees wearing fall arrest systems on scaffolding, skips, and when a 4-foot or more fall hazard exists.

  • Scaffold plans are in good condition, are secured, and are laying side-by-side (2 board minimum).

  • No electrical/lighting cords are hanging by metal hooks.

  • No hazards created by GC or other subs have been observed. Confirm lobbies are clear of dangerously stored materials (note hazards below and give to GC).

  • Lockout/Tag-out principles and procedures are being used throughout the job site.

  • Vehicle and forklift inspection: Daily check of brake lamps, turn signals, headlights, brakes, tire pressure, backup sound, backup lamps, horn.

  • No apparent respirable silica hazards are known.

FINDINGS/OBSERVATIONS/RECOMMENDATIONS:

  • Details for any "No" answers above.

CORRECTIVE ACTION TAKEN:

  • Actions taken (or to be taken) to correct any "No" answers above.

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.