Information

  • Document No.

  • MWB Weekly Safety Inspection report

  • Client / Job Number

  • Conducted on

  • Prepared by

  • Location
  • Superintendent

  • Emergency Procedures

  • Exits Posted

  • Phone Numbers Posted

  • First Aid Kit

  • First Aid,CPR Personnel

  • Stretcher Available

  • Clear Access for Vehicle

  • Project Entrance Posted

  • Clinic Directions

  • Personal Protective Equipment

  • Safety Glasses

  • Hard Hats

  • Boots

  • Gloves

  • Shirts w/ Sleeves

  • Face Shields Used when Working Overhead

  • Face Shields Used when Grinding/Chipping

  • Concrete Work: Rubber Boots

  • Concrete Work: Gloves

  • Tools

  • Inspected Daily

  • Cords in Good Shape

  • Ground Prong

  • Guards Installed

Powder Actuated

  • Certified

  • Cleaned

  • Loads Shed Properly

Motored Equipment

  • Checklist

  • Backup Alarm

  • Seat Belt

  • Fire Protection

  • Transfer of Fuel Bonding Strap

Storage Tank

  • Grounded/Diked

  • Fire Extinguisher

  • Labeled

Fuel Cans

  • Metal W/Self-Closing Lids

Compressed gas Bottles

  • Secured Vertically

  • Oxygen/Acetylene 20' Apart

  • "B" Tanks Secured

Fire Extinguishers Provided per 3,000 SF

  • Wood Framed

  • In Hot Work Area

  • FLAM Liquid Area

  • Painting Areas

Flammable Liquids

  • Stored in Cabinet

  • Labeled

  • Excavation Trenches:

  • Shored/Sloped/Benched

  • OR Trench Box Used

  • Daily Inspections Performed

  • Ladders Access/Egress 25'

  • Water Removed As Needed

  • Electrical

  • GCIs Used

  • Extension Cords Inspected

  • Ground Plugs Adequate

  • GFCI Tested Monthly/Logged

  • Wiring Off of Floor

  • Main Wires Elevated/Buried

  • Welders Grounded

  • Cranes

  • Inspection Certificate

  • Fire Extinguisher

  • Load Limit

  • Swing Radius Protected

  • Operated Certified

  • Rig/Signal Certified

  • Loads Secured

  • Tag Line

  • Spreaders with PE letter

  • Crane Basket Per OSHA Standard 1926,150(g)

  • Elevated Work:

  • Lifelines

  • Rope Grab

  • Static Line

  • Guard Rails

  • Catch Platform

  • Guard Rail Edge

  • Shoes Adequate

  • WLS

Tar Pots

  • Tanks Guarded

  • Fire Extinguisher

Roofholes/Skylights

  • Covered

  • Marked

  • Secured

  • Edge Protection

  • Guard Rails

  • Fall Protection

  • Offset Access

Open Sides

  • Guardrails or 1/2" Wire Rope

  • Secured

  • Three Clips Used

  • Flagging

Impalement Hazards Capped

  • Rebar

  • Anchor Bolts

  • Upright Allthread

  • Floor Holes/Open Sides

Floor Holes

  • Marked

  • Covered

  • Secured

Floor Holes Not Covered

  • Guardrails used

  • Ladder Secured

  • Stairways/Ladders

  • Stairways Lighted

  • Stair Pans Filled

  • HandRails/Mid-Rails

  • Ladders 36" Above Dismount Area

  • Secured Stairs on Trailers W/Rail

Portable Ladders

  • Cross Bar Locked

  • Top 2 Steps Not Used

  • Scaffolds

GuardRails

  • Top

  • Mid-Rail

  • Toe Board

  • X Bracket Secured

  • Base Plates Used

  • Legs on Solid Material

  • Loads Double Planked

Secured

  • 26' Vertically

  • 30' Horizontally

Planks

  • Secured

  • Pass Through Protected

  • Tag Daily

Mobile Scaffold

  • Wheels Locked/Chocked

  • Moved Correctly

Scissor/Articulate Lifts

  • Fall Protection

  • Edge Guard Stop

  • Gate Latch

  • Controls Visible

  • Housekeeping

  • Glass Bottles Prohibited

  • Trash Cans Provided

  • Butt Can Provided

  • Scrap Lumber Nails Removed

  • Aisles Clear

  • Adequate Toilets

Material

  • Stacked

  • Secured

  • Stairs Kept Clear

  • Doorways Clear

  • Cords Out Of Aisles

  • Walk Board Provided: Mud/Snow/Ice

  • Equipment

  • Backup Alarm

  • Daily Inspection

  • Seat Belt

  • Fire Extinguisher

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.