Yes= Safe and Compliant; No= Deficiency or Non-Compliance; N/A= Not applicable
Pre-job planning documents at worksite are up to date and cover activities
Drinking Water/ Sanitation Requirements/ First Aid Kit
Electrical (proper grounding and GFCI)
Lock and Tag
Hand and Power Tools (guards in place, good cords/ plugs, etc.)
Walking/ working surfaces (including ladders, floor openings, aisle ways, and stairs)
Vehicles (Parking/ Fire Extinguisher)
Heavy Equipment/ Crane & Rigging equipment
Excavation (inspection by competent person)
Permits (hot work, excavation, fall protection, etc.)
Chemical/Storage SDSs on site with containers labeled
Scaffold System (competent person)
General area barricading/ Warning signs
Weekly Focus/ Safety Tailgate
• Note all deficiencies or non-compliance in comment section
• Note all items corrected on the spot and also any that need follow up resolution. (Consider initiating a Condition Report)
• DOCUMENT safety and health inspection results, including results that identify existing and potential safety and health hazards and non-compliances, as well as general observations of unsafe acts or behaviors.
• COMMUNICATE results of the safety and health inspection performance to Project Management.
Craft Person(s) if applicable:
Follow up resolution required?
Work Week Completion