Safety Inspection Questions 2023

• Site conducted

  Select

• Job Number

• Location
  Address

• Conducted on

  Date

• Prepared by

• Field Supervisor

Questions

• Are walk paths clear of debris?

  Yes

  No

  N/A

• Is all required PPE worn properly, including highvis?

  Yes

  No

  N/A

• Is all required PPE worn properly, including highvis? (slider)

• Is traffic control adequate?

  Yes

  No

  N/A

• Do workers know the safety focus of the week (toolbox talk)?

  Yes

  No

  N/A

• All cords protected by GFCIs?

  Yes

  No

  N/A

• Are all cords in safe working condition?

  Yes

  No

  N/A

• Are there any additional general concerns?

  Yes

  No

  N/A

• Can workers explain how to mitigate a specific hazard for the task they are completing?

  Yes

  No

  N/A

• Did workers use teamlift when appropriate?

  Yes

  No

  N/A

• Are workers using the proper tool for the job?

  Yes

  No

  N/A

• Are workers standing out of the line of failure?

  Yes

  No

  N/A

• Are workers using the proper technique for the task?

  Yes

  No

  N/A

• Are all containers labeled with their contents?

  Yes

  No

  N/A

• Do workers know where/how to get an SDS?

  Yes

  No

  N/A

• Do workers know where to go for severe weather?

  Yes

  No

  N/A

• Do workers know where to meet following an evacuation?

  Yes

  No

  N/A

• Is a fire extinguisher readily available? (mounted in CMV's)

  Yes

  No

  N/A

• Is a first aid kit available, stocked, and current?

  Yes

  No

  N/A

• Are there additional Emergency preparedness concerns?

  Yes

  No

  N/A

• Are white paint pictures in the job folder?

  Yes

  No

  N/A

• Are exit routes available in excavations > 4' ?

  Yes

  No

  N/A

• Is there proper protection for excavation > 5' ?

  Yes

  No

  N/A

• Is excavation inspected daily by competent person?

  Yes

  No

  N/A

• Are their barriers / protection against falling into excavations > 6' ?

  Yes

  No

  N/A

• Are spoil piles and equipment 2' or more from edge of excavation?

  Yes

  No

  N/A

• Are there additional excavation concerns?

  Yes

  No

  N/A

• If logs are required, are they completed?

  Yes

  No

  N/A

• Does driver have DL and med card if applicable?

  Yes

  No

  N/A

• Does driver have required paperwork? (insurance, incident reports, etc.) ?

  Yes

  No

  N/A

• Does the CMV have reflective triangles in it?

  Yes

  No

  N/A

• Are there any additional DOT / Vehicle concerns?

  Yes

  No

  N/A

• Are employees out of the swing radius or communicating with operator?

  Yes

  No

  N/A

• Are seatbelts worn when operating equipment?

  Yes

  No

  N/A

• Has the equipment checklist been submitted for the day?

  Yes

  No

  N/A

• Is the equipment safe to use for the task being performed?

  Yes

  No

  N/A

• Extinguisher inside if indicated / equipped?

  Yes

  No

  N/A

• Are scaffolds set up properly? (18" walkway, <1" between planks, planks extended 6", fall protection) ?

  Yes

  No

  N/A

• Falling objects are properly prevented (straps, toe boards, etc.)

  Yes

  No

  N/A

• All falls of 6' or more are protected

  Yes

  No

  N/A

• Harness and lanyards are used properly and in good condition

  Yes

  No

  N/A

• Personal fall arrest system used in man/scissor lifts?

  Yes

  No

  N/A

• Proper ladder usage and in good condition?

  Yes

  No

  N/A

• Workers using the ladder safely ( 3points of contact, not overreaching, etc.) ?

  Yes

  No

  N/A

• Any additional fall protection concerns?

  Yes

  No

  N/A

• Welding / Cutting safety (Proper PPE, fire protection, hot work permit, etc.)

  Yes

  No

  N/A

• Rigging / Crane safety concerns (Qualified operator, inspection done, footings, spotter, etc

  Yes

  No

  N/A

• Maintaining proper distance from powerlines

  Yes

  No

  N/A

• Any additional overall jobsite concerns?

  Yes

  No

  N/A

• Are all fuel tank caps and nozzels properly locked (or is a lock readily available)

  Yes

  No

  N/A

• Anchor points for fall protection are adequate

  Yes

  No

  N/A