Information

  • Conducted on

  • Project Name

  • Job Number

  • Job status

  • Largest upcoming hazards or issues?

  • Prepared by

  • Project Manager

  • Superintendent

Jobsite Documentation

  • Site Specific Safety Plan completed, updated, and available?

  • Safety orientation being done and up to date?

  • Bi-weekly PM/Supt safety walks up to date?

  • Daily JSA's completed? Quality? Entire crew attending?

  • Weekly safety meeting held/documented?

  • Training - OSHA 10/30 hour and specific equipment

  • Safety as a main topic in Schedule/Coordination meetings?

  • Safety notebook current?

  • Comments:

Personal Protection Equipment

  • Hard hat, safety glasses, and/or goggles available and being used as needed?

  • Face shields available for sawing, grinding, pouring concrete?

  • Hearing protection worn when required?

  • Respirators worn when required, and med clearance and fit test completed?

  • Gloves/hand protection worn when required?

  • High visibility vests or clothing worn as required?

  • Comments:

Electrical Safety Issues

  • Lockout/Tagout is being used for appropriate tasks?

  • GFCIs used for all portable electric hand tools?

  • GFCIs tested weekly with documentation?

  • Electrical panels and room doors are labeled appropriately?

  • Temp lighting protected from damage and bulbs protected from breaking?

  • Illumination adequate?

  • Extension cords in good condition and have grounding prong?

  • Strain relief in tact for all flexible cords or plug fittings?

  • Comments:

General Safety & Health Issues

  • General housekeeping is neat and orderly?

  • Protruding nails removed or bent over?

  • Fresh water & cups provided? Trash can near by? Taped and labeled with today's date?

  • Concrete work? Silica awareness training documented for all?

  • Dust exposure kept to minimum with water, fans, and vac tools?

  • All containers properly labeled?

  • Comments:

Fire Protection

  • Hot work permits required for grinding, cutting, welding?

  • Flammable liquids storage containers labeled properly?

  • Fire extinguishers readily available, accessible, and inspected monthly?

  • Fire extinguishers located between 25ft - 75ft near all fuel storage areas?

  • Comments:

Tools & Equipment

  • Compressed gas cylinders stored, secured upright, and caps in places?

  • Portable grinders have guards and handle in place?

  • Cutting goggles used with torch setup?<br>

  • Portable circular saw have all guards in place?

  • Impact style air tools and hoses secured/safety clipped?

  • Pneumatic power tools have hoses secured/safety clips?

  • Operators of powered actuated tools licensed?

  • Comments:

Excavation

  • Excavation? Ladders or ramped used in >4ft deep? Ladders extend 3ft past ground level?

  • Excavation? Protection from cave-ins for >5ft deep?<br>

  • Spoil piles minimum 2ft back from edge?

  • Competent person inspected prior to accessing excavation/trench? Paperwork on site?

  • Open excavation barricaded?

  • Comments:

Fall Protection

  • Perimeters, wall openings and floor holes are covered or guarded?

  • 100% fall protection in place above 6ft in height?

  • Employees operating lifts are trained on equipment?

  • Fall protection harness and lanyard properly used and inspected every 6 months by competent person?

  • Rebar caps used for protruding impalement hazards?

  • Leading edge/warning lines in place with signs?

  • Employees, subcontractors, and public protected from falling objects?

  • Comments:

Stairways/Ladders

  • Ladders ares safe and inspected as required?

  • Stair rails are required at 30inches in elevation or 4 risers?

  • Stairs or ladder provided for access points > than 19 inches?

  • Extension ladders extend beyond 3ft landing and secured?

  • Step ladders are only used in open position and locked/flat surface?

  • No standing on top two steps of step ladders?

  • Offset guardrails or personal fall protection for ladder openings higher than protection?

  • Comments:

Scaffolding

  • Scaffolding and guardrails used?

  • Scaffold work platform fully decked? 2x12ft planks in good conditions and secured?

  • Ladder access to all areas of scaffolding?

  • All scaffolds inspected daily and documented by competent person?

  • Base plates and proper mud sills used?

  • Comments:

Rigging

  • Wire rope used for lifting? Inspection completed and tagging available?

  • Webslings used for lifting? Inspection completed and tagging available?

  • Crane use? Counter weight swing radius barricaded? Daily inspection completed and with certified operator?

  • Hooks used for lifting have safety latch or are shake outs being used properly?

  • Taglines being used properly?

  • Comments:

Material Handling

  • Employees using proper lifting techniques? Good posture?

  • Material over 75lbs requires team lift or mechanical assistance.

  • Stretch and flex being utilized by site or foreman?

  • Comments:

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.