Title Page

  • Job Foreman/Supervisor

  • Conducted on

  • Prepared by

  • Job Number

  • Location

Site Inspection

Jobsite Information

  • Is there a copy of the company’s Site Specific Safety Plan on site

  • Are numbers for the nearest medical center posted

  • Have all site specific safe work plans been reviewed and signed off

  • Does the JTA’s cover all hazards for the current work being conducted

  • Have members of the crew been orientated

  • Are all current safety meetings, toolbox talks, JHRA's has been reviewed.

  • Are the emergency procedures and contact information available

  • Is the first aid kit available and adequately stocked

  • Is there a plan for extreme weather: Hot/Cold

Stair Towers / Ladders

  • Have all stair tower / scaffolds been tagged and inspected in the required time

  • Are scaffolds/stair towers/ ladders free of ice, mud, snow debris etc.

  • Is scaffold / stair tower adequately braced and free of excess movement

  • Are ladders secured against movement at a 4:1 ratio, 3’ past landing, 3’ lap

Tools / Equipment

  • Are all tools / equipment inspected and in proper working order

  • Damaged / defective tools / equipment tagged and removed from service

  • Are all required guards in place

  • Are the proper / appropriate tools available

  • Are tools and equipment properly stored

  • Are there adequate fire extinguishers available on site and have they been properly inspected

Access / Egress

  • Is proper access/egress to work area provided

  • Are all access / egress points identifiable and accessible

  • Are walkways free from material and debris

Housekeeping

  • Is the job site well maintained and free from excessive material and debris

  • Are there appropriate waste disposal bins available and used as required

  • Are all materials properly stored, organized and secured as required

  • Are surfaces maintained and free of excessive oil, ice, snow etc.

  • Are all exposed dowels protected

PPE

  • Is all required PPE available to all workers

  • Is PPE properly stored and maintained

  • Is all required PPE worn by all workers

Slab Decks / Formwork

  • Has the deck/formwork been inspected and signed off by the general/formwork contractor

  • Are there unprotected openings, gaps, leading edges or other similar hazards

  • Are guardrails in place and complete with top rail, mid rail and toe boards

  • Is all formwork adequately braced for installation of rebar

  • Have the forms been cleaned of excess concrete or similar debris

Rigging / Hoisting

  • Has the vertical lift plan been reviewed and signed off by all on site

  • Has all rigging and hoisting equipment inspected IE: slings

  • Are tag lines available and used as required

  • Are adequate warnings given for overhead loads

  • Is an adequate means of communication available and used

  • Are there any critical or non-routine lifts? Plans?

Excavations

  • Are there excavations / trenches on site

  • Is the trench/excavation properly barricaded with adequate signage

  • Is there adequate sloping or benching system in place

  • Trench / excavation free from water, runoff, signs of sloughs or cave in’s

  • Are there proper access / egress points IE: ladders every 25’

Fall Protection / Specialized PPE

  • Have the Fall Protection Plan(s) been reviewed and signed by everyone on site

  • Is specialized PPE req’d (fall protection, respirators, gas monitors)

  • Are proper anchor points available and used

  • Has Fall Protection /Specialized equipment been inspected prior to use

Work Decks / Scaffolds

  • Is work deck / catwalk properly braced

  • Are there guardrails in place with top rail, mid rail and toe boards

  • Are walkway planks adequately installed and secured

Hot Work

  • Is there hot work being performed on site

  • Is there a hot work permit program required on site

  • Is there a completed hot work permit for any hot work in progress

  • Is there a fire extinguisher in the affected work area

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.