Safety inspection checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

Is JHA completed by Operator

• Yes

  No

  N/A

Are truck inspection /registration/PM service up to date

• Yes

  No

  N/A

Housekeeping (truck,cleanliness,trailer,job area)

• Yes

  No

  N/A

Drinking water

• Yes

  No

  N/A

First Aid Kit

• Yes

  No

  N/A

Electrical (GFCI,ground post, inspected )

• Safe

  At Risk

  N/A

Personal protective equipment (PPE)

• Yes

  No

  N/A

Walking/working surfaces ( tripping hazards ,slippery surfaces, floor holes )

• Safe

  At Risk

  N/A

Electrical tools ( guards in place,good condition,store properly)

• Safe

  At Risk

  N/A

Loader,cranes,sky track,polishers any other equipment inspected )

• Yes

  No

  N/A

Excavation (properly slope,shore,inspected)

• Safe

  At Risk

  N/A

Flammables/combustibles store properly(gas cans,welding equipment)

• Yes

  No

  N/A

Fire extinguisher inspected (accessible)

• Yes

  No

  N/A

Boom/scissor lift inspected(100% tie off harness properly worn)

• Safe

  At Risk

  N/A

Scaffolding inspected(fully planked,guard rails in place etc.)

• Safe

  At Risk

  N/A

Traffic control

• Safe

  At Risk

  N/A

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