Checklist PDF
Checklist PDF
Instruction: Place
* next to each item that is satisfactory. Place X next to items with deficiencies. Mark deficiencies in COMMENTS section. Once
corrected, record Corrective Action and Date next to item. If item is not applicable, place NA.
NOTE: This checklist is to identify minimum safety & health conditions and should not limit awareness to other safety and health hazards at the jobsite.
Site (Trailer)
Safety Representative
Fire Extinguisher
PPE
Housekeeping
Hard Hats AT ALL TIMES
Hand Protection
Materials Storage
Foot Protection
Projecting Nails
Hearing Protection
Trash Piles
Contractors' Responsibilities
Some occupations (not a complete list) for which foot protection should be routinely considered are: carpenters, electricians, mechanics
and repairers, plumbers and pipe fitters, structural metal workers, drywall installers and lathers, sawyers, welders, and laborers.
Checklist.doc
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Smoking Policies
Fall Protection
Scaffolding
Anchored to Structure
Nets
Positioning Devices
Employee Training
Employee Training/Certification
Checklist.doc
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Electrical
Heavy Equipment
Annual Inspection
Hooks/Rigging
Checklist.doc
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Ladders / Stairways
1 : 4 Pitch
Landings (not less than 30" in travel direction every 12 vert. ft)
Steel Erection
Welding/Hot Work
Rebar Protected/Covered
Rigging/Tag Lines
Decking Operations
Scaffolding
Overhead Protection
Checklist.doc
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Access/Egress
fire-rated wall
Fully Charged Fire Extinguisher Available
Blast Mats
Post Blast Inspection Procedure/Misfires
Warning System/ Warning Signs
Hazardous Substances
Traffic Control
on Site
Hardhat)
Containment Systems
Storage/Disposal
Other
Other
Comments:
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Site Safety Rep Signature______________________________________________________
Checklist.doc
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