Information

  • Project Name

  • Conducted on

  • Prepared by

  • Location
  • Personnel/Subs on Site

Personal Protective Equipment (PPE)

  • Hard Hats

  • Hearing Protection

  • Respiratory Protection

  • Proper Work Attire

  • Proper Footwear

  • Hand Protection

  • Eye / Face Protection

Housekeeping

  • Access & Egress Clear (Stairs, Isles, Walkways)

  • Material Properly Stacked / Stored

  • Debris / Trash Removal

  • Nails - Bent / Removed

Ladders / Stairs

  • Stair Railings / Hand Rails / Pan Fillers

  • Secured / Tied Off

  • Extends 3' Above Landing

  • Proper Use / Corral at Top

Fall Protection

  • Guardrail / Mid-Rail / Toe board / Perimeter cable

  • Floor Hole Covers / Secure / Labelled

  • Personal Fall Arrest / Fall Restraint / Proper design / Swing Fall

Scaffolding / False Work / Shoring / Decking / Concrete

  • Planks / Decks / Platforms Installed Properly

  • Impalement Protection / Rebar Caps / Troughs

  • Proper Access / Ladder / Inspection

  • Proper Bracing / Re-Shore / Pads

  • Inspected / Secured / Structurally Sound

Electrical

  • Adequate Lighting - Task / Area

  • Grounding / Inspection / GFCI Use

  • Cords Elevated / Receptacles / Plugs / Inspected

Fire Protection / Prevention

  • Adequate Extinguishers (Area & Task) / Inspected / Nearby

  • Flammable Materials Storage

Tools - Hand & Power

  • Good Condition / Inspected

  • Guarded / Guards in Place

  • Used Properly

Site / Public Protection

  • Barricading / Fences / Pedestrian Canopy

  • Adequate Signage / Lighting

  • Traffic Control Plan / Flagging

Emergency Preparedness / First Aid

  • Emergency phone numbers posted

  • First Aid Kits / Supplies

  • Adequate Sanitation / Hand washing / Water

Programs / Information / Right to Know

  • Safety Orientation held for Sub

  • All required signage posted

  • "No Trespassing"

Underground / Overhead / Confined Space

  • Confined Spaces - Identified / Training / Permits

  • Excavations / Trenches barricaded - Shoring / Benching / Sloping / Access / PE > 20'

  • Equipment / Material At least 10' from Powelines

  • Additional comments or safety concerns?

  • Photos to document safety concerns

  • Signature

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.