• Project name

  • Location
  • Conducted on

  • Document No.

  • Prepared by: Rob Rose

  • Portion inspected

  • C.S.O. and / or First aid person responsible for site safety

  • Number of workers on site during inspection:

  • Number of infractions and recommendations

  • Action date for compliance

  • CC: Site Superintendent:

  • CC: Project Manager:

Site progress photo

  • Add media

Public access

  • Site entrance

  • Hoarding and fencing

  • Sidewalks and walk ways

  • Site staging area

  • Traffic control measures , site signage ie, sidewalk closed, do not enter, construction ahead etc.

General site conditions

  • Site signage, ie, site rules, PPE warnings

  • General housekeeping ,ease of access and material stock pile

  • Dowel protection in place

  • Floor openings covered and secured

  • Ladders and scaffold

  • Machinery and equipment

Emergency procedures

  • Site plan posted and up to date

  • Emergency boxes

  • D.E.P. Box


  • Safety head gear and foot wear

  • Eye and hearing protection

  • Respiratory protection

  • Appropriate clothing

Electrical conditions

  • G.F.I.C.'s in use

  • Lighting conditions

  • Lockout and Hi voltage

  • Electrical tools and power cords

  • Power lines tagged , under ground warnings, 30M33 "Assurance in writing" form

Fall Protection conditions and procedures

  • Guardrails and handrails

  • Fall Protection procedures and site specific plans

  • Training and documentation

  • Equipment condition

  • Elevated devices I.e. boom & aerial lifts, including current logs and inspections for them


  • Daily inspections

  • Tool box talks

  • Peak Monthly trade safety coordination meetings

  • Last months Peak Monthly Site Safety Inspection posted

  • Most recent Peak JOSH meeting posted

  • Orientations

  • Safe Work Practices and Safe Job Procedures

  • OH&S Programs on site

  • First aid record book

  • Work Safe BC Inspection Reports

  • WHMIS and MSDS

Disciplinary Action

  • Have any disciplinarian actions been written this month?

Incident and Near Miss reporting

  • Have any incidents or near misses occurred this month?

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.