| 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? |
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