Title Page

  • Site Supervisor

  • Conducted on

  • Prepared by

  • Location

Company Information

  • Signage

  • Contact number

Security

  • Security Fencing

  • Warning signs

  • Access / Eggress clearly indicated

  • PPE Posters visible

Fire Protection

  • Fire extinguishers

  • where , accessible, charged , expiry date

  • Evacuation plan

  • Exits clearly indicated and accessible

Personnel Protective Equipment

  • Eye wash station

  • expiry date

  • Is fluid clear of particulate and not cloudy

  • Replace immediately

  • Head protection

  • CSA approved foot protection

  • Eye protection if applicable

  • Hearing protection if applicable

Hazards

  • Chemicals Labeled and stored appropriately

  • Describe

  • MSDS on site

  • Railings anf barriers on site

  • Description: where/why/what

Any obvious Hazards

  • Any obvious concerns

  • Describe

Housekeeping

  • Lighting adequate

  • Describe/recommendations

  • Floors / Hallways / Staircase

  • Desciption

  • Ventilation

  • Description/Recommendation

  • Work Station CLean

  • Describe

  • Exterior

  • Describe

  • Bulding Materials organized and accessible

  • Describe

Tools

  • Job site tool box on site

  • where are they stored and locked

  • Power tools , working properly and fee of obvious damage or frayed wires, safety guards in place, emergency shut off operational ?

  • Describe and replace

  • Hand Tools free of obvious damage

  • Describe

  • Ladders/scaffold - no obvious damage - secured appropriately

  • Description/ Recomendation

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.