Information

  • Project Name

  • Project ID

  • Customer

  • Inspector

  • Conducted on

  • Location
  • Subcontractor site-specific safety plan/fall protection plan etc. on-site

  • OSHA/State required safety postings on-site

  • Weekly safety meeting - (topic noted on sign-up sheet & copies submitted to Trane)

  • Personnel Attendance Lsit

  • Name and Company
  • Name (first and last)

  • Company

  • Subcontractor daily inspection by supervisor or safety representative - (On-site and reviewed)

  • All accidents/incidents/near misses reported to Trane supervisor and EHS immediately (subcontractor and Trane)

  • Proper PPE Use - (Minimum - safety glasses, hard hat, steel toe boots - note additional as required)

  • Safe Roof/Mezzanine/Floor access - (List type of access)

  • Overhead protection in place for overhead work (crane, helicopter, steel installation, roof openings, roof edge - note additional when applicable)

  • Fall Protection system in place for work closer than 15-feet from fall hazard (roof edge, floor openings, etc)

  • Proper fall protection used by all exposed employees

  • Training per regulator requirements

  • Tethered Fall Protection

  • Picture of Fall Protection

  • One person per tether line (each line is rated for 2000 lbs)

  • Full Harness used

  • Monitored System Used

  • Float or very low pitched roof

  • Monitored easily identified (different color vest, hard hat, etc)

  • Monitoring/Warning lines or alarms on place and greater than 15 feet from edge

  • Picture of Monitoring System

  • Trenching

  • No Water

  • Is Deeper than 36 inches (3 Feet)

  • Shoring Installed

  • Picture of Shoring

  • Proper Slope

  • Ladder Access every 50 feet

  • Picture of Ladder

  • Ladders in Use on Site

  • Step Ladders

  • Inspected

  • Fully Extended

  • Proper Height (not stangng on top two rungs)

  • Step Ladder Pictures

  • Extension Ladders

  • Secured at top

  • 36 inch overlap at landing

  • Pictures of Extension Ladders

  • Inspected

  • 4 to 1 ratio

  • Scaffolding At use on site

  • Inspected Daily (meets all regulator requirements)

  • Personnel are Trained for use

  • Scaffolding Erectors are specifically trained for erecting scaffolding

  • Slips/Trips/Fall Hazards (holes covered, water cleared, trip hazards)

  • Description of At Risk Hazard

  • Hazard Description
  • Description

  • Picture of At Risk Hazard

  • Crane Use

  • Trane Use Checklist

  • Forklift

  • Inspected Daily before use

  • Seat belt used

  • Trained operator

  • Hot Work

  • Extinguishers every 75 ft

  • Inspected Monthly

  • Combustible Materials moved away from Hot Work Areas

  • Hot Work Permits Completed

  • Fire Watch for 30 mins after hot work complete

  • Electrical Safety Work

  • Using GFCI on all equipment

  • All Extension Cords inspected and less than 50 feet

  • Lock Outs Tag Outs per regulations

  • Work in Switchgear or Electrical Panel

  • Panel Voltage

  • How many Cals Required

  • Minimum Cals Meet

  • Picture of worker in PPE

  • NFPA 70E followed

  • Good house Keeping Maitained

  • Description of Problem Area

  • Picture of Cleaning Area

  • Hazardous Material

  • MSDS onsite

  • Proper Storage Area

  • Proper PPE when handeling

  • Staff/Public Protection

  • Issue

  • Safety Issue
  • Description

  • Picture of At Risk Area/Issue

  • Proper Lighting in Work Areas

  • Noise Control Areas

  • Weather

  • Weather Description

  • Wind Speed (mph)

  • Other Issues

  • Details about other issues

  • Other Issues Descriptions
  • Additional Notes and Corrective Actions

  • Additional General Pictures

  • 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.