Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Forman

  • Job Number

  • 811 Ticket Number

  • JHA

  • Permits

  • Blue Stake

  • Job Prints

  • OSHA Card

PPE

  • PPE

Job Site

  • House Keeping

  • Traffic Control

  • Barricades & Cones

  • Flaggers

  • Pedestrian Traffic

  • Road Plates

Handling & Rigging

  • Tag Line

  • Rigging Equipment WLL Tag

Excavation

  • Competent Person

  • 2'4'5'

  • Tab Data

  • Utilities Protected

Confined Space

  • Gas Monitor

  • Pre Entry Check List

  • Blower

  • Confined Space Trained

  • Gaurdrail

  • Ladder

Trucks & Trailers

  • DVIR Book

  • Seat Belt

  • Insurance & Registration

  • Federal Inspection

  • House Keeping Wheel Chocks

  • Lights & Alarms

Heavy Equipment

  • Seat belt

  • Inspection Book

  • Spotter

  • 3 Point Contact

Drill Machine

  • Grounded

  • Barricading & Caution Tape

  • Communication

  • Calibrated Drill Head

  • Strike Alarm

  • Pothole 2' below utilitie

  • Bore Route Marked

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.