1. Job Information
OSHA poster posted?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Weekly safety meetings up to date?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Work areas properly signed and barricaded?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Phone no. & directions for nearest medical center posted?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Is each employee instructed in the recognition & avoidance of unsafe conditions?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Are telephone numbers, physicians, hospitals & ambulances, police & fire depts. conspicuously posted?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Are potable drinking water and toilet facilities available at the site?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Is there protection for blood borne pathogens?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
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2. Housekeeping
General neatness of work area?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Projecting nails removed or bent over?
Waste containers provided and used?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Passageways and walkways clear?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
3. Fire Prevention
Adequate fire extinguishers, checked and accessible?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Inspection tags current and signed?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
"No Smoking" posted and enforced near flammables?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
4. Electrical
Extension cords or attachments cords with bare wires or missing ground prongs or damaged taken out of service?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Ground fault circuit interrupters being used?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Terminal boxes equipped with required covers?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Are flexible cords & cables protected from damage?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Are unused openings in cabinet boxes and fittings closed?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Are all cabinets, panels and switches located in wet locations enclosed in weather proof enclosures?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
5. Hand, Power & Powder Actuated Tools
Hand tools inspected regularly?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Guards in place on machines, such as saws?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Right tool being used for job at hand?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Operators of power actuated tools are licensed?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
6. Fall Protection
Safety rails and cables are secured properly?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Employees exposed to fall hazards are tied off?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Employees below protected from falling objects?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Employees trained in fall protection?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Are employees working more than 6' above a lower level protected by guardrails, safety nets, personal fall arrest system?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
7. Ladders
Ladders extend at least 36" above the landing?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Ladders are secured to prevent slipping, sliding, or falling?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Ladders with split or missing rungs taken out of service?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Stepladders used in fully open position?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
No step at top 2 rungs of step ladder?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
8. Scaffolding
All scaffolding inspected daily?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Erected on sound rigid footing?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Tied to structure as required?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Guardrails, intermediate rails, toe boards and screens in place?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Planking is sound and sturdy?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Proper access provided?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Employees below protected from falling objects?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
9. Floor & Wall Openings
All floor and deck openings are planked over or barricaded and marked?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Perimeter protection is in place?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Deck planks are secured?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Materials are stored away from edge?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
10. Trenches, Excavation & Shoring
Competent person on hand inspecting as per the OSHA standard?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Excavations over 5' in depth are shored or sloped back?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Materials are stored at least 2 feet from trench?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Equipment is a safe distance from edge of trench or excavation?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Ladders provided every 25' in trench more than 4' deep?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Have underground utility installations been located?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Are employees exposed to vehicular traffic wearing warning vests or reflectorized or highly visible material?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
11. Material Handling
Materials are properly stored or stacked?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Employees are using proper lifting methods?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Tag lines are used to guide loads?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Proper number of workers for each operation?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
12. Welding & Burning
Gas cylinders stored upright and secured?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Proper separating distance between fuels and oxygen? (min 20')
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Burning/Welding goggles or shields are used?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Fire extinguishers are nearby?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Hoses and regulators are in good condition?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Hot work permits used?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
13. Cranes
Outriggers are extended and swing radius barricade in place?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Operator is familiar with load charts?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Crane operator's logs are up-to-date?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Employees kept from under suspended loads?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Chains and sling inspected and tagged as required?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Hand signal charts are on crane?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
14. Concrete Construction
Employees are protected from cement dust?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Exposed skin covered?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Runways are adequate?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Walls over 8' are supported?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Are all protruding reinforcing rods covered?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Is lockout/tag out procedure in use on any machinery where inadvertent operation could cause injury?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
15. Personal Protective Equipment
Hard hats are being worn?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Safety glasses are being worn?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Respirators are used when required?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Hearing protection being worn when required?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Traffic vests being worn?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
16. Vehicles
Do vehicles, earth moving or compacting equipment with an obstructed view to the rear have a backup alarm or used with an observer?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Do vehicles and earth moving equipment have seat belts and are they used?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Are flagmen wearing reflectorized garments and using flags, sign paddles or lights?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
17. Stairs 18. Miscellaneous
Is a written Hazard Communication Program on site including MSDS, materials list, containers labeled, employees trained?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Is exposure to lead or lead based paint, such as paint removal controlled?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Is exposure to silica, such as sand blasting, using sand or cutting brick or cinderblock controlled?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
Is exposure to asbestos controlled?
In Compliance
Corrected Immediatelly
Needs Correction
Not Applicable
Probability of Injury
19. Comments
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Anonymous
Richco Inc. - Safety Inspection Report
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.