Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Weekly audit

Pedestrian Protection

  • Ladder used

  • Personal fall arrest systems used properly when needed ?

  • Jobsite fence installed,inspected, and maintained around perimeter of project

  • Proper signage secured at access points/ pedestrian walkways ?

  • All visitors check in at field office and utilize proper open while onsite ?

  • Traffic control procedures in place and maintained ?

  • Certified Flaggers used for traffic ?

Housekeeping and sanitation

  • Project work areas are clean, orderly , and free of excess trash and debris

  • Trash receptacles provided and maintained

  • Aisles and stairs clear of debris

  • Material and equipment clean , properly stored, and orderly .

  • Proper Number of well maintained portable toilets and hand wash facilities.

  • Scrap material free of protruding nails or other puncture hazards

Fall Protection and Perimeter Protection

  • Fall prevention/protection methods reviewed prior to work start

  • Perimeter protection installed per policy and maintained throughout

  • Personal fall arrest systems used properly when needed?

  • Controlled access zones are established with physical barriers and proper signage

  • Fall Prevention/ Protection methods reviewed prior to work start

Ladder/Stair in place and Maintained

  • Ladder properly used and maintained/ inspected ?

  • Stairs Properly Constructed ad maintained with proper fall protection?

  • Ladders used for access to upper / lower levels are provided with ‘’ walk through ‘’ rails

  • Proper access /egress to ladder and stairs clear and free of bedris

  • All access egress to ladder and stairs clear and free of debris

Scaffold constructed properly and maintained

  • Scaffold tags in place and inspected daily by a competent person

  • Scaffolds erected properly and maintained / tied in correctly

  • Proper access and egress rovided

  • Swing gates provided for vertical ladders

  • Engineered / stamped drawings reviewed for complex scaffold systems<br>

Floor Openings / Penetrations

  • Hole covers are inspected and maintained on a daily basis

  • All holes greater than 2" in diameter covered, marked, and secured

  • All holes larger than 1' x 2' are provided with a secondary means of Protection?

  • All covers support at least twice the maximum intended load

  • Gaurdrsils around holes provided with toeboards and maintained

Excavations Protected Properly / Egress Routes

  • Underground utilities reviewed / identified prior to excavating and verified by permit

  • Ladders providid for access within 25’

  • Proper sloping / benching / shoring/ boxing for excavations greater than 5' deep<br>

  • Physical barricades provided at the top edge of excavations<br>

  • Documented daily inspections conducted by competent Person

Adequate Lighting Provided

  • Lights provided throughout the project for access / egress routes

  • Adequate task lighting is provided for each employee

  • Temporary lighting is inspected on a regular basis

  • Temporary lighting properly protected

Electrical Power (GFCI / Electrical Cords / Power Lines)

  • Electrical cords are inspected on a daily basis

  • Lock out tag out / labeled breakers

  • Monthly GFI log

  • All electrical splices are properly protected

  • Electrical rooms (temporary and permanent) are kept clean and are free of excess materials and Debris

Environmental Issues

  • Erosion and sediment control inspected and maintained<br>

  • Hazardous materials are disposed properly<br>

  • Site access roads are cleaned on an as needed basis<br>

  • Dust control<br>

  • Secondary containment for fuel storage<br>

  • Soil contaminants identified and protective measures in place (e.g., PPE, signage, disposal)<br>

Fire Protection

  • Fire extinguishers provided for every 3,000 sq. ft. of building space, not to exceed 75' travel

  • Fire extinguishers inspected, tagged, logged monthly and serviced annually<br>

  • Emergency plan practiced and egress routes maintained

  • Hot work permis are utilized for all hot work operations and fire watch provided

  • Evacuation routes posted and all employees are informed of gathering point

Personal protective equipment utilization

  • Proper eye protection were at all times and face protection when needed

  • Hardhat worn at all times

  • Reflective vest/high visibility clothing, Warner all times

  • Hearing protection used around high noise source above 90 DB

  • Proper cut level 3 or greater gloves worn at all times

Hand and power tools

  • Hand and power tools inspected and maintained

  • Proper guards in place and maintained

  • Power tools are grounded or double insulated

  • Tools are being used for their intended use

  • Whip lines and pens are provided for all air compressor connections

Flammable and combustible substances

  • Flammable/combustible liquids are stored and handled properly

  • All containers are properly labeled/protected where required

  • Fire extinguishers provided within 50’ of storage areas

  • No smoking/open flame signage secured near storage areas

  • Flammable/combustible liquids are not stored within 10’ from stairwell, elevators or exits

Signage

  • Elesha posters posted on Job Site Bolton board

  • Exit signs posted and safety awareness/training signs posted throughout the project

  • Warning science posted on perimeter fence near gates

Mobile equipment

  • Daily inspection conducted on all mobile equipment and documentation maintained

  • Fire extinguishers in all mobile equipment

  • owners manual secured in all mobile equipment

  • Seatbelts, functional and worn on mobile equipment as required

  • Proper attachments used on all mobile equipment

  • Mobile equipment, operators have valid certification cards on hand

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.