Information

  • Location
  • Conducted on

  • Personnel

  • Prepared by

1. Site Safety Basics

  • 1.1 Member of management on site

  • 1.2 Are entrances/exits clear of debris and obstructions

  • 1.3 Are all employees fit for duty

  • 1.4 Emergency Action Plan is posted

  • 1.5 First-aid kit is readily available and properly supplied

  • 1.6 Fire extinguisher is readily accessible and in operating condition

  • 1.7 MSDS (SDS) available on site for chemicals in use

  • 1.8 Hazardous Storage and Disposal

  • 1.9 Utilities Marked/Identified

  • 1.10 Poster (OSHA, Federal, NY State Law, etc.)

2. Facility Security and Public Safety

  • 2.1 Site Perimeter Fence

  • 2.2 Warning Signs (PPE, Traffic Control, etc.)

  • 2.3 Travel/Access Ways (Unobstructed and Maintained)

  • 2.4 Adequate Lighting for Site and Public

  • 2.5 Traffic Control Plan / Necessary Traffic Details / Detours

  • 2.6 Visitor Controls (Signs, Visitor PPE, etc.)

  • 2.7 Discussed Site Safety and Emergency Action Plan with visitors

3. Personal Protective Equipment

  • 3.1 Are employees wearing/donned their proper PPE for task?

  • 3.2 Hard Hats are Being Worn

  • 3.3 High Visibility Vests are in Use & Clean

  • 3.4 Safety Glasses are in Use

  • 3.5 Gloves are used for Required Tasks

  • 3.6 Proper Footwear is Being Worn

  • 3.7 Face Shields are used while Grinding, Brushing, Chipping, etc.

  • 3.8 Filtering Facepieces are used during Dusty/Silica Operations (Saw-cutting or Routing)

  • 3.9 Hearing Protection is in use during High Noise Operations

  • 3.10 Has all PPE been Inspected per-Manufacture and is being used properly

  • 3.11 Safety Shower / Eyewash Stations in needed areas

4. Housekeeping

  • 4.1 Exit / Access Ways maintained and unobstructed

  • 4.2 Stairs and Landings are maintained and clear of debris / obstruction

  • 4.3 Trash Receptacles: Adequate Number and Maintained

  • 4.4 Trash Piles

  • 4.5 Materials Stored Properly

  • 4.6 Material stored laying down on dunnage (no leaning material)

  • 4.7 Projecting Nails / Splinters

  • 4.8 Toilet Facilities clean and in good service

5. Contractor (Subs) Provisions

  • 5.1 Ensure all contractors have Site Specific Safety Plan and that they understand our expectations

  • 5.2 Ensure all contractors have submitted HazComm Program and SDS

  • 5.3 All contractors are conducting themselves accordingly

  • 5.4 All contractors are familiar with Emergency Action Plan

6. Fire Protection / Prevention

  • 6.1 Fire Prevention Plan / Evacuation Plan Communicated to all

  • 6.2 Fire Extinguishers Inspected and Maintained

  • 6.3 Gas Cylinders stored and segregated properly

  • 6.4 Hot Work Fire Extinguisher within 25ft

  • 6.5 Hot Work no combustible material within 5ft or use fire blankets

  • 6.6 Fire Hydrants / Standpipes accessible to Fire Department

  • 6.7 Site Smoking Policy

  • 6.8 Fire Department Permits obtained and on site

7. Fall Protection

  • 7.1 Inspect Guardrails (top rail 38-42" mid rail 19-21" and toe board 3")

  • 7.2 Holes, Openings, Gaps or Voids 2" in any direction must be covered 2x intended load, secured and marked hole/cover or barricaded

  • 7.3 Personal Fall Protection Inspected before use

  • 7.4 100% Tie-off when working 6' and above

  • 7.5 Personal Fall Arrest System includes Full Body Harness, Static Lanyard/SRL with Double Locking Snap Hooks and 5000lb load capacity Anchor Point

  • 7.6 Dropped Object Prevention (tool lanyards, tool bag, netting, etc.)

  • 7.7 Ladders inspected before use

  • 7.8 Ladders set at 4:1 pitch

  • 7.9 Ladders extend 3' above landing, tied off and one person on a ladder at a time

  • 7.10 Damaged ladders are removed from service

  • 7.11 Stairs inspected before use

  • 7.12 Hand Rails for four or more risers (top rail withstand 200lbs in any direction, mid rail withstand 150lbs in any direction, toe board withstand 50lbs in any direction)

  • 7.13 Risers - uniform height and width

  • 7.14 Treads - uniform height and width

8. Electrical

  • 8.1 Power Tools inspected and removed from service if defective

  • 8.2 All cords/plugs are 3 prong and heavy duty

  • 8.3 GFCI's are used and placed at the source

  • 8.4 Unplug, Lockout/Tagout any equipment/machinery before servicing

  • 8.5 Lockout/Tagout Program in Place

9. Hand & Power Tools

  • 9.1 Tools Inspected before use

  • 9.2 Tools effectively grounded or double insulated

  • 9.3 Tools used properly

  • 9.4 Damaged tools removed from service (cut cord and trash)

  • 9.5 Pneumatic hoses/air lines inspected for deterioration, damage, make sure they have whip checks and safety pins in place

  • 9.6 Proper PPE worn

  • 9.7 Tools Equipped with required guards and handles

  • 9.8 Tools properly stored

10. Welding & Cutting

  • 10.1 Performed my Qualified Individuals

  • 10.2 All combustibles removed

  • 10.3 Fire Watch posted

  • 10.4 Proper PPE used

  • 10.5 Equipment Inspected before use

  • 10.6 Hoses & Welding Leads in good condition

  • 10.7 Torch Regulators & Gauges in good condition

  • 10.8 Torches with Flash Arrestors or Check Valves

  • 10.9 Fuel Gas Shut Off Key/Wrench available

  • 10.10 Gas Cylinders Upright and Secured

  • 10.11 Separation of stored Oxygen & Fuel, gases, oils etc. by 20' or .5hr fire rated wall

  • 10.12 Fully charged Fire Extinguisher within 25' of Hot Work

11. Traffic Control (lifts and trenches)

  • 11.1 Traffic Control Plan in place

  • 11.2 Flaggers in place

  • 11.3 Barricades, Delineators, Signage, etc.

12. Heavy Equipment

  • 12.1 Licensed/Qualified Operator (on file at site)

  • 12.2 Inspections, Service Records, Operators Manual (on file at site)

  • 12.3 Seat Belts function properly, being worn

  • 12.4 Defective Equipment removed from service until repaired /corrected

  • 12.5 Horn, Back Up Alarms working properly

  • 12.6 Roll Over Protective Structures installed & secured (ROPS)

  • 12.7 Falling Object Protective Structures (FOPS)

  • 12.8 Unauthorized Riders on equipment

  • 12.9 Fly Wheel, Belts, Gears, Rollers and other pinch points guarded

  • 12.10 Swing Radius Protection

  • 12.11 Proper clearance from edges of drop-offs and unstable surfaces

  • 12.12 Proper clearance from Utility Lines minimum >10'

13. Cranes & Rigging

  • 13.1 Licensed / Qualified Operator

  • 13.2 Annual Inspection

  • 13.3 Daily Inspections (report on file and up to date)

  • 13.4 Load Charts available on crane

  • 13.5 Outriggers fully deployed and balanced

  • 13.6 Floats /Tracks on mats or pads

  • 13.7 Swing Radius Protection

  • 13.8 Proper clearance from Utility Lines minimum >10'

  • 13.9 Hoist Certified and inspected

  • 13.10 Hoist Capacity clearly posted

  • 13.11 Hooks/Rigging inspected

  • 13.12 Pick Plan discussed reviewed by everyone

  • 13.13 Competent Rigger and Communication / Signals established

  • 13. 14 Employees are kept clear of suspended loads

14. Conveyors

  • 14.1 Guards Installed before Startup

  • 14.2 Emergency Stops / Pull Stops

  • 14.3 Manage In/End-Running Nips / Pinch Points

  • 14.4 Overhead Protection - Access under conveyors, decks etc.

  • 14.5 Conveyors Inspected and pulleys greased

15. Trenches

  • 15.1 Utilities Located and Marked

  • 15.2 Competent Person on site

  • 15.3 Sloping/Benching (per-OSHA Standards)

  • 15.4 Trench Shield in place

  • 15.5 Trench Box in place

  • 15.6 Spoils/Materials stored at least 2' from trench edges

  • 15.7 Proper Access/Egress (ladders) 4' deep or more set at every 25' of travel

  • 15.8 Protection from Vehicular Traffic

  • 15.9 Protection from Pedestrians (barricades, travel signs, warning signs, etc.

16. Weather Conditions

  • 16.1 Is there enough water on site

  • 16.2 If freezing (32°f) are the walkways salted down to prevent falls

Summary

  • Rate Overall Job Site (5 being best)

  • Rate Your Performance During Inspection (5 being best)

  • How many employees did you correct

  • How many employees did you compliment

Sign Off

  • On site representative

  • Auditor's signature

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