Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Client Name

  • Foreman / Project Manager

General Safety

  • Are posters and safety signs or warnings in place?

  • Has site management been made aware of this issue?

  • Are daily safety meetings being held? (Ex. Toolbox talks, as- needed safety stand downs, etc.)?

  • Is there a valid reason a brief safety meeting could not be held on this day?

  • Is a first-aid kit available and adequately stocked?

  • Has site management been made aware of this issue?

  • Are emergency telephone numbers posted?

  • Has site management been made aware of this issue?

  • Has an accident reporting procedure been established?

  • Has site management been made aware of this issue?

  • Has job-related safety training been completed?

  • Have training needs been identified and brought to the attention of site management?

Housekeeping and Sanitation

  • Are work area(s) generally neat and clean?

  • Please list the area in- need and the next steps needed to remedy this issue.

  • Are passageways and walkways clear?

  • Please list the area in- need and the next steps needed to remedy this issue.

  • Are waste containers provided and used?

  • Please list the area in- need and the next steps needed to remedy this issue.

  • Is the work area well lighted?

  • Please list the area in- need and the next steps needed to remedy this issue.

  • Is there an adequate potable water supply?

  • Please list the area in- need and the next steps needed to remedy this issue.

  • Have nails, boards, and debris been removed?

  • Please list the area in- need and the next steps needed to remedy this issue.

  • Are eye-flushing facilities available?

  • Please list the area in- need and the next steps needed to remedy this issue.

  • Are emergency showers available?

  • Please list the area in- need and the next steps needed to remedy this issue.

Hazard Communication

  • Is there a written program?

  • Has site management been made aware of this issue?

  • Are employees trained?

  • Has training been scheduled or coordinated with site management?

  • Are safety data sheets on file and readily available?

  • Are material(s) properly stored and labeled?

  • Is a log of all chemicals on site available?

  • Are labels legible?

PPE

  • Have hazard evaluations been performed?

  • Has site management been notified?

  • Is protective equipment adequate for exposure?

  • Please identify the inadequate equipment.

  • Are employees issued PPE where needed?

  • Are inspections being conducted before and after use of PPE?

  • Is PPE being used in the field?

  • Identify the at- risk behavior and solutions needed to remedy.

  • Are employees trained in the use of PPE?

  • Has site management been notified and training scheduled?

  • Are inspections being conducted before and after use of PPE?

  • If not, please list the suggested remedies for this at- risk condition.

  • Is adequate fall protection provided?

  • If not, please list the suggested remedies for this at- risk condition.

  • Is eye protection available?

  • If not, please list the suggested remedies for this at- risk condition.

  • Is face protection (glasses, goggles, shields) available?

  • If not, please list the suggested remedies for this at- risk condition.

  • Are respirators and masks provided?

  • If not, please list the suggested remedies for this at- risk condition.

  • Are respirators used to protect against harmful dust, asbestos, sand blasting, and welding (lead, paint, and galvanized zinc or cadmium)?

  • If not, please list the suggested remedies for this at- risk condition.

  • Is head protection available?

  • If not, please list the suggested remedies for this at- risk condition.

  • Is hand and foot protection available?

  • If not, please list the suggested remedies for this at- risk condition.

Power Tools

  • Is proper housekeeping conducted where tools are used?

  • If not, please list the suggested remedies for this at- risk condition.

  • Are inspections and proper maintenance of tools performed?

  • If not, please list the suggested remedies for this at- risk condition.

  • Are tool guards in place and used correctly?

  • If not, please list the suggested remedies for this at- risk condition.

  • Are damaged or malfunctioning tools tagged out until repaired or replaced?

  • If not, please list the suggested remedies for this at- risk condition.

  • Is competent instruction and supervision provided?

  • If not, please list the suggested remedies for this at- risk condition.

  • Are cords included in electrical inspection?

  • If not, please list the suggested remedies for this at- risk condition.

Ladders

  • Are ladders inspected and in good condition?

  • If not, please list the suggested remedies for this at- risk condition.

  • Are ladders used properly?

  • If not, please list the suggested remedies for this at- risk condition.

  • Are ladders secured to prevent slipping, sliding, or falling?

  • If not, please list the suggested remedies for this at- risk condition.

  • Do siderails extend 36 inches above top of landing?

  • If not, please list the suggested remedies for this at- risk condition.

  • Are ladders properly maintained and stored?

  • If not, please list the suggested remedies for this at- risk condition.

  • Is fall protection provided for fixed ladders in excess of 20 feet long?

  • If not, please list the suggested remedies for this at- risk condition.

  • Are aluminum ladders being used where they could make contact with live electrical equipment?

  • If not, please list the suggested remedies for this at- risk condition.

Electrical

  • Is electrical equipment properly maintained?

  • If not, please list the suggested remedies for this at- risk condition.

  • Is equipment properly grounded?

  • If not, please list the suggested remedies for this at- risk condition.

  • Are proper fire extinguisher(s) provided?

  • If not, please list the suggested remedies for this at- risk condition.

  • Are cords staged where they could pose a hazard or become damaged?

  • If not, please list the suggested remedies for this at- risk condition.

  • Is electrical equipment being used in wet areas or conditions?

  • If not, please list the suggested remedies for this at- risk condition.

Fire Prevention

  • Are an adequate number and types of fire extinguisher(s) available?

  • If not, please list the suggested remedies for this at- risk condition.

  • Is fire prevention/extinguisher training performed?

  • Has site management been notified and training scheduled?

  • Are inspections of fire extinguishers performed periodically?

  • If not, please list the suggested remedies for this at- risk condition.

  • Are flammable liquids stored in approved containers and correctly labeled?

  • If not, please list the suggested remedies for this at- risk condition.

Flammable Liquids and Materials

  • Are only approved containers being used?

  • If not, please list the suggested remedies for this at- risk condition.

  • Are containers stored in approved and appropriate area(s)?

  • If not, please list the suggested remedies for this at- risk condition.

  • Are cylinders stored or secured in an upright position?

  • If not, please list the suggested remedies for this at- risk condition.

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.