Information

  • Project/Job Site ID

  • Conducted on

  • Prepared by

  • Location

  • Crew Leader

  • Operator

  • Select site weather conditions at time of this inspection (select all that<br>apply)

Site Inspection

On Site Procedures

  • Do the written instructions have adequate TCP

  • Describe the Daily Activities and Phase of the Project (Test Pit, UG, Encasement, Backfill etc. , what is remaining to be complete)

  • Photo(s)

  • Is proper traffic control in place ?

  • Proper pedestrian control in place?

  • Does Crew have Job Safety Analysis on site?

  • Was Work Delayed for Any Reason?

  • Describe the Reason

  • Where any onsite Verbal instructions received outside of scope or specification ?

  • Describe on Site Instruction

Welfare-Vehicle and Equipment

  • Is the vehicle(s) in good order? Tidy? With debris removed?

  • Is first aid kit present in vehicle?

  • Is fire extinguisher present?

  • Is traffic control equipment in good working condition?

Personal Protective Equipment

  • Are employees 6ft apart when possible?

  • Are all crew members wearing appropriate PPE (Mask, Vest, Gloves etc.) for the tasks they are carrying out?

  • Are proper boots worn by employees?

Residents and Public

  • Have "No Parking Signs" been posted?

  • Have there been any concerns raised by public /residents or neighbouring businesses?

Materials and Hazardous Substances

  • Do they have the right type and amount of materials to complete task for the day?

Permits

  • Is permit active?

  • Is Miss Utility ticket active?

  • Are utility markings clear and accurate?

Excavations

  • Are drawings available on site and the Crew Leader reviewed and understand the content?

  • Are the tools and equipment in good working order?

  • Is the work being performed according to standards and guidelines

  • Is completed work properly measured and reported?

Any Other Observations?

  • Is the crew staffed properly to do the work?

  • Manhole-Confined Space Set-up properly?

  • Any Major Compliance Issues found?

  • Signed by Supervisor

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.