Information

  • Job Site

  • Company Name

  • Conducted on

  • Prepared by

  • Personnel

General Conditions & Exterior

  • Project signage posted?

  • Perimeter fence in good condition?

  • Traffic control maintained?

  • Railing & fall protection in place and maintained on exterior?

  • Danger and caution tape maintained on exterior?

  • Adequate toilet facilities?

  • Hand wash station or hand sanitizer provided near toilet facilities?

  • Drinking water and cups provided?

Emergency Preparedness

  • First aid kits well stocked and easily available?

  • Are all entrances and emergency exit routes clear?

  • Emergency exit routes signed and well lit?

  • Heat illness kits easily available?

  • Emergency notification system in place?

  • All workers trained on emergency procedures?

  • Emergency phone numbers posted?

  • MSDS Online poster easily viewable and all workers aware of how to use system?

Housekeeping

  • Appearance of job-site neat and orderly?

  • Passageways and walkways clear?

  • Trash cans and dumpsters emptied regularly?

  • Debris piles consolidated providing safe access and egress?

  • Is there adequate lighting in work areas?

  • All materials secured on roofs, scaffolds, work decks, and storage areas secured to prevent blowing in wind.

  • All storage and staging areas clean and well organized?

Power and Hand Tools

  • Are guards in place on all power tools?

  • Power tools and cords in good condition?

  • Cordless tool batteries charged in a safe manner?

  • All hand tools appear in good condition?

  • Right tools used for the job at hand?

  • PPE appropriate for the tools used?

  • Have employees received tool operation training and training documentation verified?

Ladders

  • Ladders used are in good condition?

  • Extension ladders extend at least 3 foot above landing?

  • Ladders used properly?

  • Ladders secured at top and bottom against movement?

  • Ladders have rating tags?

  • Ladders set up in a safe area? ( If near guardrail, must wear fall protection.)

Scaffolding

  • Baker's scaffolds wheels locked when in use?

  • Bakers scaffolds have railing if set up higher than 10 feet or if there is other fall risks?

  • Any scaffolding besides baker's scaffolds on site?

  • Have employees received scaffold safety training and documentation been verified?

  • Scaffolds erected under supervision of a competent person?

  • Scaffold grade lumber used and planks have proper overlap?

  • Guys, ties and braces in place at 4:1 rule?

  • Guardrail system in place?

  • Scaffold built square and stable?

  • Toeboards in place?

  • Access ladders in place?

  • Cross bracing in place?

  • Are all gaps large enough to create a fall hazard protected?

  • Access at all levels safe from falling materials?

  • Steps provided at access points if more than 19" step?

  • Debris net in good condition and anchored properly?

  • Scaffold inspections completed each shift?

  • Baker's scaffolds moved correctly? (no surfing)

Fall Protection

  • Guardrails installed and maintained in good condition?

  • Toe boards maintained on guardrail above potential work areas?

  • All door and window openings guarded correctly?

  • Fall protection signage in place? If necessary

  • Floor holes that open to lower levels over 1" covered or filled?

  • Personal fall arrest equipment in good condition?

  • Fall protection equipment inspected?

  • Has fall protection training been conducted with employees and documentation verified?

  • All workers using fall protection correctly?

Fire Prevention and Protection

  • Fire extinguishers in place for general conditions and hot works?

  • Monthly and annual inspections completed?

  • Has fire extinguisher training been conducted with all employees required to use extinguisher and training verified?

  • Use of approved fuel/gasoline containers?

  • Flammable materials stored away from combustible items?

  • Are all propane tanks secured and stored away from combustible materials?

  • Are all flammable materials properly signed?

Equipment

  • Any mobile equipment in use on site?

  • Are flaggers or spotters being used when necessary?

  • All equipment parked properly with implements or attachments down?

  • Is equipment being operated at a safe speed for conditions?

  • Backup alarms in place or signal person used?

  • Seatbelts used in all mobile equipment?

  • ROPS in good condition (Roll Over Protection)?

  • Daily inspections performed?

  • Operators trained and documentation verified?

Trenching

  • Are there any open trenches over 4 feet deep on site?

  • Is there anyone working in the trench?

  • Is there a trench box, shoring, or proper sloping in place?

  • Is a ladder in place every 25 feet?

  • Are spoil piles set back 2 feet?

  • Is person in trench trained?

Rigging and suspended loads

  • Any rigging in use or suspended loads on site?

  • Are loads rigged and secured from shifting properly

  • Are areas below suspended loads protected?

  • Slings, hooks, shackles etc... in good condition?

  • Are personnel rigging loads competent and trained?

Cranes

  • Are there any cranes on site?

  • Has a Crane Responsibilities form been completed?

  • Is a certified crane operator on site?

  • Are qualified riggers and signal persons being used?

  • Have necessary signage and barriers been posted?

PPE

  • High visibility clothing worn by all personnel?

  • Hard hats worn by all personnel?

  • Safety glasses worn by all personnel?

  • Proper footwear being worn by all personnel?

  • Proper hand protection (gloves) being worn?

  • Face shields and safety glasses work during cutting and grinding activities as necessary?

  • Any high noise hazards?

  • Hearing protection being used by all workers for tasks requiring it?

  • Are ear plugs and/or muffs available to all workers?

  • Are all workers doing tasks which require double hearing protection wearing it?

  • Are there any respiratory hazards on site?

  • Respiratory Protection Program in use?

  • Proper respiratory protection being used?

  • Respiratory training, fit test and equipment inspection recording been conducted and documentation verified?

Electrical

  • GFCI's used and tested on all 110 outlets?

  • All spider boxes in good condition with functional GFCI?

  • All extension cords 3 wire type, in good condition with ground pins?

  • Are all cords protected from damage?

  • All cords, spider boxes, and electrical connections kept out of water?

  • All power panels labeled?

  • All panels have fronts and covers remain closed?

Welding and Cutting

  • Any welding or compressed gas powered cutting on site?

  • Fire extinguisher at site of welding/cutting?

  • All cylinders stored in designated area and secured?

  • Housekeeping in welding & cutting area acceptable?

  • Is adequate ventilation in place?

  • Proper PPE being worn?

  • Hot work Permit completed when welding or cutting in areas with combustible materials or other hazards?

  • All cylinders in used secured?

  • Valves turned off on compressed gas tanks when not in use?

Steps and Stairways

  • Any stairways other than job trailer access on site?

  • Treads and landings acceptable?

  • Handrails installed?

  • Proper lighting in stairwells?

  • Stairs free of debris or other trip, slip, or fall hazards?

  • Steps to job trailers in good condition with proper railing?

  • Do any access areas where there is a step greater than 19" have a step in place.

Aerial Lifts

  • Any scissor or boom lifts in use on site?

  • Operators trained and documentation has been verified?

  • Equipment in good condition?

  • Gates, chains, and guardrails in use?

  • Lifts used properly?

  • All workers standing flat in basket while in use or tied off?

  • Areas below boom lifts taped off with proper signage?

  • Fall protection used in boom lifts

  • Daily inspection completed?

Material Handling

  • Material stacked, racked, stored safely?

  • Materials stored proper distance from floor openings?

  • Are hand trucks, pallet jacks, or other equipment available to assist with lifting?

  • Are all loads secured and placed on forklift safely to prevent shifting?

  • Rigging attachments being used on forklifts for rigging? (No free rigging)

Environmental

  • Dust control in place for all dust generating operations?

  • Dust control in place in loading areas?

  • Are there any areas of the project with unabated or not fully abated asbestos, pcbs. lead based paint, or other hazardous building materials?

  • If there are any asbestos, lead, or silica hazards have all workers received awareness level training?

  • Are abatement areas contained and proper signage in place?

  • Are all asbestos or lead containing materials or PCB light ballasts and bulbs being protected from damage?

  • Do abatement operations appear to be in compliance?

  • Are there any potential silica hazards on the site?

  • Are Table 1 methods being used?

  • Are workers protected by wearing dust masks or respirators to reduce respiratory hazards?

  • Have workers received Silica training?

  • Are all stormwater BMPs in place and maintained properly if applicable?

Administration

  • Daily workplace inspections being completed and submitted to safety department weekly?

  • Weekly toolbox meetings completed using assigned topics (when applicable)?

  • Site Specific Safety Orientations being completed for all workers on site?

  • Daily equipment inspections being completed and submitted to safety department weekly?

  • All required employment posters posted?

  • All safety programs easily available for review?

  • Is disciplinary action or other corrective actions taking place for non compliance with safety standards?

  • Have there been warnings issued?

  • Has documentation been sent to safety department?

  • What warnings have been given?

  • Any additional training needed?

  • Training needed:

Other Observations

  • Other issues?

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  • Comments

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  • Follow up/pre-planning items

  • Safety Inspector

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.