Information

  • Job Number

  • Job Name

  • Superintendent

  • Conducted on

  • Location

Current Status of Project (check all that apply)

  • Site Clearing & Grubbing

  • Structural Frame

  • Overhead Mechanical/Electrical

  • Interior Finishes

  • Foundations

  • Remodeling

  • Excavations

  • Demolition

  • Exterior Enclosure

  • Close-out

  • Other

  • A=Adequate at time of inspection B= Needs Consideration
    C=Needs immediate attention N/A= Not applicable

Job Information

  • OSHA 300 and 301 forms posted and complete?

  • Action Taken:

  • OSHA poster posted?

  • Action Taken:

  • Phone number to nearest medical center posted?

  • Action Taken:

  • Tool box talks up-to-date?

  • Action Taken:

  • Work areas signed and barricaded?

  • Action Taken:

Housekeeping

  • Work area generally neat?

  • Action Taken:

  • Projecting nails removed or bent over?

  • Action Taken:

  • Waste containers used?

  • Action Taken:

  • Passageways/walkways clear?

  • Action Taken:

  • Cords and leads off of the floor?

  • Action Taken:

Fire Prevention

  • Adequate fire extinguishers, checked and accessible?

  • Action Taken:

  • Phone number of fire department posted?

  • Action Taken:

  • “NO SMOKING” signs posted and enforced near flammables?

  • Action Taken:

Electrical

  • Extension cords with bare wires or missing ground prongs removed from service?

  • Action Taken:

  • Ground fault circuit interrupters used?

  • Action Taken:

  • Terminal boxes equipped with required covers?

  • Action Taken:

Hand, Power and Powder-Actuated Tools

  • Hand tools inspected regularly?

  • Action Taken:

  • Guards in place on machines?

  • Action Taken:

  • Tools suited for their jobs?

  • Action Taken:

  • Operators of powder-actuated tools licensed?

  • Action Taken:

Fall Protection

  • Safety rails and cables secured properly?

  • Action Taken:

  • Employees have D-ring of belts in center of back?

  • Action Taken:

  • Employees exposed to fall hazards tied off?

  • Action Taken:

  • Employees below protected from falling objects?

  • Action Taken:

Ladders

  • Ladders extend at least 36 inches above the landing?

  • Action Taken:

  • Ladders secured to prevent slipping, sliding, or falling?

  • Action Taken:

  • Ladders with split or missing rungs taken out of service?

  • Action Taken:

  • Stepladders used in fully open position?

  • Action Taken:

  • No stepping at top two rungs of stepladder?

  • Action Taken:

Scaffolding

  • All scaffolding inspected daily?

  • Action Taken:

  • Erected on sound rigid footing?

  • Action Taken:

  • Tied to structure as required?

  • Action Taken:

  • Guardrails, intermediate rails, toe-boards, and screens in place?

  • Action Taken:

  • Planking sound and sturdy?

  • Action Taken:

  • Proper access provided?

  • Action Taken:

  • Employees below protected from falling objects?

  • Action Taken:

Floor and Wall Openings

  • All floor and deck openings planked over or barricaded?

  • Action Taken:

  • Perimeter protection is in place?

  • Action Taken:

  • Deck planks secured?

  • Action Taken:

  • Materials stored away from edge?

  • Action Taken:

Trenches, Excavation, and Shoring

  • Competent person on hand?

  • Action Taken:

  • Excavations shored or sloped back?

  • Action Taken:

  • Materials stored at least two feet from trench?

  • Action Taken:

  • Ladders provided every 25 feet in trench?

  • Action Taken:

  • Equipment is a safe distance from edge of trench or excavation?

  • Action Taken:

Materials Handling

  • Materials properly stored or stacked?

  • Action Taken:

  • Employees use proper lifting methods?

  • Action Taken:

  • Tag lines used to guide loads?

  • Action Taken:

  • Proper number of workers for each operation?

  • Action Taken:

Welding and Burning

  • Gas cylinders stored upright?

  • Action Taken:

  • Proper separating distance between fuels and oxygen?

  • Action Taken:

  • Burning/welding goggles or shields used?

  • Action Taken:

  • Fire Extinguishers nearby?

  • Action Taken:

  • Hoses in good condition?

  • Action Taken:

Cranes

  • Outriggers extended and swing radius barricade in place?

  • Action Taken:

  • Operators familiar with load charts?

  • Action Taken:

  • Hand signal charts on crane?

  • Action Taken:

  • Crane operators’ logs up-to-date?

  • Action Taken:

  • Employees kept from under suspended loads?

  • Action Taken:

  • Chains and slings inspected and tagged as required?

  • Action Taken:

Concrete Construction

  • Employees protected from cement dust?

  • Action Taken:

  • Exposed skin covered?

  • Action Taken:

  • Runways adequate?

  • Action Taken:

Personal Protective Equipment

  • Hard hats being worn?

  • Action Taken:

  • Safety glasses being worn?

  • Action Taken:

  • Respirators used when required?

  • Action Taken:

  • Hearing protection being worn when required?

  • Action Taken:

  • Traffic vests being worn?

  • Action Taken:

Signature

  • Select date

  • 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.