Title Page

  • Site conducted/Branch Location

  • Site/Project Name

  • Conducted on

  • Project Leader Name:

  • Inspected by

  • Site Address/City/State)

Job Information

  • Is a first-aid kit readily available with necessary supplies?

  • Is an OSHA poster available for workers to read?

  • Is there proper personal protective equipment

  • for bloodborne pathogens provided for employees performing first aid?

  • Has a JHA been completed?

  • Are weekly safety Toolbox Talk been completed?

  • Are work areas properly signed and barricaded?

  • Is each employee instructed in the recognition and avoidance of unsafe conditions?

  • Is a competent person present, inspecting frequently?

Housekeeping

  • Is there general neatness of the work area?

  • Are projecting nails removed or bent over?

  • Are waste containers provided and used?

  • Are passageways and walkways clear?

  • Trip and Fall Hazards taken care of?

  • Temporary storage areas neat and orderly?

Fire Prevention

  • Are there adequate fire extinguishers that are accessible and inspected?

  • Is the phone number of the local fire department posted?

  • Are “No Smoking” signs posted and enforced near flammables?

  • Is a fire extinguisher within 20' of any hot work?

  • Is a Hot Work Permit filled out if required?

  • Flammable fuels labeled, stored properly in approved containers?

Tools and Equipment

  • Guards and shields in place?

  • Damaged tools tagged out of service and sent back to the shop?

  • Silica protection provided for concrete work?

Electrical

  • Are extension cords or attachments with bare wires, missing ground pins, or damage taken<br>out of service?

  • Are ground fault circuit interrupters (GFCIs) being used with house power?

  • Are terminal boxes equipped with required covers?

  • Are flexible cords and cables protected from damage and hung out of walkways?

  • Are unused openings in cabinet boxes and fittings closed?

  • Are cabinets, panels and switches located in wet locations enclosed in weather-proof enclosures?

  • Adequate lighting in works areas and egress points?

Excavations

  • Utility companies notified and utilities marked?

  • Overhead lines identified and proper clearance maintained?

  • Competent person dig sheet filled out daily?

  • Excavation 4' or deeper sloped, benched or shored?

  • Daily check-off list completed for Backhoes, skid steers and equipment?

  • Spoil piles set back at least 2'?

  • Ladders or other means of egress provided within 25' of the worker?

  • Tabulated data supplied for trench boxes and shoring equipment?

  • Barricade tape or snow fence used to protect the trench?

Fall Protection

  • Are employees working more than 6 feet above a lower level protected by guardrails, safety<br>nets, personal fall arrest system?

  • Are safety rails and cables secured properly and located at the correct heights?

  • Are employees that are exposed to fall hazards wearing personal fall arrest systems and<br>correctly anchored?

  • Are employees located below falling objects protected?

  • Has the fall protection been inspected before use?

Ladders

  • Are ladders extended at least 36 inches above the landing?

  • Are ladders secured to prevent slipping, sliding, or falling?

  • Are ladders with split or missing rungs taken out of service?

  • Are stepladders used in fully open position?

  • Do employees avoid top two rungs of stepladder?

Scaffolding

  • Is scaffolding inspected daily?

  • Is scaffolding erected on sound rigid footing?

  • Are guardrails, intermediate rails, toe-boards and screens in place?

  • Is scaffolding properly secured?

  • Is planking sound, sturdy, and secured from displacement?

  • Wheel locks provided and locked on rolling scaffolds?

  • Is proper access provided?

  • Are employees located below protected from falling objects?

Aerial Lifts

  • Operators trained and certified?

  • Lift inspected prior to use?

  • Is fall protection needed and used?

  • Are you positioned correctly from overhead electrical lines?

Floor and Wall Openings

  • Floor or deck openings 2" or greater covered, labeled and secured?

  • Is perimeter protection in place?

  • Are materials stored away from edge?

Material Handling

  • Are materials properly stored or stacked?

  • Are employees using proper lifting methods?

  • Are tag lines used to guide loads?

  • Is there an adequate number of workers for each operation?

Welding and Cutting

  • Is a Hot work permit required?

  • Are compressed gas cylinders stored upright and secured?

  • Is there a proper separation distance between fuels and oxygen? (minimum 20 feet)

  • Are there fire extinguishers nearby?

  • Are hoses and regulators in good condition?

  • Is there adequate ventilation?

  • Are welding cables and stinger in good condition?

  • Torches, regulator and hoses in good condition?

  • Fire blankets in use, combustible materials removed from work area?

Cranes

  • Has the CMS crane pick plan been completed?

  • Is a qualified signal person and rigger used for the pick?

  • Outriggers are extended and swing radius barricade in place?

  • Are crane operator logs maintained and up to date?

  • Are operators familiar with load charts?

  • Are wire rope and nylon slings inspected and tagged as required?

  • Have the shackles, clamps, nylon straps and any other rigging equipment been inspected?

  • Is the tabulated data for spreader bars available?

  • Are hand signal charts located on crane?

  • Are 2-way radios available for communication?

  • Lifting area barricaded-off and spotters used?

  • Is fall protection available for the signal person if needed?

  • Street closures permitted and protection to the public maintained?

Concrete Construction

  • Is a site specific silica plan filled out if required?

  • Are employees protected from silica dust?

  • Is exposed skin covered?

Potential for Asbestos

  • Is there Asbestos containing material on job site?

  • Have workers been trained in Asbestos Awareness?

  • Has material been tested for Asbestos?

  • Has testing report been made available to crews?

  • Has asbestos been abated in work area?

Lockout/Tag Out

  • Is lockout/tagout procedure used on any machinery where inadvertent operation could<br>cause injury?

  • Does each crew member have their own Lock and Tag?

  • Have all energy sources been verified Locked out and tested?

Personal Protective Equipment

  • Are hard hats being worn?

  • Are safety glasses being worn?

  • Are respirators used when required?

  • Is hearing protection being worn when required?

  • Are high visibility vests being worn when required?

  • Gloves?

  • Arc Flash PPE?

  • F.R. Clothing?

Vehicles

  • Do vehicles, earth moving or compacting equipment with an obstructed view to the rear<br>have a backup alarm or used with an observer?

  • Do vehicles and earth moving equipment have seat belts and are they used?

  • Are flagmen wearing highly visible garments and using flags, sign paddles or lights?

Stairs and Egress points

  • Are the stairways clear and have proper lighting for ergress?

  • Is there more than one form of egress on the floors?

  • Are flights of stairs with equipped with standard stair railings or handrails?

  • Are stairs event rise to run?

Hazardous Substances

  • Is there a hazard communication program with safety data sheets (SDSs) and inventory list on<br>site?

  • Is each original container for a hazardous substance labeled with product identifier, signal<br>word(s), hazard statement(s), pictogram(s), precautionary statement(s) and name, address,and phone number of the chemical manufacturer, importer or other responsible party?

  • Is each secondary container for a hazardous substance labeled with original labeling or product identifier and words, pictures, and/or symbols, which provide at least general information regarding the hazards?

  • Is exposure to lead or lead based paint, such as paint removal controlled?

  • Is exposure to silica, such as sandblasting, using sand or cutting brick or cinderblock controlled?

  • Is exposure to asbestos controlled?

Sign Off

  • Name and Signature of Inspector

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.