Title Page
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Weekly Safety Inspection
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Conducted on
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Company
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Site
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Prepared By
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Location
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Personnel Present During Inspection
1) Personal Protective Equipment
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Hard Hat and Safety Glasses worn at all times?
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Face shield used while chipping and grinding?
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Hearing Protection used?
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Respirator used properly? Correct cartridges used for task?
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Hi Visibility clothing used if required?
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Other PPE - Proper foots are, knee pads, welding screen in place, etc?
2) Work Area General Conditions
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Is access/egress clear of debris and marked? Hallways and building entry clear?
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Is garbage maintained and disposed of properly? Enough containers provided for disposal?
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Adequate lighting in stairwells, hallways and public walkways?
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Adequate number of bathrooms and a hand washing station?
3) Safety Administration and Documentation
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Weekly Safety meeting conducted?
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SDS available for hazardous materials?
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Site-specific Orientations completed?
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Required Posters are posted on Safety Board?
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Employees training current and training documented?
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Pre-task planners filled out and reviewed daily?
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Equipment inspections conducted and on file?
4) Electrical
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TPU's and Energized Panels covered and 3' clearance maintained?
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GFCI's used?
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LOTO procedures in place? Is a written procedure plan on site and available?
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Cords suspended or protected from damage?
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Are all electrical cord plugs factory installed?
5) Fire Protection/Hot Work
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Fuel used in approved containers and stored in a FLAM locker?
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Burn permits completed and placed in hot work area?
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Fire extinguishers within 25' of hot work and adequate number on site?
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Fire extinguishers have full charge and inspected monthly?
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Is hot work area free of combustible material? Removed from the building daily?
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If combustible material can be removed is fire watch assigned?
6) Fall Protection
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Fall protection plans completed and signed by employees on falls > 10'?
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Fall Protection gear inspected daily and stored properly?
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Wall openings and floors holes are guarded or covered?
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Guard Rails (rails at 42' and 22" +/-) and toe boards in place? Cable rails less than 3" of deflection?
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Rebar protection in place when exposed fall is present?
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Fall protection used 4' on working/walking surfaces and 6' on everything else?
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Proper anchor point used and can hold 3,000 Lbs while using fall arrest equipment?
7) Aerial Lifts and Scaffolding
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Scaffold have green tag and inspected daily?
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Is falling object protection in place? Toe boards, Netting, Etc
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Guardrails set at +/- 42" and 22" and installed on all open sides?
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Base set up correctly with base plates/screw jacks and adequate cross bracing?
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Scaffold fully planked with min. 12" overlap?
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Wheels locked on rolling scaffolds?
8) Cranes and Rigging
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Rigging inspected and free of damage? Stored properly?
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Cranes inspected daily? Daily log available from operator?
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Overhead hazards/power lines identified and marked?
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Loads properly secured and tag lines used?
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Are operator, signal person, and rigger properly trained and certifications updated?
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Rigger performing loading activities have proper fall arrest if applicable?
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Critical lift plan filled out if load is > 75% of cranes maximum load capacity?
9) Ladders, Stairs and Ramps
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No one standing above the top 2 rungs?
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Step ladders used properly? Spreader bars open and locked?
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Extension ladders used for access secured top and bottom? Extended 3' above platform?
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3 point contact used while climbing any ladder? Haul ropes provided for materials and tools?
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4'-1' rule maintained on extent ion ladders?
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Stairwells have handrails and have no missing treads?
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Job-made ladders to built to specifications?
10) Environmental
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Chemicals in clearly marked containers? SDS available?
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Adequate number of spill kits available?
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Dust and noise controls used according to safety plan?
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Temporary soil erosion control plan in place if needed? (Fences, catch basins, waddles, etc)
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Is a visible sheen across site present indicating spilled contaminates?
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Are control zones present and being used according to environmental plan?
11) Traffic Control and Public Awareness
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Is Traffic Control plan in place and effective?
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Are all materials keep inside site and pedestrian walkways clear of debris?
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Flagged certified and in Class 3 PPE?
12) Controlled Zones
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Overhead hazards delineated with Danger/Caution Tape?
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Danger Tape properly tagged and identified with the hazards beyond?
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Unused delineation taken down after not in use?
13) Forklifts and Heavy Equipment
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Forklifts inspected daily and documentation present?
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Seatbelt being used during operation of heavy equipment.
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Fire extinguisher available and inspected regularly?
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Operator certified?
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Truck drivers have full PPE on when leaving vehicle?
14) Confined Spaces
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Permit filled out and posted at entry?
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Has space been tested with 4 gas meter and proper PPE being used according to permit?
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Adequate ventilation for confined space used?
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Does permit required confined space have an attendant at entry trained in rescue? Tripod available?
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Do entrants have confined space training?
15) Excavations
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Excavations >4' sloped, benched or shored?
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Approved means of access/egress supplied in excavations >4' minimum 25'?
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Spoils set back from excavation minimum 4'?
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Have underground utilities been clearly marked?
Tools
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All guards in place and per manufacturer?
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Cords free of damage? Ground Prong in place?
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Using right tool for the job?
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Whip-checks installed on pressurized lines?
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Corrective Actions/Who assigned to/Date of Pending Correction
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Corrective Actions from Previous Audit still Pending
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General Notes and Observations
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Superintendent
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Safety Representative
