• Document No.

  • Job #

  • Job Name

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Incident and Injury Free (IIF)

  • Is the IIF board posted and updated?

  • Is supervision participating in stretch and flex?

  • Is supervision participating in the MTA's

  • Percentage of co-workers gone through IIF orientation

  • Have this project reported any incident this month?

OSHA and B | DC, 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 5-in-1 poster & emergency action plan posted?

  • Are toolbox meetings being conducted and documented?

  • Are MTA's 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 traffic vest where they are requirred?

  • 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?


  • Are toilet facilities adequate and reasonably clean?

  • Are drinking cups placed into the trash containers and the trash containers located next to all water cans?

  • 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?

  • Do fuel cans have flame-arrester screen and self closing lid?

  • 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 stripping signage and barricades adequate?

  • 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 picking eye available and used on forklift?

  • 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) ?

  • Are whistles being used when flying material overhead?


  • 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?


  • 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 UL 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?


  • 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?


  • Are coworkers protected from falling into pier or similar holes?

  • Is the competent person present?

  • Are excavations that are 5 feet or deeper in depth properly sloped, benched or shored?

  • Have provisions been made to control water accumulation?

  • Have excavations of 20 feet or more in depth been designed by a PE?

  • Is heavy equipment kept a safe distance from the edge and the spoil pile a minimum of 2' 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 OSHA 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?


  • 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 before pour?

  • 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")

  • Are rolling scaffolds moved correctly? (Not being surfed from platform)

  • 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?

  • Does the LMI and Anti-Two block work?

  • Is there a fire extinguisher on the crane?

  • Is the crane cab free from window crack?

  • 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 ANSI 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?

  • Are chain sling inspected and documented (Monthly)?

  • 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 office trailer clean and organized?

  • Are electrical panels secured and safe?

  • 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?

  • Are electrical panels secured and safe?

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

  • Scoring:
    5 = Compliant or 95 - 100%, 4 = Positive Effort or 75 - 94%, 3 = Other or 50 - 74%, 2 = Serious or 25 - 49%,
    1 = Repeat Serious or 0 - 24%

  • 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 monthly basis by the Superintended, designated B | DC coworker and turned in to the Safety Department, Project Manager and a copy of the audit should be filed in the job office.

  • Superintendent's Name

  • Select date

  • Personnel Present


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