Title Page
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This safety checklist is NOT a site condition inspection, but a specific inspection of Venture employee actions. We want to determine if our employees are following our policies and procedures and avoiding hazards on the jobsite.
ALL QUESTIONS MARKED "NON-COMPLIANT" SHOULD INCLUDE A PICTURE OF NON-COMPLIANCE, IF AT ALL POSSIBLE! -
Jobsite
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Lead Mechanic
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Lead Mechanic
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General Contractor
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Conducted on
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Location
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Number of employees on site
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Short description of the specific tasks in which our workers are engaged (e.g., assembling duct, installing duct, cutting roof holes, etc.)
Safety Questions
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There are clear, safe access ways, stairways and current work positions (no slip/trip hazards, floors generally clean, etc.)
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Does employee know where the closest emergency exit and/or fire extinguisher is located
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Are company vehicles clean, neat and organized for maximum safety
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Employee Name
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Vehicle Number
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Is there an up-to-date SDS book on site, available to our employees
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Is there a first aid kit available on the site and is it being maintained properly
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Basic PPE being worn - according to jobsite conditions (hardhat, safety vest, work boots)
No Basic PPE Violators
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Employee name
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Gloves/arm protection being worn
No Glove Violators
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Employee name
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Safety glasses being worn
No Safety Glasses Violators
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Employee name
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PPE being used is adequate for the exposures (do they need and have hearing protection, face shields, goggles, etc.)
Inadequate PPE Violators
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Employee name
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Are Venture-supplied fire extinguishers fully charged, operable, and kept in designated/required places at all times
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Are hand and power tools in good condition (no modifications, not circumventing the guards, etc.)
Unsafe Tool Condition Violators
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Employee name
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Are power tools being used in proper, safe manner
Unsafe Tool Use Violators
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Employee name
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Adequate fall protection being used properly; some protective means if within 15' of any fall hazard, with a fall potential greater than 4'
Inadequate Fall Protection Violators
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Employee name
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Are equipment operators properly licensed
Unlicensed Equipment Operator Violators
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Employee name
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Are equipment operators operating the equipment in a safe manner
Unsafe Equipment Use Violators
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Employee name
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Infectious disease protocols are being followed (temps took & questionnaire completed (by GC or us), masks worn, social distancing when possible, wash stations available, etc.)
Infectious Disease Violators
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Employee name
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Ladders are setup properly (spreader bars locked, secured, level surface, etc.) and inspected (stickers present, legible, and updated)
Ladder Inspection Violators
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Employee name
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Employees using the ladder properly (staying off the top two steps, not overreaching, etc.)
Ladder Use Violators
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Employee name
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Adequate temp lighting for the task at hand
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If HOT WORK/ENERGIZED ELECTRICAL is being performed, are proper procedures, PPE and "hot work permits" being used
Energized Hot Work Violators
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Employee name
Completion
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Did you inspect their fall protection equipment?
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Enter the VFPK #
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Is the backpack Safe or At-Risk to use?
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Enter the Yo-Yo Serial #
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Is the Yo-Yo Safe or At-Risk to use?
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Enter the Harness Serial #
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Is the Harness Safe or At-Risk to use?
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Enter the Cross-Arm Strap Serial #
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Is the Cross-Arm Strap Safe or At-Risk to use?
Are there any specific hazards present, which were NOT identified by the questions above? If so, please list them here.
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Describe the specific hazard and add pictures.
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Add picture of specific hazard or concern
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Additional recommendation
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Full Name & Signature of Lead (if available)
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Full Name & Signature of Inspector
