Section 1: Administrative
1. Safety materials centrally located (Job boxes)
Yes
No
N/A
2. Safety and other legal papers posted
Yes
No
N/A
3. Safety meeting notes and signatures on file
Yes
No
N/A
4. First aid kit(s) maintained in the job boxes
Yes
No
N/A
5. Maintain current forms to be filled out in case of an accident
Yes
No
N/A
6. Tool Box Talk done
Yes
No
N/A
Section 2: Job Site Conditions
1. Railings in place and meets regulatory standards
Yes
No
N/A
2. Caution tape and/or netting around holes, excavations, etc.
Yes
No
N/A
3. Trip and fall hazards present
Yes
No
N/A
4. Job in neat orderly condition
Yes
No
N/A
5. Proper fall protection warnings in place
Yes
No
N/A
6. Proper lighting in place
Yes
No
N/A
7. Is there standing water where electric cords could be laying in it or around it
Yes
No
N/A
8. Crane safety in place (nothing swinging overhead without flagger)
Yes
No
N/A
Section 3: Personal Safety Equipment for Employees/ Visitors
1. Hard hats being worn correctly, no baseball caps under them.
Yes
No
N/A
2. Hard hats being worn by employees, visitors, vendors, etc.
Yes
No
N/A
3. Hard hats not broken. You have inspected them.
Yes
No
N/A
4. Proper work attire being worn
Yes
No
N/A
5. Safety glasses being worn at all times
Yes
No
N/A
6. Personal fall protection being used (Fall arrest harnesses)
Yes
No
N/A
7. Respirators are being used when needed
Yes
No
N/A
8. Workboots being worn (Inspect them)
Yes
No
N/A
Section 4: Fall Protection
1. Do workers that are exposed to falls have documented training
Yes
No
N/A
2. Is fall protection equipment being inspected daily and documented
Yes
No
N/A
3. Are all fall protection equipment tags legible
Yes
No
N/A
4. If the work being performed requires fall protection, is it being used 100%
Yes
No
N/A
5. Is the proper equipment available on site to complete the task
Yes
No
N/A
Section 5: Tools and Equipment
1. Power cords up to regulatory standards
Yes
No
N/A
2. Up to date fire extinguishers on-site and in place
Yes
No
N/A
3. Tool power cords in acceptable condition
Yes
No
N/A
4. Machine and tool guards in place
Yes
No
N/A
5. Ladders in proper condition (No broken rungs, feet)
Yes
No
N/A
6. Personal protection equipment available
Yes
No
N/A
7. Tools in proper working safe condition
Yes
No
N/A
8. Extension ladders being used properly
Yes
No
N/A
9. Step ladders being used properly
Yes
No
N/A
Section 6: Overall impression
1. What was your overall impression
Ok
Needs Repair
N/A
Repaired
2. Did you spend hours or days on this site visit
Yes
No
3. Necessary to follow up with written documentation
Yes
No
4. Were there any critical deficiencies
Yes
No