Daily Job Site Inspection Record
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Dust control in place
Erosion control in place
Site Specific Emergency Action Plan Available
Emergency numbers posted
Fire extinguishers in place & checked
First aid kit
Drinking water & clean cups available
Shaded or cool area available for heat stress
Trash picked up
No slip, tip, or fall hazards
Materials stacked properly
Traffic area clear
Vehicle and gate access clear
Toilet facilities available
SWPP - area to prevent track off in place
Are there excavations on site?
Equipment being used safely
Spoil piles back 2 ft from edge of trench
Any open trenches?
Trench inspection completed
Open trench signs or barricades
Trench box or shoring being used
Ladder in the trench within 25'
Guardrails/protection in place for 4 ft drop
Toeboards in place if anyone under
Stair and ladder openings protected
Ladder and stair access clear
All extension ladders 3ft above edge
Step ladders used properly
Any drop offs protected
Floor openings or holes covered or protected
Scaffolds setup & secured (w/rails ovr 10 ft)
Any leading edge work in progress
Site Specific Fall Protection Plan available
All compressed gases secured
Proper PPE being worn
Areas w/ welding hazards marked/shielded
Hot work permit being used (if needed)
Backup alarms functional as required
Windshields free of large cracks
Equipment being operated safely
Seatbelts being worn
No one working under suspended loads
No unattended supended loads/equipment
All gasoline stored in safety cans
Flammable materials away from combustibles
All fuel tanks labeled
Fencing & barricades in place
Warning signs in place
Traffic control in place if needed?
Open trenches barricaded or covered
Pedestrian protection in place if needed?
Noise levels estd over 85 db for 8 hr twa ( Use ear plugs for short term exposures)
Any identified respiratory hazards
Dust masks being used
Is there any other hazard identified not listed above?
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Description of hazard.
Correction/Comment (if applicable)
Were there safety violations requiring action?
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Description of Action