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Information
Job No.:
Job Name:
Superintendent:
Conducted on
Person Performing Inspection:
Column Grade: Use link to update A = Adequate At Time of Inspection MSDS B = Needs Consideration *Login and Password needed C = Needs Immediate Attention N/A = Not Applicable www.kelleronline.com
Subcontractors On-Site?
Company Name/Trade:
Subcontractor
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1. Job Information
OSHA 300A Summary Form Posted (February-April)?
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OSHA Poster Posted?
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Important Phone #'s and Injury Flow Chart Posted?
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Safety Meeting Records up to Date?
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Is There an Emergency Action Plan (EPA) in Place and Understood?
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MSDSs Current and Accessible to All On-Site Personnel?
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First Aid Cabinet Stocked with Required Supplies and Up to Date?
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1. Job Information Comments:
2. Housekeeping
Work Areas Neat and Clean?
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Projecting Nails Removed or Bent Over?
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Waste Containers Provided and Emptied?
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Passageways and Walkways Clear of Debris?
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Compressed Gas Cylinder Properly Stored and Secured?
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Cords and Leads Not Pinched in Doorways?
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2. Housekeeping Comments:
3. Fire Prevention
Adequate Fire Extinguishers, Checked the 1st of each Month and Accessible?
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Spark Arrestors and Proper Labels in Place on Fuel Cans?
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Flammable Liquids being Stored in Closed Containers and Proper Labels in Place?
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"No Smoking" Posted and Enforced near Flammables?
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3. Fire Prevention Comments:
4. Electrical
Extension Cords with Bare Wires or Missing Ground Prongs taken out of Service?
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Ground Fault Circuit Interrupters being used?
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Construction Lights have Guards in Place?
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Terminal Boxes Equipped with Required Covers?
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4. Electrical Comments:
5. Hand, Power & Powder Actuated Tools
Hand Tools Inspected Regularly?
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Guards in Place?
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Wooden Handle Tools Free of Splinters?
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Cord on Tool in Good Condition?
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Operators of Powder Actuated Tools Trained?
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5. Hand, Power & Powder Actuated Tools Comments:
6. Fall Protection
Safety Rails are Secured Properly (42" Top Rail, 21" Mid Rail)?
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Employees Exposed to Fall Hazards (above 6') are Tied Off?
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Fall Protection Equipment is up to Manufacturer's Standards?
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Fall Protection Inspected Before each Use?
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All Protruding Metal Properly Covered to Prevent Impalement?
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Employees Protected from Falling Objects?
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6. Fall Protection Comments:
7. Ladders
Ladders Extend at Least 36" above Landing?
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Ladder are Secured to Prevent Slipping, Sliding and/or Falling?
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Ladder with Damage (i.e. Cracked Sides, Bent Rungs) are Taken out of Service and Tagged "Do Not Use"?
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Stepladders Used in Fully Open Position?
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Lifting Device Provided to Haul Materials Up?
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7. Ladders Comments:
8. Scaffolding
All Scaffolding Inspected Daily?
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Scaffolding Has a Green "In Use" or Red "Not In Use" Tag?
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Scaffolding Erected on Sound Rigid Footing?
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Guardrails, Intermediate Rails & Toeboards in Place?
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Planking is Sound & Sturdy?
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Proper Access Provided?
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8. Scaffolding Comments:
9. Floor & Wall Openings
All Floor Openings are Covered and Labeled "Hole" or Barricaded?
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Perimeter Protection is in Place for All Wall Openings & Sides from Which there is a Drop of more than 4'?
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Proper Access is Present where Elevation Changes 19" or more; i.e. Stairs, Ramp or Ladder?
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Materials Stored away from Edges?
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9. Floor & Wall Openings Comments:
10. Trenches, Excavations & Shoring
Competent Person on hand with Excavation Report filled out?
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Excavations are Shored or Sloped Back?
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Locates were Performed before Digging began?
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Spoils are Stored at least 2' from Trench?
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Proper Means of Egress Provided every 25' in Trench?
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10. Trenches, Excavations & Shoring Comments:
11. Material Handling
Employees are using Proper Lifting/Rigging Methods?
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Tag Lines are Used During Lifting Operation?
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All Containers are Properly Labeled, Hazardous or Not?
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11. Material Handling Comments:
12. Cranes
Outriggers are extended and Swing Radius Barricade in Place?
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Operator is Familiar with Load Charts?
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Hand Signal Charts on Crane?
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Crane Operator Logs are Up to Date?
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Employees Kept from Under Suspended Loads?
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Chains and Slings have Labels that are Legible and Intact?
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Chains and Slings Inspected and Tagged as Required?
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12. Cranes Comments:
13. Personal Protective Equipment
Hard Hats are Being Worn?
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Safety Glasses and Vests are Being Worn?
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Safety Toe Footwear Being Worn?
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Hearing Protection Being Used When Required?
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Gloves are being Worn During Cutting and Lifting Operations
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.
