Title Page

  • Conducted on

  • Prepared by

  • Location
  • Supervisor/Lead

  • Truck #

  • Trailer #

PPE

  • Workers wearing hardhats?

  • Workers wearing safety glasses?

  • Hand protection worn as required?

  • Foot protecting worn as required?

  • Appropriate work attire?

  • Gloves and sleeves when removing windows and doors off trailers?

  • Fall protection and associated equipment?

  • Hearing protection worn where required?

  • Equipped with a Retractable Lanyard?

  • Equipped with Tie-off points?

Equipment

  • Ladders in good condition?

  • Correct size ladder for the job?

  • Condition of the ladder rope and pulley?

  • Ladders locking assembly operational?

  • Ladders appropriately labeled with class and weight?

  • Condition of the ladder shoes?

  • Ladder rungs straight and in good condition?

Truck Inspection

  • Truck inspection completed?

  • Trailer connected correctly to the truck hitch?

  • Truck have first aid kit?

  • Truck equipped with traffic reflectors?

  • Truck equipped with a fire extinguisher?

  • Fire extinguisher yearly inspection updated?

  • Truck have the SDS decal on the driver side door?

  • Housekeeping condition of the truck cab?

  • Housekeeping condition of the truck bed?

  • Housekeeping condition of the trailer tongue?

  • Truck occupants wearing seatbelts?

  • Ladders secure to ladder rack?

Construction Site

  • General housekeeping neat and orderly?

  • Ladders are not placed against window?

  • Proper ladder is used for the job?

  • Ladders not placed on scaffold?

  • Site have scaffolding?

  • Color of the tag on the scaffold?

  • Standard staircase guardrails installed?

  • Three rungs (3 ft) of ladder above the work station?

  • Fall protection, full body harness and lanyard used?

  • Workers standing below top 2 steps?

Misc.

  • Water and ice available?

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.