Safety Walk Checklist

• PPPL ES&H Project Safety Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Details

• Site / Project Name

• Use this audit to assess the following aspects of this site as Safe, At Risk or Not Applicable. Unsafe response indicate that attention is required to bring items to a satisfactory standard. Notes and photos should be attached where appropriate, particularly to At Risk items.

Documentation

• Do you wish to examine documentation on this safety walk?

  Yes

  No

  N/A

• JHA filled out and available

  Yes

  No

  N/A

• Pre task plan completed

  Yes

  No

  N/A

Work Areas

• Do you wish to examine housekeeping of work areas on this safety walk?

  Yes

  No

  N/A

• General Housekeeping (neat, tidy, dust free)

  Yes

  No

  N/A

• Walkways (free of debris and obstructions)

  Yes

  No

  N/A

• Work Surfaces (clear of clutter)

  Yes

  No

  N/A

• Sides or Holes (safety guards or covered with label)

  Yes

  No

  N/A

• Impalement Hazards (none present, or adequately marked/protected)

  Yes

  No

  N/A

• Material Storage/Lay Down (neat and tidy)

  Yes

  No

  N/A

• Barricades and signage in place (as required)

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Do you wish to examine PPE on this safety walk?

  Yes

  No

  N/A

• Hard Hats or Helmets being worn

  Yes

  No

  N/A

• Safety Glasses with Side Shields being worn

  Yes

  No

  N/A

• Face Shield / Goggles (available and worn when applicable)

  Yes

  No

  N/A

• Respiratory Protection (task appropriate, in good condition, and worn when applicable)

  Yes

  No

  N/A

• Hearing Protection (available and worn when applicable)

  Yes

  No

  N/A

• Appropriate Hi-Vis Clothing

  Yes

  No

  N/A

• Gloves (being worn and task appropriate)

  Yes

  No

  N/A

• Foot Protection (safety toe footwear required at all times)

  Yes

  No

  N/A

Fall Protection Equipment

• Do you wish to examine fall protection equipment on this safety walk?

  Yes

  No

  N/A

• Fall protection equipment inspected inspected regularly and before use

  Yes

  No

  N/A

• Appropriate for task and used properly by crew where applicable

  Yes

  No

  N/A

• Suitable Anchorage Points

  Yes

  No

  N/A

• Fall Rescue Plan available?

  Yes

  No

  N/A

Ladders

• Do you wish to examine ladders on this safety walk?

  Yes

  No

  N/A

• Inspected prior to use

  Yes

  No

  N/A

• Ladders are well maintained and in satisfactory condition

  Yes

  No

  N/A

• Ladder base, footing and set up is to standard

  Yes

  No

  N/A

• Proper Ladder for Task

  Yes

  No

  N/A

Scaffolding

• Do you wish to examine scaffolding on this safety walk?

  Yes

  No

  N/A

• Users have competent person training

  Yes

  No

  N/A

• Scaffolding is appropriately tagged and inspected

  Yes

  No

  N/A

• Guardrails and Toeboards installed

  Yes

  No

  N/A

• Pins and retaining clips installed

  Yes

  No

  N/A

• Platform/Decking secured

  Yes

  No

  N/A

• Appropriate leveling or footing installed

  Yes

  No

  N/A

• Proper access/egress

  Yes

  No

  N/A

Tools and Equipment

• Do you wish to examine tools and equipment on this safety walk?

  Yes

  No

  N/A

• General condition of tools

  Yes

  No

  N/A

• Guards are in place

  Yes

  No

  N/A

• Proper tools being used for task

  Yes

  No

  N/A

• Equipment inspected prior to use and recorded

  Yes

  No

  N/A

• Spotter in use (when applicable)

  Yes

  No

  N/A

Excavations

• Do you wish to examine excavations on this safety walk?

  Yes

  No

  N/A

• Access/Egress is safe and frequency of egress is acceptable (25 ft)

  Yes

  No

  N/A

• Excavation/Trench exceeds 5 ft

  Yes

  No

  N/A

• Proper shoring/shielding or bench/slope in place

  Yes

  No

  N/A

• Barricades are in place as required

  Yes

  No

  N/A

• Spoil Pile, materials, and equipment at least 2 ft from excavation/trench

  Yes

  No

  N/A

• Water accumulation in excavation

  Yes

  No

  N/A

Electrical Safety

• Do you wish to examine electrical safety on this safety walk?

  Yes

  No

  N/A

• Ground fault circuit interrupters in use

  Yes

  No

  N/A

• Extension Cords are in good condition and not causing trip hazards or used inappropriately

  Yes

  No

  N/A

• Power Tools are undamaged and being used fit for purpose

  Yes

  No

  N/A

• Lock out/Tag out perform

  Yes

  No

  N/A

• Proper locks and tags in use

  Yes

  No

  N/A

Cranes and Rigging/Signaling

• Do you wish to check cranes and rigging/signaling this safety walk?

  Yes

  No

  N/A

• Rigging inspected for damage and capacity tags

  Yes

  No

  N/A

• Hooks and latches inspected

  Yes

  No

  N/A

• Tag lines in use

  Yes

  No

  N/A

• Chainfalls/Come-alongs inspected

  Yes

  No

  N/A

• No working under lifted materials

  Yes

  No

  N/A

• Crane swing radius no access zone

  Yes

  No

  N/A

• Proper signaling in use

  Yes

  No

  N/A

Hot Work/Fire Safety

• Do you wish to examine hot work and fire safety at this inspection?

  Yes

  No

  N/A

• Hot work permit in place

  Yes

  No

  N/A

• Fire watch in place (1 hour after hot work is completed)

  Yes

  No

  N/A

• Fire extinguisher present near area where hot work is being performed (20 lb ABC minimum)

  Yes

  No

  N/A

• Hot work area clear of combustable materials

  Yes

  No

  N/A

• Gas Cylinders are properly stored (upright and secured when in use; caps on, regulators off, secured and separated when not.)

  Yes

  No

  N/A

• Hoses, regulators, and flashback arrestors are installed properly and free of damage

  Yes

  No

  N/A

Confined Space

• Do you wish to examine confined space safety at this inspection?

  Yes

  No

  N/A

• Entrants and attendants have training

  Yes

  No

  N/A

• Permit is in place (if required)

  Yes

  No

  N/A

• Air monitoring being performed (if required)

  Yes

  No

  N/A

• Retrieval gear and harness in use and inspected

  Yes

  No

  N/A

• Lock out/Tag out performed before entry

  Yes

  No

  N/A

• Systems locked out have proper tags and locks

  Yes

  No

  N/A

Chemicals

• Do you wish to examine chemical safety at this inspection?

  Yes

  No

  N/A

• SDS submitted for chemical

  Yes

  No

  N/A

• Chemicals properly stored onsite

  Yes

  No

  N/A

• Correct PPE in use while working with chemicals

  Yes

  No

  N/A

Concrete Work

• Do you wish to examine concrete work safety at this inspection?

  Yes

  No

  N/A

• Silica control plan in use

  Yes

  No

  N/A

• Correct PPE in use

  Yes

  No

  N/A

Positive Observations

• Do you wish to report any positive observations made during the inspection?

  Yes

  No

  N/A

• Add description

• Add photos

  Media

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

• Please add any corrective actions to the appropriate questions above before completing this report

Sign Off

• Name & Signature of Inspector

  Sign

• Name & Signature of Site Supervisor / Foreman

  Sign