Work area


Safety Glasses in use

Safety Boots in good condition

Long pants worn while trimming

High Viz shirt or vest worn

Hearing Protection while using equipment

Sun shade or hat used

Additional PPE used when necessary

Pesticide and Fertilizer Application

Are you applying pesticides? or Fertilizer

SDS's available

Pesticide Safety Products (Soap, paper towels, tyvek)

Chemicals Labeled

Pesticide PPE


Is a vehicle or trailer on jobsite

Weekly Inspection completed accurately

F/A kit onboard and stocked

Cones around truck

Wheel chocks used

Employees using 3 points of contact to enter/exit

Not overfilled?

Heat Illness Prevention Program

Tires, Lights, License Plate, Mirrors in serviceable condition

Tools in serviceable condition/ Secured

Fuel/ Fertilizer stored properly

Trailer lights working

Equipment secure on trailer?


3 Points of contact while ascending/descending ladders or stairs?

Using proper Lifting / Twisting technique?

Protected from Line of fire? Caught-in, Struck by, Energy Release

Workers keeping hands out of danger zone?

Workers staying focused...Eyes on path?


Additional Findings/Comments

Inspector Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.