Information

  • Conducted on

  • JOB ADDRESS

  • CREW NAME

  • # of workers on jobsite

  • Safety Inspection Performed by

  • INITIAL OBSERVATION<br>Are there any immediate hazards observed?

LADDER

  • Does Ladder conform to applicable standards?

  • Ladder secured to roof and extended at least 3' above eave?

  • Picture of ladder tied to roof 3' above eave.

  • Ladder placed on level surface, away from all doorways, and high traffic areas?

PERSONAL FALL ARREST SYSTEM (PFAS)

  • PFAS worn while working 6' or more above a lower lever?

  • Picture of worker wearing PFAS.

  • Is PFAS safely attached to anchors and harness?

  • Is there safe passage to and from the access point?

  • Anchor, harness, and / or lifeline all in good condition?

  • Are all anchors properly secured per manufactures specifications?<br>If installation into truss using screw/nail in center row of holes.<br>If installation into field using screw/nail in every rows of holes.<br>

  • Picture of PFAS anchored to truss.

OTHER IMPORTANT SAFETY POINTS & PERSONAL PROTECTIVE EQUIPMENT (PPE)

  • Are Hard Hats properly utilized as required?

  • Are Safety Glasses properly utilized as required?

  • If safety can is present, is it a Metal Can?

  • Is Fire Extinguisher present and charged as required?

  • Is First Aid Kit present?

  • Are all other equipment, tools, and cords in good condition?<br>

  • COMMENTS & CORRECTIVE ACTIONS TAKEN by Superintendent

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.