• Client / Site

  • Conducted on

  • Location

  • Prepared by

Construction Barricades

  • Tacky walk-off mats in place & clean?

  • Barricade Doors have self-closers & latching hardware?

  • Doors closed & sealed properly?

  • Adjacent ceiling areas intact?

  • Adjacent floor is clean, no dust tracked out?

  • Barricades sealed, no penetrations (barricades extend from the floor, beyond the ceiling, to underside of the floor slab above)?


  • Ductwork sealed/closed?

  • Negative pressure at entrance to barricade?

  • All windows and doors closed behind barricade?

  • Negative air machines running?

  • Negative air machine filters clean?<br>


  • Project area clean, with debris removed daily?

  • Debris removed in suitable clean containers with tight fitting lid and covered daily as necessary?

  • Routes cleaned with wet-mop or HEPA vacuum? (change water as needed, inspect filter condition frequently)

  • Established traffic pattern identified and used?

  • Fire Extinguishers present?

Construction Personnel & Dress Code

  • Appropriate attire worn for construction project area (ie hardhat, eyewear, face mask, footwear, ear protection, etc)?

  • Removing dust from clothing, shoes, and hair when entering the building?

  • Wearing UMMS Contractor ID Badges?

Additional Requirements

  • Water lines turned off at area adjacent to occupied Hospital area (is indicated by Project)?

  • Air flow monitoring (as indicated by IC)?

  • Daily temperature monitoring (if requested by IC)?

  • Daily humidity monitoring (if requested by IC)?

  • Air Particle Counts (if requested by IC)?

Traffic Control

  • Restricted to Construction personnel and necessary Staff only?

  • All doors and exits free of debris?

  • Exit routes posted?<br>

  • Construction signs posted?

  • Infection Control Permit posted?

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.