Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Property
  • Contractor

  • Supervisor

  • Ladders in good condition and tied off correctly?

  • Fall protection worn?

  • One per anchor?

  • Hard Hats worn (if necessary)?

  • Proper attire worn?

  • Additional PPE worn if needed?

  • Work areas orderly and free of slips trips and hazards?

  • No smoking on roofs enforced?

  • Proper signage/work areas cautioned off?

  • Electrical cords in good condition?

  • Adequate facilities (ie portapotty)?

  • Fire extinguisher and first aid kit?

  • Telehandler in good condition?

  • Safety Monitor on grounds?

  • Crews staying hydrated?

  • Contractor

  • Supervisor

  • Auditor

Address

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