Information

  • Job Name

  • Job Number

  • Report Date (YYYYMMDD)

  • Superintendent

  • Project Manager

  • Location

OSHA and General Requirements and Postings

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

  • Is the first aid log posted on the cabinet?

  • Are emergency telephone numbers posted?

  • Is the 5-in-1 poster & Emergency Action Plan posted?

  • Are toolbox meetings being conducted and documented?

  • Are Job Hazard Analysis' conducted and documented?

  • Are the MSDS & Safety Manual on site and available to employees?

Personal Protective Equipment

  • Are employees wearing hardhats, and eye protection?

  • Are employees wearing ear plugs, face shields, traffic vests, and gloves, where they are required?

  • Are employees wearing proper clothing and work boots?

  • Do employees have tarsal guards on during required tasks?

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

Personal Fall Arrest Systems

  • Are employees using these systems when required?

  • Have the employees been trained in the use of these systems and using the systems 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 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?

Fire Protection

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

  • Are extinguisher inspections current and extinguisher in good working order?

  • Is there a fire extinguisher within 100 feet of all work areas?

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

  • Is a fire extinguisher located at least 50 feet from all flammable or combustible liquids of 5 gallons or more or cutting rebar?

  • Is there at least one 20 lb 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 the signs and barricades adequate?

  • Are employees 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 items stacked low enough to prevent materials from falling?

  • 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 are free from damage? (not kinked, crushed, or bird caged)

Tools

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

  • Are hazardous parts guarded?

  • Are electrical cords in good condition?

  • Are the data plates 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 employees 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 UL rating?

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

  • Are extension cords being inspected daily?

Ladders

  • Are the spreaders on step ladders locked?

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

  • Do side rails extend 36 inches above landings?

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

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

  • Are employees using ladders properly?

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

  • Is the ladder placed at the proper angle?

  • Are two way ladders in use as needed?

  • Are the manufacturer's labels affixed and legible?

Excavations

  • Are employees 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?

  • Are the utility locates less than 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 underground utilities protected while excavation is open?

Floor and Wall Openings, Stairwells 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 employees protected from falling objects?

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

  • Do guardrails and stair rails meet OSHA requirements?

  • Are steel stair pan treads filled?

  • Is proper fall protection provided on the roof?

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

  • Are warning lines flagged eery 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?

  • Is proper fall protection being used for each operation?

  • Are all protruding vertical and horizontal rebar capped?

  • Is shoring and scaffolding installed properly and inspected before a pour?

  • Is housekeeping on elevated decks in order?

Heavy Equipment

  • Are seatbelts being used by the 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?

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

  • Additional Comments

  • Superintendents Name

  • Select date

  • This Audit should be done on all projects on a weekly basis by a Superintendent, designated CCC employee and designated Subcontractor's representatives.

  • The Safety Audit should be completed and turned into the senior Safety Engineer, Project Manager, and a copy of the Audit should be filed in the job file.

If any of the items below apply to this job, please use the appropriate supplemental catagories.

Welding and Cutting - Supplement A

  • Are all leads and stringers in good condition?

  • Are bare spots in welding leads taped?

  • Is the first 10 feet of welding leads free from repair?

  • Is proper eye protection being used?

  • Are all cylinders secured in an upright position?

  • 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 and cutting above combustible materials?

  • Is cutting torch in good working order?

  • Additional Comments

Scaffolds - Supplement B

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

  • Are scaffolds 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 30 feet in length and every 25 feet in height (ties must be installed when the height of the scaffold is more than 4 times when the height of the scaffold is more than the minimum base width).

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

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

  • Is fall protection and falling object protection provided?

  • Have employees 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?

  • Additional Comments

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 pendent lines and hoist cables greased?

  • Does the LMI and Anti-Two block work?

  • Is there a fire extinguisher on the crane?

  • Is the crane cab free from window cracks?

  • 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 operator?

  • Is the rigging appropriate for the lift?

  • Has the equipment been inspected prior to use?

  • Are chain slings inspected and documented (monthly)?

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

  • Is weather conditions adequate for lifts?

  • Is the crane appropriately sized?

  • Have competent riggers been identified?

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

  • Additional Comments

Aerial Lifts - Supplement D

  • Are employees using proper fall protection?

  • Are employees remaining on the platform at all times?

  • Is the gate or chain closed when occupied?

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

  • Is operator trained?

  • Are tools and material secured from displacement?

  • Are lanyards attached to proper anchorage points?

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

  • Additional Comments

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.