• Daily pre-task safety review JSA forms completely and accurately filled out for current activities

  • Weekly toolbox safety meetings performed and up to date

  • Foreman/Superintendent has all necessary forms for documentation

  • APP (Accident Prevention Plan)


  • First Aid/CPR trained onsite

  • 50% ratio of OSHA trained field personnel

  • "NCCCO" Certified Operators used

  • Personnel operating Forklift/aerial lift trained and qualified

  • Permit required confined space maintained by a trained qualified person?

  • Signalman and Rigger trained and qualified

  • Hazwoper trained personnel available for spill response


  • Work areas are clean and free of excess trash, debris

  • Walkways and passageways are clear

  • Scrap material is free of protruding nails or other puncture hazards

  • First Aid kits inspected and complete

  • Proper number of toilets are onsite, clean and sanitary


  • Hard hats worn and maintained as required

  • Eye protection worn as required

  • Face shield or goggles worn as required

  • Proper foot protection worn as required

  • Hearing protection worn when required

  • Hand protection worn as required

  • Respirators worn when required and fit test performed within one year

  • Personal Flotation Device worn when required

  • Throw ring (with 90' of rope) in work area if near or above water


  • Body harness worn and fit properly

  • Lanyards are adequately secured to suitable anchorage point

  • Static lines installed and capable of supporting 5,000 lbs. per person

  • Fall protection equipment is used only for fall protection

  • Fall protection is maintained properly


  • Utility locate marks are present prior to start of excavation and current

  • Sloped and or shored properly based on soil classification

  • Access and egress is provided every 25' of lateral travel

  • Perimeter guarded, access is restricted and warning devices placed

  • Is the excavation a confined space

  • Is this a permit required confined space


  • Daily, Monthly/Quarterly inspections performed and forms complete/accurate and reviewed by supervisors

  • Swing radius protected

  • Travel alarms working properly

  • Fire extinguisher in operators area,10 lb. minimum

  • All rigging (wire rope, chain, nylons, synthetic, fiber slings, etc.) inspected by qualified person and adequate for use

  • Tag lines used during hoisting operations

  • Proper rigging techniques used

  • Lift Study and or Critical Lift Plans in use


  • Spill kit is complete and material is available for immediate spill response

  • A spill prevention and waste disposal program is in place (SOPEP)

  • Waste accumulation storage areas are inspected frequently

  • Waste material is disposed of properly

  • All drums and containers are labeled properly


  • Lights, brakes, horns, and back-up alarms working properly

  • Seat belts are provided and used

  • BOATS- equipped with necessary items (oars, battery box, fire extinguisher, etc.)


  • Electrical cords are used properly and in good condition

  • Electrical cords are elevated/protected to prevent damage

  • GFCI's are used on all temporary outlets, GFCI's are tested and working

  • Guards are on all grinders and saws

  • Tools are maintained in good working condition

  • Tools are used and stored properly

  • Pneumatic/Hydraulic hose connections are properly secured

  • "Out of Service" tags are used on damaged equipment


  • Applicable product posted (excavations, confined space, hot work)

  • Jobsite is secured and no trespassing signs are in place

  • All applicable jobsite posters are located for employees to review

  • MSDS's are available and current for all material on site


  • Proper access and egress provided (ladders, gates, ramps, gangways)

  • Scaffolds are inspected and tagged

  • Proper ladder used for the job performed and properly secured

  • Ladders have the proper angle of 1 to 4, and exceed the landing by 36"

  • No step up or down greater than 19"


  • Traffic control supervisor is assigned and on site

  • Class 2 traffic vests are worn within the right-of-way

  • Traffic control devices are clean and free of damage

  • Flaggers are certified


  • Oxygen/acetylene bottles are stored, secured, and separated 20' apart and away from combustible materials

  • Torch carts have built in firewall

  • Regulators are in good condition and set properly

  • Flashback arrestors installed at gauges and or torch head

  • Welding and burning areas clear of combustible material

  • Welding hoses, regulators and torches are protected and in good condition

  • Fire extinguishers are within 25' of hot work activities

  • Welding leads, and ground are good condition without defects and properly secured


  • Fire extinguishers are inspected, documented monthly, located and accessible every 75'

  • All flammables (paint, gas, ect.) are properly stored in a flammable proof cabinet

  • Safety cans used for fuel are in good condition, free from dents, with flash screens in place

  • Superintendent/Foreman

  • HS&E Representative/Auditor

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.