Professional Documents
Culture Documents
Company Name:___________________
Jobsite Address: ___________________
Superintendent: ___________________
Date/Time:_______________________
Inspector(s): ______________________
1.Jobsite General
1. Posters and safety signs/warnings?
2. Safety meetings held periodically?
3. First aid kit available and adequately stocked?
4. Job related safety training completed?
5. Accident reporting procedure established?
6. Substance abuse policy in place?
7. Injury records being kept?
6. Equipment secured?
7. Utility ditches flagged or barricaded?
4.Hazard Communication
1. Written program?
2. Employees trained?
3. MSDS's on file and available?
4. Control and disposal measure(s) established?
5. Material properly stored and labeled?
6. Log of all chemicals on site available?
7. Labels legible?
5.Fire Prevention
6.Flammable Liquids/Materials
7.Electrical
1. Electrical devices have current inspection and coding?
2. Electrical equipment properly maintained?
3. Equipment properly grounded?
4. Assured equipment grounding program established?
5. GFCI used and tested where required?
6. Fuses provided?
9.Hand Tools
10.Power Tools
11.Ladders
12.Scaffolds
14.Tunneling
1.
2.
3.
4.
5.
6.
16.Heavy Equipment
17.Motor Vehicles
1. Regular inspection and maintenance?
2. Qualified operators?
3. Local and state laws observed?
4. Brakes, lights, warning devices operative?
5. Weight limits and load stress controlled?
6. Personnel carried in correct manner?
7. All glass in good condition?
19.Barricades
21.Demolition
22.Blasting
24.Steel Erection
1.
2.
3.
4.
25.Concrete Construction
1.
2.
3.
4.
5.
6.
7.
26.Masonry
1.
2.
3.
4.
Proper scaffolding?
Masonry saws properly equipped, dust protection provi
Safe hoisting equipment?
Are limited access zones established as required?
27.Highway Construction
3.
4.
5.
6.
7.
8.
28.Asbestos
29.Work Permits
1.
2.
3.
4.
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
Check Items Inspected:
Yes No N/A
After Hours
isher(s) available?
mplished?
te equipment?
ners and correctly
stablished?
hfare open?
priate area(s)?
and coding?
stablished?
ed covers
dically/before
ge available/
ol properly?
omplished prior to
omplished?
ng, or falling?
fall protection?
gth for the task?
eboards in place?
n 25 feet of lateral
nd depth?
protected?
een identified?
/approval accomplished?
an established?
mpetent person?
al exams current?
onal engineer?
rer's instruction?
nt with ROPS?
rear of equipment
proper seating?
of each shift?
l openings, stair-
load rated?
above 20 feet?
checked?
nted for at all
equipment in
dling explosives?
y stored?
en sun-up and sun-down
in areas requiring
nd in good condition?
PPE used?
d from area?
rotection provided?
tional stripes?
work procedure
gout) procedures
followed?
and available?
ION CHECKLIST
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
ms Inspected:
Date Corrected
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
________________
______________________
______________________
______________________
________________________
_______________________
_______
________
________
_________
_________