Safety inspection

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Field Safety Inspection

• Add location
  Address

• Select date

  Date

• Is JHA completed by Operator/crew leader

  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)

  Yes

  No

  N/A

• Personal protective equipment (PPE)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Loader,cranes,sky track,rigging any other equipment inspected

  Yes

  No

  N/A

• Excavation (properly slope,shored,inspected,)

  Yes

  No

  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)

  Yes

  No

  N/A

• Scaffold inspected(fully planked,guards rails in place )

  Yes

  No

  N/A

• Traffic control

  Yes

  No

  N/A

• Roof (guard rails,warning line system,fall protection equipment )

  Yes

  No

  N/A

• Comments

  Yes

  No

  N/A

• Add media

  Media

• Supervisors signature

  Yes

  No

  N/A

• Add signature

  Sign