Title Page
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Conducted on _______________
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Prepared by _________________
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Location (Branch # and Site Name Ex: 635 Target) ______________________
Administration
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Has a Last Minute Risk Analysis been carried out?
First-Aid and Evacuation
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Are first aid kits in place and in good order? Is there a process for keeping these replenished and replacing expired contents?
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Are emergency phone numbers readily available?
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Are employees aware of emergency procedures?
Fire Prevention
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Is fire extinguisher readily accessible?
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Is fire extinguisher in place, clean, and in good working condition?
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Has fire extinguisher been inspected monthly and annually? (Check Tag)
Housekeeping
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Is the construction site in good order and are traffic areas respected?
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Has the work area been fenced off and marked with warning signs?
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Does the organization of the site make it possible to work at height? Is it possible to perform the job at height in a safe way?
Electricity
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Has mechanical checking of equipment been carried out?
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Has the LOTO procedure been carried out?
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Are powered tools double insulated or have a GFCI?
Materials and Tools
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Are handheld electrical tools and reels in good condition, sufficient and correctly used?
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Stepladders/Ladders setup properly?
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Does ladder have required danger stickers on them?
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Is the harness worn correctly and correctly fastened in the aerial/scissor lift?
Personal Protective Equipment PPE
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Is required personal protective equipment (PPE) being worn by employees?
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Is PPE suitable for the work being performed?
Manual Handling
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Are employees handling materials in a safe manner to avoid injury?
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Are employees instructed in manual handling techniques?
Comments/Questions
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Any Questions/Comments?
