Worksite Inspection - Subcontractor

• Client

• Conducted on

  Date

• Site

• Inspector

• Personnel

1. Site Documentation

• 1.1. Is company safety info (Policy, Procedure & SWP's) available?

  Yes

  No

  N/A

• 1.2. Have daily inspections/crew talks been conducted?

  Yes

  No

  N/A

• 1.3. Have hazard assessments been conducted for all critical tasks on site?

  Yes

  No

  N/A

• 1.4. Has a first aid assessment been conducted for after hours work?

  Yes

  No

  N/A

• 1.5. Have all employees received a site orientation?

  Yes

  No

  N/A

• 1.6. Are MSDS available for all hazardous materials/products?

  Yes

  No

  N/A

• 1.7. Are emergency response plans appropriate and up to date?

  Yes

  No

  N/A

• 1.8. Has worksite training been conducted in the previous 30 days?<br>

  Yes

  No

  N/A

2. Mobile Equipment

• 2.1. All mobile equipment in good operating condition?

  Yes

  No

  N/A

• 2.2. All pre-shift inspections up to date?

  Yes

  No

  N/A

• 2.3. Equipment operated safely in accordance with legislative requirements?

  Yes

  No

  N/A

• 2.4. Operators trained or certified?

  Yes

  No

  N/A

3. Scaffolds

• 3.1. Scaffolds erected in accordance with legislative requirements?

  Yes

  No

  N/A

• 3.2. Scaffold level, anchored and fully decked?

  Yes

  No

  N/A

• 3.3. Safe Work Load (SWL) maintained? (tools, materials, # of persons)

  Yes

  No

  N/A

4. Fall Protection

• 5.1. All equipment safe and in good operating condition?

  Yes

  No

  N/A

• 5.2. All equipment compatible?

  Yes

  No

  N/A

• 5.3. Proper anchor points?

  Yes

  No

  N/A

6. Ladders

• 6.1. All ladders safe and in good operating condition?

  Yes

  No

  N/A

• 6.2. Ladders positioned correctly?<br>

  Yes

  No

  N/A

• 6.3. Ladders properly secured? <br>

  Yes

  No

  N/A

• 6.4. Ladders suitable for work being performed?

  Yes

  No

  N/A

7. MSI Prevention

• 7.1. Proper lifting techniques used?

  Yes

  No

  N/A

• 7.2. Overhead work minimized and/or rotations in place?

  Yes

  No

  N/A

• 7.3. Proper lifting equipment and access for large materials?

  Yes

  No

  N/A

8. Personal Protective Equipment (PPE)

• 8.1. All workers wearing appropriate boots, hard hat and high vis?

  Yes

  No

  N/A

• 8.2. Is PPE available and being used (respirators, hearing protection, gloves)?

  Yes

  No

  N/A

• 8.3. All PPE in good working condition?

  Yes

  No

  N/A

9. Work Environment

• 9.1. Adequate amenities? (toilets, wash areas, lunch rooms, etc)

  Yes

  No

  N/A

• 9.2. Sufficient lighting?

  Yes

  No

  N/A

• 9.3. Adequate housekeeping?

  Yes

  No

  N/A

• 9.4. Safe access and egress?

  Yes

  No

  N/A

10. Other

• 10.1. Additional site conditions?

  Safe

  At Risk

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• Site supervisor or designate

  Sign

• Inspectors signature

  Sign