Site Safety Management Plan

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.Management Responsibility

• Does the Principal Contractor have a copy of the Site-Specific Safety Management Plan available on site?

  Yes

  No

  N/A

• Is there a traffic management plan available and is it being implemented?

  Yes

  No

  N/A

• Has the Principal Contractor verified site workers as compliant with OSHA training and qualifications?

  Yes

  No

  N/A

• Has the Principal Contractor provided orientation, training and instruction to workers?

  Yes

  No

  N/A

2. Communication

• Has the Principal Contractor established a communication system for the site?

  Yes

  No

  N/A

• Are all visitors and workers required to sign in when entering site?

  Yes

  No

  N/A

• Are there signs at the entrance detailing all site safety and sign in requirements?

  Yes

  No

  N/A

3. Risk Management

• Are measures in place to manage the risk associated with construction work?

  Yes

  No

  N/A

• Has Principal Contractor and/or the subcontractors provided the necessary Job Hazard Analysis (JHA) documents for current high risk activities?

  Yes

  No

  N/A

• Have the JHAs provided been reviewed?

  Yes

  No

  N/A

• Is the Principal Contractor monitoring subcontractor compliance with OSHA regulations?

  Yes

  No

  N/A

• Has the Principal Contractor established procedures for managing site emergencies?

  Yes

  No

  N/A

• At the time of visit, are any observed high risk activities observed managed?

  Yes

  No

  N/A

• Are the necessary physical barriers in place?

  Yes

  No

  N/A

• Are employees properly equipped with the right PPE for their jobs?

  Yes

  No

  N/A

4. Observed Safety Breaches

• Observed safety breaches, if any

• Have you brought any observed safety breaches to the immediate attention of the Principal Contractor site management representative?

  Yes

  No

  N/A

• Have you issued a site safety instruction for any observed safety breaches?

  Yes

  No

  N/A

• Additional Notes and Recommendations

• Completed by

  Sign