Title Page

  • Daily Safety Observation Tour

  • Client / Site / Contractor

  • Conducted on

  • Prepared by

  • Craft being Observed

Employee Daily Interview Questions

  • Did the worker review at least one JSA's / WSE's at the start of shift?

  • Take a picture of the WSE front and back.

  • Is worker following the WSE?

  • Are the tools and equipment called out on the WSE / JSA?

  • Is the WSE at the work location?

  • Can the worker explain the Safe Work Zone?

  • Did this discussion create changes to the JSA and/or WSE?

Job Site Safety & Communication Board

  • Job Site Safety Org. chart updated, current and posted

  • Responsible people identified on the org. chart

  • Emergency phone numbers posted

  • Green Cross updated/current

Personal Protective Equipment

  • Safety Glasses, Hard Hats and Kevlar Sleeves (if required)

  • Proper shoes, trousers and shirts

  • Other PPE as per PTP or Site Specific

Housekeeping and Sanitation

  • General neatness of the working areas

  • Drill dust cleaned up as it is generated

  • Passageways and walkways clear

  • Proper barricading in-place as required

  • Waste containers provided

  • Adequate lighting provided

Fire Prevention

  • Fire extinguishers adequate/identified and correct

  • Storage use and handling of flammable and combustible liquids in accordance with standards

  • Hot Work permit posted at work area

  • Clearance, proper mounting/ventilation for temporary heat

  • Proper use and storage of gas cylinders

Hand Tools

  • Proper tool for each job

  • Neat and secure storage area

  • Are all tools in good repair

Power Tools

  • Are all tools in good repair

  • All power tools properly guarded

  • GFCI's used on all 120V power tools

Ladders

  • Ladders are inspected and in good condition

  • Step Ladders fully opened when in use

  • 6ft rule being utilized

  • Ladders are equipped with safety footings

Cranes

  • Annual certification on-site along with daily inspection log

  • Approved slings, chains, hooks and eyes

  • Outriggers down and matted/pads. Cranes properly set-up w/swing radius controlled.

  • Power lines or other hazards identified and controlled

  • Adequate communication

  • Work area is properly barricaded where the crane is being utilized

Mobile Equipment

  • Inspection log in use and current

  • All Personnel transported in safe manner

  • Work area is properly barricaded where the aerial lift is being utilized

  • Ground person has visual contact with aerial lift operator

Fall Protection

  • All at risk personnel properly using Full Body Harness

  • Proper lanyard used for the task

  • Proper anchor point and attachment device used

  • Properly tied off in the man lift

LockOut/TagOut

  • One lock per person

  • All Electrical power LO/TO

  • All compressed air lines LO/TO

  • All locks tagged with Name and Phone #

  • Pictures

  • Signature

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.