Information

  • Client / Site

  • Location
  • Conducted on

  • Prepared by

Ensure that the jobsite is safe in accordance with the PREVENT Safety Guide:

  • W.L Hall's Site Specific Plan is on-site and in use

  • Right To Know / GHS / SDS

  • Lead, asbestos, silica exposures controlled

  • Respiratory Protection (Voluntary & Required Use)

  • Fall Protection (6'trigger height)

  • Ladders (Proper Use)

  • Stairways (Handrails, Steps, etc.)

  • Scaffolding (10'Trigger Height for Fall Protection, decking, mud sills, safe access, secured)

  • Suspended Scaffolding - (Assembly/Connections, Counterweights, Daily Inspections)

  • Cranes (Operator License, Inspections, Lifting Calculations, Critical Lifts)

  • Hoisting & Rigging, Signalers (Must be trained/certified)

  • Temporary Wiring & Equipment (Cords, Panels, Covers, Protect from Damage, Overhead Power Lines)

  • Powered Industrial Trucks (Forklift Operators trained & certified 3 years, inspections, seatbelts)

  • Aerial Work Platforms/Aerial Lifts

  • First Aid & CPR (EMS Response within 4 minutes)

  • Power Tools (Cords, Guards/Shields, Proper Use)

  • Workers are using PPE appropriate for their work

  • Demolition (Stability, Dust Control, Safe Access/Egress, Holes)

  • Please Sign Your Name Here When Complete

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.