Title Page

  • Conducted on

  • Prepared by

  • Location

1) Safety Communication

  • A. Weekly Safety Topics

  • B. T5 Subject

2) Posted Documents

  • A. Emergency Guidelines

  • B. Permits

  • C. SDS

  • D. Ethics Hotline

3) Signage

  • A. Entry

  • B. Confined Space

  • C. Arc Flash Labels

  • D. H2S - Hydrogen Sulfide (Asphalt Plants)

  • E. Overhead Powerlines

4) Slip, Trip, Falls

  • A. Walking Surfaces

  • B. Ladders

  • C. Steps

  • D. Ground Hazards

  • E. Handrails

  • F. Grip Tape

5) Guarding

  • A. Guards

  • B. Emergency Stops

  • C. Proximity Cables

  • D. Bench/Hand Grinders

6) VPS

  • A. Crosswalks

  • B. Barriers

  • C. Signage

  • D. Designated Parking

7) PPE

  • A. PPE

  • B. AC Cabinet (Asphalt Plant)

  • C. Arc Flash

  • D. Hot Work

8) Mobile Equipment

  • A. 3 Point Stickers

  • B. Pre-Trip Inspection

  • C. Flex Step

  • D. Housekeeping

  • E. Seatbelt Compliance

9) LOTO

  • A. Locks, Keys

  • B. Annual Proficiencies

  • C. CPM - Close Proximity Maintenance

  • D. Site Specific LOTO

10) Working from Heights

  • A. Harnesses

  • B. Lanyards

  • C. Storage

11) Man Lifts

  • A. Training

  • B. Secured Materials

  • C. Operators Manual

  • D. Inspection

  • E. Tie Off points

  • F. Housekeeping

12) Electrical Safety

  • A. Temp cords

  • B. GFCI

  • C. Disconnects

  • D. Panels

  • E. Tools

13) Fire Protection

  • A. Inspection - Annual/Monthly

  • B. Proper Class

  • C. Clearance

  • D. Signage

14) Containments

  • A. Drum Covers

  • B. Fire Cabinets

  • C. Gasses Separation

  • D. Containment Tanks/Drums

15) Air Compressors

  • A. Clamps

  • B. Hoses

  • C. Keepers

  • D. Whip Checks

  • E. Air Nozzles

  • F. Pop Up Relief Valves - Monthly Test

16) Lifting Devices

  • A. Tags

  • B. Capacities

  • C. Condition

  • D. Safety Latches

  • E. Storage

17) Structural Integrity

  • A. Rusting Supports

  • B. Loose panels (side walls/roofing)

18) Best Practices

  • A. Best Practices Not Mentioned Above (share with other lines of business)

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.