Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Trades on site.

A. Personal Protective Equipment

  • Hard Hats in use by all personnel

  • Eye protection in use by all personnel

  • Hearing protection (engineering controls, double protection for high noise areas, rotation of employees)

  • Proper foot gear and protective clothing (reflective vests)

  • Fall protection in use

  • Respirators/face masks in good condition and used as required (Medical evaluation and fit test)

Tools and Equipment

  • Tools and equipment in good condition

  • All equipment in good condition

  • Electrical equipment connected properly, grounded and in good condition; GCFI; automatic magnetic cut-off for wood working tools

  • Machine guards/pinch points identified/protected

  • Rigging/Lifting equipment in good condition and inspected

  • Ladders in good condition; tied back; extended 3 ft. beyond landing

Heavy Equipment

  • Daily inspection completed

  • Fire extinguisher mounted and in good condition

  • Seatbelt worn during operation

  • Backup alarm operable/guide used

Hazardous Chemicals/Air Contaminants

  • Hazard communication-right to know poster / written program on job

  • List of hazardous materials on job

  • Material Safety Data Sheets

  • Employees are familiar with program

  • Proper containers in use with correct labels

General

  • Safe access to work area

  • Good housekeeping and material storage

  • Barricades/debris protection/ warning signs in place

  • Excavation/ Trenches properly protected

  • Shoring properly installed; engineers stamp on drawings

  • Eye wash available

  • Fire extinguisher; Good condition; current inspection tag; within 50'

  • First Aid kit and certified employees

  • Trucks; safe/good condition; DOT regulation compliance

Paperwork and other Postings

  • OSHA poster/log

  • Emergency phone number card

  • Daily Pre-Task card reviewed

  • SWPPP inspection/ documented

  • Exhibit Os current and in a binder<br>

  • Add signature

  • Select date

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.