Title Page

  • Date of Inspection:

  • Project / Site:

  • Location:
  • Job #:

  • Schuler-Haas Project / Site Foreman:

  • Were they present during this walkthrough?

  • Who was the contact during this inspection?

  • Schuler-Haas Project Manager:

  • # of Personnel on Site:

  • Primary scopes of work for the day visited:

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  • Any new hires to site this week

  • First Aid kit is available?

  • Why?

  • Is Job Hazard Analysis available?

  • Why?

  • Daily Pre-Task Plan (PTP) form completed and signed by crew

  • Ladders Last followed

  • Why?

  • Anti-crush guard controls on all booms and lifts

  • Why?

  • Hard hats, safety glasses, ANSI Class 2 vest, work boots, and cut-resistant gloves in use

  • Why?

  • Fall Protection in use > 6’

  • Why?

  • Weekly Toolbox Talks reviewed and signed

  • Why?

  • Hearing protection available (task-specific)

  • Why?

  • Personal Fall Arrest Systems used in aerial lifts and boom lifts

  • Why?

  • Emergency Contacts are posted

  • Why?

  • Nothing Hits the Ground is being upheld

  • Why?

Other observations

  • Are there any additional Notes/Comments/Recommendations?

  • - Notes/Comments/Recommendation:

  • - Notes/Comments/Recommendation:

  • - Notes/Comments/Recommendation:

  • - Notes/Comments/Recommendation:

  • - Notes/Comments/Recommendation:

  • - Notes/Comments/Recommendation:

  • - Notes/Comments/Recommendation:

  • - Notes/Comments/Recommendation:

  • - Notes/Comments/Recommendation:

  • - Notes/Comments/Recommendation:

Form Completed by:

  • Did this project pass today's inspection?

  • Primary (Full Name):

  • Signature:

  • Is there another observer present?

  • Observer (Full Name):

  • Title:

  • Company

  • 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.