Information

  • Job Number

  • Project name

  • Conducted on

  • Prepared by

  • Location
  • Supervisor

1. General jobsite safety

  • OSHA and DOL posters posted on site

  • Company safety manual readily available

  • Emergency contact information posted

  • First-aid kits available

  • Hazardous areas identified (electrical, laser, excavations, etc.)

2. Housekeeping

  • General neatness of working areas

  • Walking/working surfaces are free from obstructions.

  • Adequate lighting in all work areas

  • Implement hazards are protected (rebar, protruding nails, etc.)

3. Personal protective equipment

  • Eye protection

  • Hard hats

  • Footwear

  • High visibility clothing

  • Hand protection

  • Hearing protection

  • Face protection

  • Respiratory protection

4. Fire prevention

  • Are fire extinguishers readily accessible?

  • Are fire extinguishers charged?

  • Do fire extinguishers have inspection tags?

  • Are flammable and combustible materials properly stored?

  • Are compressed gas cylinders properly stored and secured?

  • Are hot work permits issued when necessary?

  • Are fire extinguishers designated for hot work operations?

5. Electrical safety

  • Electrical cords are free from damage?

  • GFCI protection in use

  • Electrical cords have a ground prong

  • Are electrical cords protected from damage? (Metal studs, doorways, access roads)

  • Temporary electric/lighting supported by non-conductive materials

  • Lights are covered with protective cages

  • Electrical rooms/panels secured and labeled

  • Proper clearance maintained around overhead lines

  • Is lockout/tagout used when necessary?

6. Fall protection/prevention

  • Workers above 6 feet have proper fall protection

  • Unprotected sides/edges are properly guarded

  • Floor holes/openings are properly covered, marked, and secured.

  • Work areas below are protected from falling objects

7. Tools

  • Tools are maintained in good condition

  • Guards are in place and in good working order

  • Tools are being utilized as intended

8. Ladders

  • Ladders are maintained in good condition

  • Ladders used for access are secured

  • Ladders used for access extend 3 feet past the landing

  • Ladders are set at a 4:1 ratio

  • Ladders are rated for construction use

  • Ladders are used as intended

9. Scaffolding

  • Scaffolding maintained in good condition

  • Scaffolding erected on sound rigid footing (base plates & mud sills)

  • Scaffold is fully decked

  • Scaffolding secured to the structure once exceeding the 4:1 ratio (height:base width)

  • Proper scaffold access is utilized

  • Fall protection in place over 10 feet.

  • Mobile scaffold equipped with locking casters

10. Excavations and trenching

  • Underground utilities staked or marked

  • Competent person has determined soil type and identified hazards

  • Excavations greater than 5 feet in depth are protected from cave-in (sloping, benching, boxes, shoring)

  • In excavations over 4 feet in depth, are safe means of egress located within 25 feet of workers?

  • Spoil piles and equipment are at least 2 feet from the edge

  • Obstructed excavations are protected with guardrails, fences, or barricades

11. Cranes and lifting operations

  • Hazards identified prior to crane operation

  • Inspection documentation readily available

  • Outriggers are fully extended and ground conditions are adequate to support crane

  • Proper cribbing/padding under outriggers

  • Loads are properly rigged

  • Slings/rigging free from damage and have load rating tags

  • Swing radius marked off

  • Area under the suspended load is clear

  • Crane is positioned a minimum of 20 feet from overhead power lines

12. Aerial work platforms

  • Body harness worn while operating boom lifts

  • Safety chain/guard secured on scissor lift

  • Lifts are used in accordance to ANSI standards

13. Hazard communication

  • Containers are properly labeled

  • Safety data sheets are available

Industrial hygiene testing

Corrective actions

  • Enter any corrective actions that will be undertaken

Sign off

  • On site representative

  • Auditor's signature

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.