Title Page

  • Conducted on

  • Prepared by

  • Location

General Requirements

  • OSHA Poster Available<br>

  • OSHA 300 Form available onsite.

  • Emergency contact numbers posted onsite.

  • SD sheets available onsite.

  • Toolbox talks collected from subs on a weekly basis.

  • Bathroom facilities available.

  • Drinking water available.

  • First Aid Kit available.

  • Housekeeping well maintained.

  • Lighting well maintained.

Fire Protection

  • Fire Extinguishers provided.<br>

  • Standpipe operational.<br>

  • Exit signs posted.

  • Exit staircases accessible and free from debris.

  • Fire Guards provided for hot work operations.

  • Compressed gasses stored upright and secured in approved cages.

  • All combustibles removed from storage areas.

  • "No Smoking" signs posted at storage areas.

Personal Protective Equipment

  • 100% Head protection provided.

  • Proper eye protection provided.

  • Reflectively clothing provided around moving vehicles.

  • Proper footwear provided.

  • Respiratory protection provided when required.

Material Handling/Storage

  • Material stored clear of access routes.

  • Material stored 10' from open floor edges.

  • Material stored 6' from shaft openings.

  • Material stacked or secured to prevent tipping.

  • All rigging slings provided with identification tags.

  • All rigging equipment provided with rated loads.

Tools

  • Power tools provided with proper guarding.

  • Electrical tools provided with proper cords.

  • Welding leads spliced with proper plugs.

  • Oxy-acetylene hoses in good condition.

  • Competent Person identified for each trade.

  • Compressed gas gauges operational.

  • Powder actuated tool training certificate available for operator.

Scaffolds

  • Base plates or casters provided under each leg.

  • Cross braces provided at each frame.

  • Proper access provided to each platform.

  • Each platform fully decked.

  • Guard rails provided at 6' fall exposure.

  • Scaffold properly braced to prevent tipping.

  • Debris netting provided when falling object hazard exists.

  • Scissor lift and boom lift user training available onsite.

Fall Protection

  • Competent Person identified for each trade.

  • Fall protection provided at all areas with fall exposure of 6 feet.

  • Hole covers secured to prevent accidental displacement and marked.

  • Standard guard rails provide with a top and mid rails along with toe boards.

  • Personal Fall Arrest anchors rated for 5000 lbs per worker.

  • Lanyard provided limits free fall distance to 6 feet.

  • Lanyards provided prevent contact with lower level.

Electrical

  • All temporary outlets protected by GFCIs.

  • All electrical panels locked and labeled.

  • All extension cords without damage.

  • Electric heaters hard wired without splices on floors.

  • Temp lighting suspended under ceiling and grounded.

Excavation

  • Competent Person identified for each trade.

  • Support of excavation drawings available onsite.

  • Proper access provided.

  • Proper protection provided at height of 5 feet.

Concrete

  • Formwork drawings available at the site.

  • Formwork inspection performed prior to concrete placement.

  • Rebar protection provided.

Equipment

  • All operator seats provided with seat belt.

  • All required mirrors provided.

  • All equipment provided with backup alarms.

  • All tires properly inflated.

  • Operator's manual available onsite.

  • All operators trained for the use of the equipment.

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.