Information

  • Document No.

  • Job Number

  • Job Name

  • Conducted on

  • Prepared by

  • Location
  • Scope of Work

Job site Information

  • Are the OSHA poster and other applicable posters conspicuously posted?

  • Was the weekly safety meeting (Tool Box Talk) held and documented?

  • Is the first aid kit stocked and in a conspicuous and accessible location?

  • Are emergency locations and phone numbers posted?

Housekeeping

  • Are the working areas generally neat and free of debris?

  • Is there ample access to, and use of, trash containers?

  • Is waste disposed of regularly?

  • Are passageways and walkways clear?

  • Is there adequate lighting?

  • Is there adequate ventilation?

  • Have oil and grease been removed?

  • Are the sanitary facilities adequate and clean?

  • Is there an adequate supply of drinking water?

  • Are the floor openings covered or properly guarded? Marked, secured and adequate of supporting intended weight(s)?

  • Are slip, trip and fall hazards present?

Personal Protective Equipment

  • Are hard hats worn at all times?

  • Is proper eye protection worn at all times?

  • Is proper hearing protection used?

  • Is respiratory protection required and used properly?

  • Are proper work shoes and clothing being worn- includes high visibility vests/clothing?

  • Is fall protection required and if so, being used properly and inspected/good condition?

Fire Protection

  • Has an emergency action plan been developed for this site?

  • Have employees been instructed in fire policies and procedures?

  • Have fire extinguishers been inspected?

  • Are "no smoking" signs posted and rules enforced?

  • Is the route for emergency vehicles accessible?

Ladders and Scaffolds

  • Are ladders being used as per manufacturer specifications?

  • Are ladders in good condition?

  • Are ladders properly maintained and stored?

  • Do ladders extend 3' above landing and secured when using to access next level?

  • Are stepladders fully opened when in use?

  • Are extension ladders set up at a 4:1 ratio? Secured?

  • Are scaffolds properly erected, under the supervision of a competent person?

  • Are all connections secured?

  • Are scaffolds plumb and square, with all cross-bracing in place?

  • Are guardrails, mid rails and toe boards in place?

  • Are scaffolds tied to a structure?

  • Are foot sills and mud sills used?

  • Are workers protected from falling objects?

  • Is scaffold equipment properly maintained and in good order?

  • If equipped, are all wheels locked while in use?

Hand and Power Tools

  • Is the proper tool being used for the job?

  • Is a GFCI being used?

  • Ae tools properly maintained and stored?

  • Are tools inspected for defects?

  • Are damaged tools repaired or replaced immediately?

  • Do power tools have proper grounding?

  • Are all mechanical safeguards in use for power tools?

  • Are pipe stands, sawhorses or other approved device being used to prevent bending over and promote proper use of all tools?

Duct-Lifts

  • Are cables free of frays, burrs and kinks?

  • Does the mast telescope freely?

  • Are the duct-lifts used within weight capacity?

  • Do lifts roll freely?

Forklifts

  • Is the identification plate present and legible?

  • Is the operator trained?

  • Was the daily inspection completed?

  • Seatbelts in use?

  • Back up alarm functioning?

Aerial Work Platforms

  • Is the operator trained?

  • Inspection completed and documented?

  • Fall protection used?

  • Manufacturers placard legible?

  • Guard chain or entry gate in place?

Flammable Gases and Liquids

  • Are containers properly labeled?

  • Are gases and chemicals stored properly?

  • Are there adequate fire extinguishers nearby?

  • Are approved containers being used?

  • Do stored gas bottles have regulators removed and safety caps on?

Trenching and Excavations

  • Are trenches more than 4' deep present on the job?

  • Has soil been classified?

  • Are correct protective measures in place?

  • Is there a suitable means of egress within 25' of all employees?

Other comments

  • Person conducting inspection

  • 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.