Information

  • Project

  • Location
  • Conducted on

  • Prepared by

  • Crew

1. Personal Protective Equipment

  • 1.1. Hard Hats

  • 1.2. Eye Protection

  • 1.3. Respirators

  • 1.4. Footwear

2. Scaffolds

  • 2.1. Support Braces

  • 2.2. Railings & End Rails

  • 2.3. Planks

  • 2.4. Wheel Brakes

  • 2.5. Tied to Structure or Outriggers

3. Ladders

  • 3.1. Ladder Condition

  • 3.2. Proper Ladder Use

  • 3.3. Ladder Secured - 4:1 lean ratio

4. Housekeeping

  • 4.1. Exits & Stairs

  • 4.2. Scrap Consolidation

  • 4.3. Mud Box Consolidation

  • 4.4. Excessive Mud on Floor

  • Lunch Trash

5. Fall Protection

  • 5.1. Guard Rails @ Stairs & Balconies

6. Tools

  • 6.1. Condition

  • 6.2. Power Cords

7. SWPPP

  • 7.1. -

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • Auditor's signature

  • On site representative

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.