Safety Checklist

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

General Work Environment

• Are work sites generally clean and orderly?

  Yes

  No

  N/A

• Are slip and trip hazards minimized?

  Yes

  No

  N/A

• Is combustible scrap, debris and waste stored safely and removed from the work site promptly?

  Yes

  No

  N/A

• Are the minimum number of toilets and washing facilities provided?<br>

  Yes

  No

  N/A

• Are all required Utah postings/notices, and Federal postings/ notices posted in a conspicuous location?

  Yes

  No

  N/A

Personal Protective Equipment & Clothing

• Are hard hats provided and worn where danger of falling objects exist?

  Yes

  No

  N/A

• Are hard hats inspected periodically for damage to the shell and suspension system?

  Yes

  No

  N/A

• Are approved safety glasses worn at all times in areas where there is a risk of eye injuries such as punctures, abrasions, contusions or burns?

  Yes

  No

  N/A

• Is appropriate foot protection required where there is the risk of foot injuries from falling objects, crushing or penetrating actions?

  Yes

  No

  N/A

• Is hearing protection provided and used to reduce the effects of occupational noise exposure?

  Yes

  No

  N/A

• Are protective gloves, aprons, shields or other means provided against cuts, corrosive liquids and chemicals?

  Yes

  No

  N/A

Floor & Wall Openings

• Are floor and wall openings guarded by a guard rail, or equivalent, on all sides (except at entrance to stairway or ladder)

  Yes

  No

  N/A

Stairs & Stairway

• Are Temporary stair rails or handrails properly provided on all stairways having three or more risers?

  Yes

  No

  N/A

Portable Ladders

• Are all ladders maintained in good condition, joints between steps and side rails tight, all hardware and fittings securely attached, and moveable parts operating freely without binding or undue play?

  Yes

  No

  N/A

• Are non-slip safety feet provided on each ladder?

  Yes

  No

  N/A

• Are non-slip safety feet provided on each metal or rung ladder?

  Yes

  No

  N/A

• Are ladder rungs and steps free of grease and oil?

  Yes

  No

  N/A

• Is it prohibited to place a ladder in front of doors opening toward the ladder except when the door is blocked open, locked or guarded?

  Yes

  No

  N/A

• When portable rung ladders are used to gain access to elevated platforms, roofs, and the like does the ladder always extend at least 3 feet above the elevated surface?

  Yes

  No

  N/A

• Is it required that when portable rung or cleat type ladders are used the base is so placed that slipping will not occur, or it is lashed or otherwise held in place?

  Yes

  No

  N/A

• Are portable metal ladders legibly marked with signs reading "CAUTION" "Do not use around electrical equipment" or equivalent wording?

  Yes

  No

  N/A

• Are workers instructed to only adjust extension ladders while standing at the base (not while standing on the ladder or from a position above the ladder)?

  Yes

  No

  N/A

• Any job-site made ladders? if found ladder(s) are dismantled?

  Yes

  No

  N/A

Hazard Communication

• Is there a list of hazardous substances stored in the construction office?

  Yes

  No

  N/A

• Is there a Safety Data Sheet readily available for each hazardous substance used?Fall

  Yes

  No

  N/A

Fall Protection

• Are conventional fall protection methods (guardrails, personal fall arrest systems, or slide guards) being used on the job site?

  Yes

  No

  N/A

• In the event conventional fall protection methods are unfeasible or would create a greater hazard, does the subcontractor have a fall protection plan?

  Yes

  No

  N/A

Trenching/Excavation

• Protective system in place if necessary?

  Yes

  No

  N/A

• Spoils and equipment at least 2 feet from edge of trench?

  Yes

  No

  N/A

• Ramp or Ladder located in trenches 4 feet or more for every 25 feet?

  Yes

  No

  N/A

Scaffolding

• Cross braces in place?

  Yes

  No

  N/A

• Work platforms decked?

  Yes

  No

  N/A

• Guardrails (42" and 21") in place on open sides and ends at 10 feet or more?

  Yes

  No

  N/A

• Toeboards in place if work being performed below?

  Yes

  No

  N/A

• Access ladder in place?

  Yes

  No

  N/A

Electrical

• All extension cords in good condition (no frayed ends and with ground prong intact) and of good construction quality (no flat cords)?

  Yes

  No

  N/A

• Are cords placed so as not to create a tripping hazard?

  Yes

  No

  N/A

• Is defective (unsafe)electrical equipment tagged or locked out of service?

  Yes

  No

  N/A

Documentation

• Are records of Subcontractor Safety Toolbox Meetings maintained?

  Yes

  No

  N/A

• Is a copy of the Alpine Safety and Health Program on site?

  Yes

  No

  N/A

• Do subcontractors have access to SDS for hazardous chemicals used in their trade?

  Yes

  No

  N/A

• Are records of weekly safety inspections maintained?

  Yes

  No

  N/A

• Are records of corrective actions maintained?

  Yes

  No

  N/A

• Signature

  Sign