Project Name: Project Location:
Inspected by: Date of Inspection:




Manual Material Handling Yes No
     Are mechanical devices being used in place of manual handling of material? ___ __
     Are ropes, slings, chains, hook, cables, and chokers in good condition? ___ __
     Proper staging of materials to minimize lifting and carrying? ___ __
     Rigging equipment inspected regularly and in good condition? ___ __
     Is the handling of bagged material limited to 50 lbs? ___ __
     Are carrying handles being used when a single worker is carrying sheeted materials? ___ __


Housekeeping: Slips, Trips and Falls Yes No
     Are walking and working surfaces clear and free of debris? ___ __
     Are waste and trash containers provided, and used? ___ __
     Is there regular removal of waste and trash from the containers? ___ __
     Does each trade clean up after themselves? ___ __
     Is adequate temporary lighting provided? ___ __
     Is temporary storage of materials and supplies done in  an organized fashion? ___ __


Fire Protection and Prevention Yes No
     Are all flammable liquid containers clearly identified? ___ __
     Are all flammable liquid containers UL of FM listed? ___ __
     Have proper storage practices for flammables been observed? ___ __
     Are extinguishers readily accessible and serviced regularly? ___ __
     Are hydrants clear and accessible for fire department personnel? ___ __
     Have gas cylinders been chained upright with valve caps securely fastened? ___ __
     Has there been proper segregation between flammable gasses? ___ __
     Proper labeling of full and empty cylinders? ___ __
     Are temporary heaters located at a safe distance from combustibles? ___ __
     Is ventilation adequate for temporary heaters? ___ __


Electrical Yes No
     Are all switch gear, panels, and devices that are energized marked and/or guarded? ___ __
     Lockout devices available/used on  circuits that could become energized while being worked? ___ __
     Are all temporary circuits properly guarded and grounded? ___ __
     Are extension cords in continuous lengths without splice? ___ __
     Are GFCI's and/or Assured Equipment Grounding Conductor Program being used? ___ __
     If temporary lighting is provided, are bulbs protected against accidental breakage? ___ __
     Are working surfaces clear of cords so as not to create a tripping hazard? ___ __
     Is there a  sufficient number of temporary outlets on the job site? ___ __
     Any visual signs of outlet overloading? ___ __


Hazard Communication     Does the Program include: Yes No
     A list of hazardous chemicals. ___ __
     Container labeling. ___ __
     Material Safety Data Sheets (MSDS) ___ __
     Employee training. ___ __
     Informing other contractors. ___ __
     Posting. ___ __


Excavation/Trenching Yes No
     Have utility companies been notified of proposed excavation work? ___ __
     Are all tools, equipment, and shoring materials readily available prior to job start up? ___ __
     Are overhead utility lines noted and precautions taken to avoid contact with equipment? ___ __
     Is the spoil pile at least two feet from the edge of the excavation? ___ __
     Is the excavation inspected daily or more frequently when conditions could affect the soil? ___ __
     If needed, are barricades, stop logs, properly placed? ___ __
     Has soil classification been made by a competent person? ___ __
     Are excavations five feet or deeper correctly sloped, benched, shored or is a trench box used? ___ __
     Is a ladder or other means of egress provided in trenches or excavations six feet or deeper? ___ __
     When ladders are used, do they extend three feet above the surface and are they secured? ___ __
     Are shoring and shielding systems inspected daily by a competent person? ___ __
     Is the trench backfilled as soon a work is completed? ___ __


Barricading Yes No
     Are floor openings planked and secured or barricaded? ___ __
     Are direction signs used to inform the public of upcoming construction work? ___ __
     Is the sidewalk protection effective? ___ __
     Is a flag person provided to direct traffic when needed? ___ __
     Has the person been trained on how to direct traffic and the public? ___ __
     Are open excavation, road drop offs, manholes, uneven surfaces barricaded? ___ __


Ladders Yes No
     Is the proper ladder for the job being used? ___ __
     Are ladders in good condition (no missing or broken rungs)? ___ __
     Are there safety shoes/cleats on the bottom of ladders?  Are they needed? ___ __
     Are non-conductive ladders available for use around live wiring? ___ __
     Are ladders tied-off at top or otherwise secured? ___ __
     Do side rails extend 36 inches above top of landing? ___ __
     Rungs or cleats uniformly spaced 10 - 14 inches apart? ___ __
     Are step ladders fully open when in use? ___ __


Scaffolding Yes No
     Are scaffold components visibly free of any physical damage? (no bent supports or bracing) ___ __
     Is scaffold properly erected with all pins and braces in place and locked? ___ __
     Are rolling scaffolds equipped with locking wheels? ___ __
     Are wheels locked when scaffold is in use? ___ __
     Is scaffold erected on a firm and substantial surface? ___ __
     Is planking of a scaffold grade? ___ __
     Planking in good condition and properly installed? ___ __
     Are toe boards and guardrails in place on scaffolds over 10 feet? ___ __
     Are workers on scaffolding protected from falling objects if overhead hazards exist? ___ __
     Ladder provided for access to scaffold work platform? ___ __


Personal Protective Equipment Yes No
     Is hearing protection available for personnel that may be exposed to noisy conditions? ___ __
     Is respiratory protection available to personnel and being used when conditions require them? ___ __
     Are safety harnesses, lifelines and shock absorbing lanyards available and being used? ___ __
     Are personnel using gloves when handling sharp or rough material? ___ __
     Where required, rubber gloves with protectors-insulators being used? ___ __
     Is life saving equipment available for work over or near water? ___ __


Medical Yes No
     Are first-aid kits available and properly stocked? ___ __
     Are all emergency phone numbers posted? ___ __
     Are employees aware of the address of the site/ capable of giving directions to emergency crew? ___ __
     Is anyone trained in first aid and CPR? ___ __


Tools: Hand and Power Yes No
     Are tools free of any obvious physical damage? ___ __
     Are tools inspected for frayed or damaged cords? ___ __
     Are tools and cords properly grounded (ground pins are in good condition? ___ __
     Are double insulated tools in use and in good condition? ___ __
     Are the handles on all tools in good condition (not bent, splintered or broken)? ___ __
     Are all hoses on air or hydraulic tools in good condition? ___ __
     Are all shields and guards in place on the tools and in good condition? ___ __
     Operator qualified and instructed to use powder actuated tools? ___ __


Welding and Cutting Yes No
     Are non-combustible enclosures, (screens/shields) provided and used when welding? ___ __
     Welding goggles, gloves, and clothing being used by welder? ___ __
     Inspection for fire hazards after welding stops? ___ __
     Are gas cylinder, hoses, regulators, torches, torch tips and welding carts, in good condition? ___ __
     Welding and ground cables properly insulated, sized and located to avoid tripping hazards? ___ __
     Natural or mechanical ventilation adequate? ___ __
     Surrounding areas free of flammables and combustibles? ___ __
     Proper storage of gas cylinders? ___ __


Hoist, Cranes and Derricks Yes No
     Are cables and sheaves checked? ___ __
     Are slings, hooks, eyelets, chokes inspected? ___ __
     Are load capacities posted in cab? ___ __
     Are power lines at a safe distance? ___ __
     Do cranes have proper barricades around swing radius? ___ __
     Are crane inspection logs with crane? ___ __


Floor, Wall Openings, Stairways Yes No
     Floor and roof openings guarded by guardrails and toe boards or a secured cover? ___ __
     Open-sided floors/platforms six feet or higher guarded with railing, toe boards or equivalent? ___ __
     Are stairs with four or more risers equipped with standard hand rail protection? ___ __
     Runways four feet or more above ground properly guarded? ___ __
     Anchor posts and framing capable of withstanding 200lb load in any direction? ___ __


Powder Activated Tools Yes No
.    Operators properly trained and authorized? ___ __
     Operators use eye, face, hearing and hand protection? ___ __
     Tools inspected and tested daily before use to assure safety devices operational? ___ __
     Anchors and charges comply with tool manufacturer's specs? ___ __
     Anchorage limited to recommended materials? ___ __
     Tools loaded immediately prior to use? ___ __
     Other employees warned to expect loud noise and possible airborne debris? ___ __
     Employees who may be in harms way relocated? ___ __
     Unattended and stored tools always rendered unloaded and secure? ___ __


Concrete Yes No
.    Employees working with concrete properly clothed to protect skin? ___ __
     PPE (gloves, boots, hard hats, eye/face protection) used where required? ___ __
     Employees trained to avoid hazards of cement burns and inhalation? ___ __
     Form work designed, fabricated, erected, supported, braced and maintained to support vertical and lateral loads? ___ __
     Shoring inspected prior to, during and after concrete placement? ___ __
     Scaffolding or platforms used by employees properly designed and constructed to support load? ___ __
     Scaffold platforms equipped with standard guard rails? ___ __
     Raising or lowering of concrete buckets over heads of people prohibited? ___ __
     Employees forbidden from riding concrete buckets? ___ __
     Safe access provided for equipment and vehicles? ___ __
     Safe shoring and form removal procedures established? ___ __
     Vertical reinforcing steel protected from impalement hazards? ___ __
     Lift slab operations designed and planned by a PE with all employees trained? ___ __
     Required distances maintained between overhead electrical power lines and concrete placement equipment? ___ __


Masonry Yes No
     Limited access zone established on the un-scaffold side of the wall? ___ __
     Walls properly supported to prevent overturn or collapse? ___ __
     Dust protection used during sawing, mortar mixing, or other dust generating activities? ___ __


Structural Steel Yes No
     Permanent and/or temporary flooring requirements been met? ___ __
     Temporary planking sized and installed correctly? ___ __
     Employees using the required fall protection equipment? ___ __
     Company approved fall protection program in place? ___ __
     Danger zone beneath the steel erection  designated to limit unauthorized employee? ___ __
     Hoisting equipment and accessories inspected as required? ___ __
     Tag lines used to control loads? ___ __
     Proper erection bolting and bracing procedures followed? ___ __
     Floor, roof and wall openings protected immediately as they appear? ___ __
     Ladders, stairways, approved personnel lifts or other safe means or access? ___ __


Heavy Equipment Yes No
     Operators properly trained and authorized? ___ __
     Inspection and maintenance performed on a regular schedule? ___ __
     Bi-directional machines have operational signal horns? ___ __
     Back-up alarms operational? ___ __
     Roll over protection provided as required and with seat belts? ___ __
     Equipment clean and free of grease, oil, mud, fluids and other slipping hazards? ___ __
     Moving parts protected by guards? ___ __
     Engines shut off during refueling? ___ __
     Glass free of defects and rated as safety glass or equivalent? ___ __
     Lights, reflectors, wipers, defrosters, brakes, tires, etc. in good condition? ___ __
     Employees prohibited from riding on heavy equipment without a proper seat? ___ __
     Are haul roads properly maintained? ___ __


Aerial Lifts Yes No
     Employees using aerial lifts are trained and authorized? ___ __
     Manufacture's operation and safety rules obeyed? ___ __
     Unit safety inspected and all controls tested prior to each days use? ___ __
     Unit positioned on solid, level ground? ___ __
     Boom and basket load limits within manufacture's specs? ___ __
     Everyone in lift basket standing firmly on the floor, wearing fall prevention or protection equipment? ___ __
     Brakes set and outriggers positioned as required? ___ __