Information

  • Site

  • General Contractor

  • Conducted on

  • Prepared by: PSF Mechanical, Inc. 11621 East Marginal Way South Seattle, WA. 98168 www.psfmechanical.com

1.0 Personal Protection

  • 1.1 Hard hats, safety glasses, and gloves in use?

  • 1.2 Hearing Protection in use when needed ?

  • 1.3 Other?

2.0 Safety Equipment

  • 2.1 Fire extinguisher(s) in place?

  • 2.2 Fire extinguisher(s) inspections complete?

  • 2.3 First aid kit available?

  • 2.4 Other?

3.0 General

  • 5.1 Access and pathway lighting, into and out of site safe and adequate for personnel ?

  • 3.2 Is task lighting adequate?

  • 3.3 Other?

4.0 Tools and Equipment

  • 4.1 Guards/safety devices in place?

  • 4.2 Tools in good condition?

  • 4.3 Other?

5.0 Body Positioning/Movement

  • 5.1 Proper body mechanics being used?

  • 5.2 Proper lifting?

  • 5.3 Other?

6.0 Housekeeping

  • 6.1 Work areas clean and neat?

  • 6.2 Materials properly staged/stored?

  • 6.3 Other?

7.0 Fall Protection/Ladders

  • 7.1 Step ladder(s) being used correctly?

  • 7.2 Step ladder(s) are the correct height for the job?

  • 7.3 Extension ladder(s) extend 3' above landing?

  • 7.4 Extension ladder(s) secured in place?

  • 9.07 Other?

8.0 Scaffolding

  • 8.1 Decking complete w/o holes?

  • 8.2 Does scaffold erection appear adequate?

  • 8.3 Scaffold tag in place/current?

  • 8.4 Area below barricaded?

  • 8.5 Other?

9.0 Walking Working Surfaces

  • 9.1 Aisles/stairs/floors clear/clean?

  • 9.2 Holes 1" and larger covered?

  • 9.3 Other?

10.0 Electrical

  • 10.1 GFCI use on all power cords/tools?

  • 10.2 Extension cords in good shape?

  • 10.3 Other?

11.0 Welding/Grinding/Temporary Power

  • 11.1 Hoses, leads, cords hung properly?

  • 11.2 Sparks controlled?

  • 11.3 Fire watch present?

  • 11.4 Other?

12.0 Documentation

  • 12.1 Are all dailies being turned in?

  • 12.2 Are the foreman's iAudits being done?

  • 12.3 Other?

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.