Sample - Landscape Maintenance Safety Inspection Checklist

• Conducted on

  Date

• Prepared by

• Location
  Address

General Requirements

• Have your landscapers been trained about the necessary safety precautions when doing landscaping work?

  Yes

  No

  N/A

• Are you aware of the requirement to report any work-related amputation, loss of an eye, or in-patient hospitalization of any employee?

  Yes

  No

  N/A

• Do you provide required safety and health training for all employees? Do you maintain a record of the training, date it was conducted, and who provided the training?

  Yes

  No

  N/A

• I am aware of the different types of dangerous plants and animals

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Have you completed a PPE hazard assessment?

  Yes

  No

  N/A

• Can you provide documentation/certification of your PPE hazard assessment?

  Yes

  No

  N/A

• Have you trained employees in the proper use and storage of PPE?

  Yes

  No

  N/A

• Do employees use powered groundskeeping equipment wearing necessary PPE? <br><br>

  Yes

  No

  N/A

• Do you follow proper procedures for traffic control where the fall of a limb or tree would create a hazard for an employee, pedestrian or vehicular traffic?

  Yes

  No

  N/A

Sign-Off

• I hereby verify the authenticity of this self-assessment and assure that necessary safety information were provided to the landscaping workers.

• Landscaping Manager's Name and Signature

  Sign