Title Page

  • Document No.

  • Owner/ Project

  • Conducted on

  • Job Number

  • Prepared by

Sections

Administrative Procedures

  • A project loss prevention program has been established?

  • A current loss prevention manual is on site?

  • A current Hazard Communication Manual is on site?

  • MSDS are provided and filled for substances on site?

  • Tool box talks are being conducted weekly?

  • A pre-planning meeting was conducted to discuss possible safety or liability hazards prior to job start up.

  • Safety violations are being issued for non-conformances<br>

  • Accident reports are being sent to safety department

Safety Notices

  • Is there a designated safety bulletin board?

  • Do you have your project start-up

  • Have you posted the following; OSHA 300 and 300A, EEO, Hazard Communication, Wage, OSHA Rights, Emergency #’s, posters ? <br><br>

Medical Services (First Aid)

  • Is a First Aid kit available and stocked on site ? <br><br>

  • Are stretchers or stokes littler needed on site?

  • Is there someone on site who is CPR and First Aid Trained?

Sanitation

  • Is potable (drinking) water and adequate toilet facilities available?

  • Are washing facilities available?

Personal Protective Equipment (PPE)

  • Are hard-hats worn at all times on the construction site?

  • Are employees trained in the use of PPE?

  • Are employees provided with eye and face protection as needed?

Fire Protection

  • Has a Fire Protection Plan been developed for the project?

  • Is firefighting equipment conspicuously located?<br>

  • Is a water supply available and of sufficient pressure to operate fire fighting equipment?<br>

  • Do all fire extinguishers meet the requirements established?

  • Are requirements for storage and use of flammable liquids being complied with?

  • Are flammable liquids clearly identified and labeled?

Material Storage, Handling, and Disposal

  • Are materials properly stacked, stored, or blocked to prevent falling?

  • Are aisles and walkways kept open of materials ? <br><br>

  • Are waste materials properly disposed of ? <br><br>

  • Are aisles and walkways kept open of materials?

  • IBM- Contractor storage free of chemicals?

Tools (Hand and Power)

  • Are hand and power tools maintained in safe condition?

  • Are tools properly guarded?

  • Are all tools properly grounded and in good repair?

  • Do operators of powdered actuated tools have certification?

Welding and Cutting

  • When transporting or storing gas cylinders, are cylinders secured, upright, and valve protection in place?

  • Are torches inspected at the beginning of each shift for leaks at valves, regulators, couplings, and connections?

  • Are oxygen cylinders kept away from grease and oil ? <br><br>

  • Are oxygen and fuel gases separated 20’or by a ½ hr. fire rated barrier? <br><br>

  • Are employees instructed in the safe use of compressed gases and arc welding safety ? <br>

  • Are welding and cutting operations kept clear of combustible materials? <br><br>

  • Are shields available and used to prevent flashes to other employees ? <br><br>

Electrical

  • Is there adequate clearance from overhead power lines ? <br><br>

  • Are employees working near electric power protected against shock ? <br><br>

  • Is the project using GFCI protection on all branch circuits ? <br><br>

  • Are electrical components marked to identify their functions ? <br><br>

  • Are extension cords and tools provided with ground plugs ? <br><br>

  • Are temporary lights provided with guards ? <br> <br>

  • Are electrical components in damp or wet areas waterproof ? <br><br>

  • Are electrical lines strung overhead to prevent tripping and electrical hazards ? <br><br>

  • Are all cords and tools free from defects ? <br><br>

Scaffolding

  • Are scaffolds erected and dismantled by competent persons ? <br><br>

  • Are guardrails, midrails, and toeboards provided where necessary ? <br><br>

  • Are scaffolds plumb and level ? <br><br>

  • Is good housekeeping being maintained on scaffolds?<br>

  • Are scaffold grade planks being used? Are all planks in good condition?<br>

  • Are scaffolds provided with outriggers when the height exceeds four (4) times the minimum width?

  • When rolling scaffolds are moved, have employees removed or secured tools and materials from scaffold?

Floor and Wall Openings

  • Are floor and wall openings properly guarded with standard?

  • Are skylight openings protected by guardrails?

  • Are hoist areas provided with a means of fall protection?

  • Are open sided floors or elevated platforms six feet above ground properly guarded?

Cranes and Derricks

  • Is use of equipment in compliance with manufacturers specifications and limitations ? <br><br>

  • Are rated load capacities, operating speeds, hand signals , posted in cab of equipment ? <br><br>

  • Is equipment inspected before each use ? <br><br>

  • Is equipment inspected before each use?

  • Are accessible areas in the swing radius barricaded?

Motor Vehicles

  • Are employees who drive company vehicles had their driving record checked by the safety department ? <br><br>

  • Are unattended vehicles left locked and secured from the general public? <br><br>

  • Are vehicles parked on an incline blocked or parking brake set ? <br> <br>

  • Are vehicles checked before each shift ? <br><br>

  • Are seats and seat belts provided for each passenger ? <br><br>

Excavations and Trenching

  • Are excavation permits filed prior to any excavating? <br><br>

  • Are excavations supervised by a competent person? <br><br>

  • Are excavations properly sloped, shored or shielded? <br><br>

  • Is MISS Utility or other agency informed prior to excavations? <br><br>

  • Are all excavations exceeding 20 feet in depth being reviewed and are systems designed by professional engineer? <br><br>

  • If employees must cross excavations are walkways provided ? <br><br>

  • If employees must cross excavations are walkways provided ? <br><br>

Concrete and Masonry

  • Are concrete mixers provided with guards? <br><br>

  • Is form work and shoring capable of supporting all loads during placement ? <br><br>

  • Are rebars covered with caps or other protection ? <br><br>

  • Are employees provided with PPE when pouring concrete ? <br><br>

  • Is a limited access zone established for masonry walls ? <br><br>

Steel Erection

  • Is permanent or temporary flooring installed as erection progresses ? <br><br>

  • Is fall protection used when work is more than 30 feet above the lower level ? <br><br>

  • Are tag lines used for controlling loads ? <br><br>

  • Are floor openings securely guarded or decked over ? <br><br>

  • Are the required perimeter cables installed correctly ? <br><br>

  • Are the local/state steel erection rules observed ? <br><br>

Notes and Comments for additional consideration:

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.