Audit

Equipment / Truck : Backing Up

Equipment / Truck : Pinch Point

Housekeeping

Overhead Hazards

Underground Hazards

Traffic Control : Flag Persons

Traffic Control : Barricades / Signs / Cones

Tight Work Area

Tools

Other Trades

Excavation / Trenching

Weather

Slippery Surfaces (Water, Ice, Mud)

Sawcutting

Driving : Wildlife

Driving : Night Time / Fatigue

Falling Objects

Loading and Off Loading Equipment

Steep Slope

Working Alone

Large Hill

Remote Location

Others; Please Insert in Comments

Comments

Others; Please Insert in Comments

Comments

Others; Please Insert in Comments

Comments

Please add picture(s) of Work Site.
Foreman / Supervisor
Reviewed by:

Title of the reviewer

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.