Information

  • Project

  • Job #

  • Client

  • Conducted on

  • Prepared by

  • Foreman

Documentation:

  • Is the safety program on site?

  • Is there an MSDS book on site and current?

  • Has a weekly toolbox talk been conducted?

  • Has a weekly site audit been conducted?

  • Have the fire extinguishers been inspected monthly?

  • Has a quarterly electrical inspection been conducted?

  • Has a JSA and/or Pre-planning been conducted?

Personal Protective Equipment (PPE):

  • Hardhat?

  • Safety Glasses?

  • Correct Gloves?

  • Work Boots?

  • High visibility vest?

  • Face-shield: grinding/overhead work?

  • Chemical protection?

  • Respiratory protection?

  • Hearing protection?

Hand & Power Tools:

  • Are hand tools maintained?

  • Are power tools maintained?

  • Are guards in place?

  • Are the Proper tools being used for the task?

  • Is material clamped when cutting?

Excavation / Trenching:

  • Has a Daily Competent Person inspection been conducted?

  • Is access and egress maintained?

  • Is cave-in protection required and used properly?

  • Is the spoil pile and tools at least 2 feet from edge?

  • Is Ventilation required and used properly?

Hoisting and Rigging:

  • Are Signal person(s) certified?

  • Are Rigger(s) qualified?

  • If the lift is critical, has it been planned properly?

  • Are appropriate tag lines used?

  • Are slings inspected before they are used?

  • Has the crane annual inspection been completed?

  • Has a Daily crane inspection been completed?

  • Have chain falls been inspected?

  • Is the safety latches in place for hook?

Fall Protection:

  • Are guardrails and toe boards installed?

  • Are holes 2" or bigger covered, secured and marked?

  • Have safety harness been inspected?

  • Can the anchorage point withhold 5000lbs of force?

  • Is fall protection used above 6ft?

Ladders:

  • Are daily inspection of ladders completed?

  • Are A-frame ladders being used for intended purpose?

  • Is the ladder extended 3 feet above the landing?

  • Is the base of the ladder on a firm surface?

  • Are handrails free of sharp edges/splinters?

Hygiene Environmental:

  • Is water and ice available on hot days?

  • Is asbestos non friable and not pose a hazard?

  • Are lead levels safe and not pose a hazard?

  • No respiratory hazards present?

  • Confined space procedures followed?

Housekeeping:

  • Are stairways free of debris?

  • Is daily cleanup being conducted?

  • Is the storage of material organized?

  • Are slip, trip or fall hazards removed?

  • Is the access and egress clear?

  • Are subcontractors working safely?

  • Does the CM / GC provide a safe job site?

Scaffolding and Lifts:

  • Has a competent person completed a daily inspection?

  • Has the scaffolding been tagged safe and visibly displaying the tag?

  • Is fall protection in place?

  • Is there proper access and egress?

  • Has lift training been conducted?

  • Has daily lift inspection been completed?

Electrical and Energy:

  • Is the temporary lighting on a dedicated circuit?

  • Does the temporary lighting have bulb protection?

  • Are all power cords protected from traffic?

  • Is there clear access to the electrical panel?

  • Are lockout / tagout procedures followed?

Fire Protection and Life Safety:

  • Are emergency exit routes marked?

  • Are required hot work permits being used?

  • Are cylinders stored securely and in the correct location?

  • Are first aid kits available and stocked?

  • Is the crew aware of emergency procedures?

Summary:

  • Previous corrections

  • Summary

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.