Title Page

  • Company Name

  • Job Site Name

  • Foreman

  • Conducted on

  • Prepared by

  • Location

Cranes, Forklifts, Rigging, and Material Handling

  • Is the crane operator NCCCO certified for the crane being operated or is the forklift operator trained?<br>

  • Has the fall zone been barricaded or controlled?

  • Is the ground condition ok and are outrigger pads being used?

  • Is the crane/forklift maintaining 20 feet of clearance from overhead power lines?

  • Are qualified riggers and signal persons being used?

  • Is proper fall protection in place while performing material handling operations?

  • Are trash boxes, hoisting parachutes, and rigging maintained?

  • Has the documented monthly inspection been completed for the crane?<br>

DOT information

  • Are commercial drivers qualified, have pre trip inspections been completed, are proper markings in place as required, and is a fire extinguisher present?<br>

Tanker and Kettle Operations

  • Is the tanker or kettle properly barricaded to prevent unauthorized access and is the hot pipe properly set up?<br>

  • Is a fully charged fire extinguisher located near the tanker or kettle?

Ladders and Access

  • Is the ladder properly set up and secured and is the general ladder condition ok?<br>

  • Are proper steps in place where elevation changes exceed 19 inches?<br>

  • If using a roof hatch, is the hatch area properly protected?

Fall Protection

  • Are the guardrails properly set up?

  • Are warning line systems properly set up?<br>

  • Are safety monitors properly used?

  • Are all roof openings properly protected?

  • Are personal fall arrest systems properly used?

  • Is overhead protection in place?

Fire Safety

  • Is smoking prohibited in the vicinity of flammable operations and is no smoking signage in place?

  • Is an inspected and properly working fire extinguisher within 50 feet of flammables or 100 feet of general work?

  • Are compressed gas cylinders and other flammables properly stored?

Hazard Communication / GHS

  • Are safety data sheets available?

  • Are all product containers properly labeled?

  • Are all employees trained in GHS?

Personal Protective Equipment

  • Is proper PPE being worn by all employees on site?

  • Are there any other PPE issues (respiratory, hearing, body protection)

Electrical Safety

  • Are all cords and tools undamaged and properly grounded <br>

  • Are incoming power lines protected?

  • Is GFCI being used?

General Safety and Health Provisions

  • Is housekeeping sufficient?<br>

  • Are properly stocked first aid kits available onsite?

  • Are on-site rest rooms available

  • Is drinking water available?

  • Are there any silica, asbestos, or lead issues?<br>

Power and Hand Tools

  • Are the proper tools being used for the job?

  • Is proper guarding in place on tools and equipment?

Scaffolding

  • Has the scaffolding been properly assembled, inspected and does it have proper access?

Foreman Review

  • Foreman Name:

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.