Job Site Safety Checklist

Project Name:
Date of Inspection:
Last Inspection Date:
In Compliance
Item #

Inspector:
Site Supervisor:
Inspection Type:
Out of Compliance X

Weather Condition:
Temperature:
Wind Speed:
Not Applicable N/A

Description
ADMINISTRATIVE
Is a copy of the Accident Prevention Program on-site and available for review?
Is the MIOSHA "Safety & Health" poster posted in an employee common area?
Is the MIOSHA 300A Log posted in an employee common area? Required from February 1st
thru April 30th.
Is the MIOSHA 301 Log being used for incident reporting?
Are SDS Posters posted in an employee common area?
Is there an employee with First Aid Training and a First Aid Kit available onsite?
Are materials, scrap, or debris, piled and stored as to not create a hazard?
Are Toilets provided at jobsite adequate and maintained in a sanitary condition?
Is there an adequate supply of potable water available at the jobsite?
Is adequate illumination provided for working areas, passageways and First Aid stations?
Are there any confined spaces on the site and is there a Confined Space Entry Procedure?
FALL PROTECTION
Are unprotected sides or edges more than 6 in height guarded (Roof or Floor)?
Are holes greater than 2 in their least dimension protected by covers, guardrails, or PFAS?
Are wall openings greater than 30 in height and 18 in width guarded?
Are open sides of stairs and stair landings protected by guardrails and a handrail provided?
Are excavations not readily visible protected by barricades or fencing?
Are straight sided wells, pits, or shafts protected by guardrails?
Personal Fall Arrest Systems
Are personal fall arrest system components inspected prior to each use?
Are anchorage points capable of supporting 5000 lbs. or maintaining a safety factor of 2x the
intended loaded provided and installed according to the manufacturers instructions?
Is there a rescue plan in place that assures rescue within 15 minutes in the event that a fall
occurs?
Are lifelines and lanyards protected against abrasion or cutting?
Are harnesses worn and adjusted correctly? (Snug fit- 2 fingers beneath straps, D-ring in
center of back, chest and leg straps adjusted properly)
Are PFAS components compatible and used according to manufacturers instructions?
Guardrail Systems
Is the top rail located at a height of 42 +/- 3 from the walking/working surface?
Is the mid rail located at a height of 21 or halfway between the top rail and the
walking/working surface?
Are toe boards or other falling object protection provided on surfaces where employees are
working below and could be struck by falling materials or tools?
Are vertical guardrail supports spaced at intervals not to exceed 8 feet?
Are guardrails constructed or installed to resist a load of 200 lbs. when applied within 2 of
the top rail in an outward and downward direction?
Are guardrails that will be subjected to loads greater than 200 lbs. constructed of a heavier
stock with vertical supports spaced closer than 8 apart?
Are wire rope guardrails flagged every 6 with a high visibility material?

Status

Are guardrail systems used at hoisting areas equipped with a chain, gate, or removable
guardrail?
Are guardrail systems around holes used for access/egress equipped with a gate or offset to
prevent an employee from walking directly into the hole?
Are guardrail systems surfaced to prevent injury to an employee from punctures or
lacerations, and to prevent snagging of clothing?
Safety Net Systems
Are safety nets installed as close as possible beneath employees? Distances may not exceed
30 feet.
Are safety nets installed with sufficient clearance under them to prevent contact with the
surface or structures below when subjected to forces generated from a fall?
Are safety nets installed according to the manufacturers instructions?
Are safety nets inspected at least weekly for wear, damage, or other deterioration?
Are materials, scrap pieces, equipment, and tools which have fallen into the net removed as
soon as possible and at least before the next work shift?
Do safety nets extend outward from the outermost projection of the work surface as follows?
8-0 if more than 5 below an employee
10-0 if more than 5 but less than 10 below an employee
13-0 if more than 10 below an employee
Hole Covers
Are covers capable of supporting without failure twice the weight of employees, equipment,
and materials that may be imposed on the cover at any one time?
Are covers secured against accidental displacement by employees, equipment, or wind?
Are covers color coded or marked with the words Hole or Cover to provide warning of
the hazard?
Ladders
Do portable ladders in use have a duty rating of at least Type 1 or heavier duty?
Are ladders inspected for defects prior to use and after any hazard producing occurrence?
Are extension ladders secured against displacement, set to proper 4-to-1 pitch, and extend at
least 3 above working surface?
Are step ladders set up on a level surface and fully opened and locked? Dont use a step
ladder as a straight ladder or stand on the top step or cap.
Are ladder rungs inspected prior to ladder use to eliminate any slippery substances such as
mud, grease, or ice?
Scaffolding
Are scaffolds inspected by a competent person at the beginning of the shift?
Are ground supported scaffolds erected using baseplates and mudsills or other adequate firm
foundation (Concrete, Solid Wood Decking)?
Are scaffolds more than 10 in height protected by guardrails on the back and both ends?
Are working levels fully planked or decked and secured against displacement?
Are enclosed scaffolds guyed, tied, or braced against wind loads?
Are scaffolds more than 4 times the height of their least base dimension tied into the structure
or otherwise secured?
Are employees working on or near scaffold wearing hard hats and implementing falling
object protection (toe boards, screens, solid sheeting, etc.)?
Are tie backs for suspended scaffolds secured perpendicular to the structure?
Are outriggers for suspended scaffolds adequately counterweighted to support intended
loads?
Are anchorage points and vertical lifelines for PFAS secured independently of the supported

scaffold suspension system?

ELECTRICAL PROTECTION
Are GFCIs in use for all electrical tools or equipment on temporary circuits?
Are extension cords and trailing cords inspected for wear, damage, missing ground prongs?
Are all live parts over 50 volts protected against accidental contact by limiting access, use of
safety signs, and use of dead fronts or covers on panels?
Are employees that are required to work on electrical circuits protected by proper use of PPE
or a lock-out/tag-out procedure?
Are live panels secured and marked with a safety sign indicating voltage?
Are circuits properly identified at the panel?
Have power lines (both above and below ground) been identified and procedures set in place
to maintain safe distances (at least 10 up to 50K volts)? Or protected against incidental
contact by de-energizing and grounding, moving, or insulating circuits?
Aluminum ladders and cranes must maintain a distance of 20 from power lines up to 50K
volts.
Are generators, compressors, portable light stands grounded per the manufacturers
recommendations?
Is temporary lighting supported by a proper fixture and protected by the use of a guard?
Is the temporary lighting maintained without missing or broken bulbs?
STRUCK-BY HAZARDS
Are employees who are exposed to falling or flying objects wearing hard hats and safety
glasses?
Struck-By Falling Object
Are all materials stacked, racked, blocked, interlocked or otherwise secured to prevent
sliding, falling, or collapse?
Are loads on trailers, railcars, or trucks examined for stability prior to the release of the tiedowns to protect employees exposed to the hazard of falling material?
Are stacks of brick, block, bagged products, or lumber to be handled limited to being stacked
only 2 cubes, 2 pallets, or 6 height?
Are materials on the roof or upper floors of a structure stored within 10 of the unprotected
exterior edge?
Is a disposal chute provided when dumping materials from a height of 20 or more outside of
a building or structure?
Is the area into which material is being dumped barricaded at least 6 feet from the fall zone?
Are employees working under elevated loads or in areas through which elevated loads pass?
Is rigging equipment inspected for wear or damage prior to being used to hoist materials or
other loads?
Struck-By Flying Object
Are penetration checks done prior to operating pneumatic or powder actuated fasteners?
Are sequential triggers used on pneumatic staplers and nailers to prevent accidental
discharge?
Are safety clips or retainers installed on pneumatic impact tools to prevent dies and tools
from being accidentally expelled from the barrel?
Are safety fasteners provided at connections between tools and hose lines and at all quick
makeup-type connections to prevent accidental disengagement?
Are employees engaged in chipping or grinding operations wearing face shields and safety
glasses?
Are table saws equipped with a guard to protect the operator from flying splinter or broken
saw teeth?
Are materials stored on the roof or upper floor a structure under construction secured against

wind displacement?
Struck-By Swinging Object
Are suspended loads controlled by the use of tag lines?
Are crane and other lifting equipment operators utilizing audible alarms when swinging a
load near other employees?
Are the swing radii of rotating equipment superstructures barricaded or marked to warn
employees of the hazard of rotating equipment?
Struck-By Rolling Object
Are employees working near roadways following temporary traffic control guidelines?
Are temporary traffic control work zones and devices setup according to Part 6 of the
MMUTCD?
Are employees working in the public right-of-way wearing proper PPE, reflective apparel,
and positioned appropriately?
Are railcars, trucks, or semitrailers chocked or otherwise secured during loading and
unloading if movement presents a hazard to employees?
When parking mobile equipment or when mobile equipment is parked on an incline, is the
parking brake set?
Are functional back-up alarms or spotters used when backing up equipment that has an
obstructed view to the rear of the equipment?
Are seats and seat belts provided for and maintained in motor vehicles that employees will
operate or ride in or on?
CAUGHT IN/BETWEEN HAZARDS
Engulfment Hazards
Are excavations continuously inspected for hazardous conditions?
Are ladders located in excavations greater than 4 in depth and at intervals not greater than
25?
Are sides of excavations properly shored, sloped, or shielded?
Are spoils and other retained materials closer than 2 of the top of an excavation?
Are stop logs placed where necessary along the top of an excavation?
Are trip handles for tailgates of dump trucks so arranged that, in dumping, the operator will
be in the clear?
Is gravel, sand, and crushed stone withdrawn from a pile or barrow area in a manner that
prevents overhangs and vertical faces?
Caught In/Between
Are all tools properly guarded and safety features functioning?
Are belts, pulleys, shafts, gears, & spindles guarded on all machinery and equipment?
Are tools and equipment being used for their intended purpose?
Are workers trained not to position themselves between equipment and immovable objects?
Are moving parts of equipment block, cribbed, or supported prior to maintenance operations?
Are pinch points on equipment properly identified, guarded, and employees trained on the
hazards?
Disclaimer:
This list is meant to be used as a tool to assist employers with the inspection of their worksites
to identify potential hazards that may be present. This checklist will not identify all hazards or
items present at your worksite and additional inspection checklists, tools, or aids will be
necessary to properly inspect your site. Remember that it is an employers obligation to provide
to their employees employment and a place of employment that is free from recognized hazards
which can cause death or serious physical harm. For additional assistance contact MIOSHAs
Consultation, Education, and Training Division at 517-284-7720.
(MIOSHA/CET #0187)