Information

  • THIS SITE HAS BEEN RATED:

  • Document No.

  • Job #

  • Job Name

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Incident and Injury Free

  • Everyone participating in stretch and flex?

  • Percentage of co-workers gone through orientation

  • Have this project reported any incident this month?

General Requirements and Posting

  • Is a well stocked first aid cabinet on site and inspected weekly?

  • Is the first aid log posted on the cabinet?

  • Is incident reporting procedure posted?

  • Is the emergency action plan posted?

  • Are toolbox meetings being conducted and documented?

  • Are First Aid / CPR trained co-worker on site?

Personal Protective Equipment (PPE)

  • Are all coworkers wearing hardhats, and eye protection?

  • Are coworkers wearing ear plugs where they are required?

  • Are co-workers wearing face-shield when shipping, blowing the deck or cutting steel?

  • Are co-workers wearing High Vis Vest?

  • Are co-workers wearing appropriate gloves for the task?

  • Are co-workers wearing respirators when graining or working on a dusty environment?

  • Are coworkers wearing proper clothing and work boots?

  • Do coworkers have tarsal guards on during required tasks?

  • Did coworkers inspect PPE prior to the start of their shift?

Personal Fall Arrest System

  • Are coworkers using these system when required?

  • Have the coworkers been trained in the use of these system and using system correctly?

  • Is the equipment installed correctly and in good condition?

  • Are proper tie-off points used?

Sanitation

  • Are toilet facilities adequate and reasonably clean?

  • Are drinking cups and lunch trash placed into the proper trash containers?

  • Are water containers cleaned and clearly marked of the contents and dated?

Fire Protection

  • Have coworkers been trained in the use of fire extinguishers?

  • Are extinguishers inspections current and extinguishers are in good working order?

  • Is there a fire extinguisher within100 feet of all work areas?

  • Is a fire extinguisher located 25 to 75 feet from outside storage tanks and the storage tank(s) grounded?

  • Are adequate "NO SMOKING" signs provided in fuel storage areas?

  • Are portable storage containers properly marked?

Signs and Barricades

  • Are signs and barricades used to protect the public from job hazards?

  • Are leading edge signage in use when needed?

  • Are coworkers trained in the difference between caution and danger tape?

  • Is caution and danger tape being used properly and removed when not needed?

House Keeping, Material Handling, and Rigging

  • Are all aisle-ways and emergency routes clear of materials and debris?

  • Are storage material near guardrails or leading edge?

  • Are nails removed from scrap lumber?

  • Are materials on upper floors secured to prevent displacement?

  • Are non-compatible materials separated?

  • Is rigging inspected daily and in good condition when in use?

  • Are nylon straps free from cuts, frayes, or damage?

  • Do wire ropes have legible tags and free from damage? (Not kinked, crushed or bird caged) ?

Tools

  • Are tools requiring guards equipped and in good working order?

  • Are accessory handles present on drills, grinders?

  • Are carpenters using two hands on saw?

  • Are electrical cords in good condition?

  • Are the data plate on tools legible?

  • Are tools being inspected and used properly for the task?

  • Are hoses on the air compressor secured?

  • Has the saw depth been checked prior to cutting?

  • Are coworkers trained to operate powder actuated tools?

Electrical

  • Are GFCIs being inspected on a weekly basis and in good working order?

  • Are temporary lights properly suspended?

  • Are all electrical boxes, cords, receptacles, breakers, etc. being used for their intended use per NFPA, NEC, OSHA and their CSA rating?

  • Are cords running from boxes protected from cutting or pulling from box?

  • Are extension cords being inspected daily?

  • Are ground pin present on tools?

Ladders

  • Are the spreaders on the step ladders locked?

  • Are ladders inspected and in good condition with all required labels?

  • Do side rails extend 36 inches above landings or ladder extensions installed?

  • Are extension or job made ladders tied off or is an coworker holding the ladder?

  • Are doorways barricades when ladders are set in from of them and a clear access/egress to the ladder?

  • Are coworkers using ladders properly?

  • Are job made ladder built properly (no double-headed nails)?

  • Is the ladder placed at the proper angle (1-4)?

  • Are double ladder or 2nd ladder when 25 + co-workers on deck?

  • Are the manufacturer's labels affixed and legible?

Excavations

  • Are coworkers protected from falling into excavations?

  • Is the competent person present?

  • Are excavations that are 4 feet or deeper in depth properly sloped, benched or shored?

  • Have provisions been made to control water accumulation?

  • Have excavations of 6 feet or more in depth been designed by a Supervisor?

  • Is heavy equipment kept a safe distance from the edge and the spoil pile a minimum of 1m from the excavation?

  • Has proper access and egress been provided? (1 ladder every 25 coworker or every 25')

  • Are the utility locates less then 10 days old and clearly marked?

  • Is excavation properly barricaded and signs posted?

  • Are utility locates clearly communicated with backhoe operator or were they pot-holed to the depth?

  • Are under ground utilities protected while excavation is open?

Floor and Wall Openings, Stairways and Roofs

  • Do all holes (2" or more) or perimeters that are 6 feet or more above a lower level have guardrails or hole covers?

  • Are hole covers secured, marked "hole" or "cover" and capable of supporting intended loads?

  • Are coworkers protected from falling objects?

  • Are stacked materials kept at a safe distance from the toe boards?

  • Do guardrails and stair nails meet WCB requirements?

  • Are steel stair pan treads filled?

  • Is proper fall protection provided when needed?

  • Are stairs and ladders properly constructed (no double-headed nails)?

  • Are guardrail cables flagged every 6' with high visibility material?

  • Is there access/egress for changes in elevation greater than 19" for walking working surfaces?

Structural

  • Is there proper access/egress on elevated decks?

  • Is there proper fire extinguishing equipment available?

  • Are all protruding vertical and horizontal rebar capped?

  • Is shoring and scaffolding installed properly and inspected?

  • Is housekeeping on elevated deck in order?

Heavy Equipment

  • Are seat belts being used by operators?

  • Are riders not allowed on the equipment?

  • Does equipment have a functional back-up alarm?

  • Are the operators driving equipment at safe speeds?

  • Is the operator trained?

  • Has the equipment been inspected and in good working order?

  • Are picking eyes readily available for lifts?

  • Is equipment attended to while running?

  • Is parking brake set and all forks and buckets lowered to ground when equipment is not in use?

  • Does equipment have fire extinguishers and required manufacturer labels?

Welding and Cutting - Supplement A

  • Are all cylinders secured in an upright position?

  • Is proper eye protection being used?

  • Is there at least one 10 lb. extinguisher within 50 feet of oxygen and acetylene storage areas?

  • Are oxygen and acetylene bottles stored 20 feet apart?

  • Is there a fire watch for welding or cutting above combustible materials

  • Is cutting torch in good working order?

Scaffolds - Supplement B

  • Is fall protection provided for coworkers erecting or dismantling scaffold?

  • Are scaffold set on firm, secure footings with base plates and mud sills?

  • Are scaffolding components inspected and in good condition?

  • Has the scaffold been tied off every 25 feet in height (ties must be installed when the height of the scaffold is more than 4 times than the minimum base width)

  • Are scaffold boards properly overlapped and secured? (12")

  • Is fall protection and falling object protection provided?

  • Have coworkers been trained in the hazards associated with scaffolds and scaffold work?

  • Is the area below the scaffolding barricaded or toe-boards erected?

  • Have the scaffolding been inspected and tagged?

Cranes - Supplement C

  • Is the annual inspection current?

  • Are the daily inspections being conducted?

  • Is the operator's manual and load chart in the crane?

  • Has the crane received the proper routine maintenance?

  • Are operator's record of maintenance & crane company work-orders kept?

  • Is there a fire extinguisher on the crane?

  • Is all rigging in good condition and inspected before each use?

  • If outriggers are used, are they on a level surface?

  • Is proper cribbing or matting used?

  • Is the entire swing radius barricaded?

  • Can the crane operator see the signal-person?

  • Are the WCB approved hand signals being used?

  • Are two way radios being used to communicate with the opperator?

  • Are cranes located a safe distance from power lines?

  • Is the rigging appropriate for the lift?

  • Are tag-lines being used to control the load?

  • Is weather conditions adequate for lifts?

  • Is the crane appropriately sized?

  • Is there a copy of the crane operator's qualification on file?

Aerial Lifts - Supplement D

  • Are coworkers using proper fall protection?

  • Are coworkers remaining on the platform at all times?

  • Is the gate or chain closed when occupied?

  • Are lifts set on level ground, per manufacturer's recommendations?

  • Is operator trained?

  • Are tools and materials secured from displacement?

  • Has the equipment been inspected prior to use?

  • Is the lifting capacity visible and appropriate for the task?

  • Are lanyards / retractable attached to proper anchorage points?

Hazard Communication

  • Do the co-workers know the location of the master MSDS book?

  • Are MSDS sheets maintained on each product in use?

  • Are MSDS labels on each chemical container that is unmarked?

  • Are co-workers properly trained on hazardous chemical present?

Office Trailer

  • Are office trailer clean and organized?

  • Have all waste bins emptied?

  • Are electrical panels secured and safe?

  • If generator is used it is at a safe distance and have fire extinguisher within 25'?

  • This inspection reflects the condition of the job-site at the time of inspection and is limited by the portion of the site that was inspected

  • This audit should be done on a daily basis by the Supervisor as a group with the coworker and turned in to the Safety Department.

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  • Supervisor Name

  • Select date

  • Personnel Present

  • "COMMITTED TO CREATING A HEALTHY LIFE, FREE OF INJURY, FOR ALL CO-WORKERS"

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.