LBCO Work Site Inspection
Date of Inspection
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Work Site
*
Work Site for PDF
Work Site (OLD)
RW-541 Sunridge Mall Snow Removal
RW-705 Bridgeland Improvements Project
RW-752 Carstairs Hwy 2A Improvements
RW-760 15th Avenue Mobility Improvements
RW-764 Sunnyside Flood Barrier 2025/26
RW-768 Saddlebrook Pavement Rehab
RW-771 CFD Apparatus Slab Replacement
RW-773 14th Street NW Pathway
RW-774 18th St SE Pathway
RW-778 Bow View Manor Emergency Work
RW-789 COC Tier 2 Patches 2026
RW-794 CT Concrete Placement & Repair
UG-728 Mandalay Phase 5B
UG-730 NWIC Phase 2 (Kensington)
UG-743 Lawrey Gardens Outfall B76
UG-747 Cochrane Emergency Repairs
UG 754 - Water maintenance RFSO
UG-759 - Fish Creek Sludge Forcemain Upgrades
UG-761 Bow River Siphon Line Stop & Isolation Valve
UG-765 52 St and Memorial Dr. NE Feedermain
UG-766 2025 Watermain Replacement
UG-777C Pipe Diver Installation
UG-777D Aidrie 900 Feeder Main Repair
UG-779 Phase 4 Bearspaw Feedermain Repairs
UG-780 250mm Sanitary Main Replacement
UG-781 SS B42 Outfall Phase 1
UG-782 CIPP Lining
UG-784 Shepard Energy Centre-Repair SOR
UG-785 Discovery Ridge Lift Station
UG-786 Bowness Park Cross Tie
UG-787 Linear Replacements
UG-788 154 Wimbledon Cres SW
UG-792 9 Ave SW Watermain Improvements
UG-793 Applewood Lift Station
UG-797 Mandalay Estates Phase 2
CP-676 CP Rail Work
36 Avenue Yard
Balzac Shop
Spring Garden Lay Down
Enter Site if not listed above
# of Workers on Site
Contractors/Workers On Site
Scope of Work
Road works
Underground
Add Other Scope of Work
Describe Specific Scope of Work
Weather
Sunny
Overcast
Rain
Snow
Windy
Other
Temperature °C
Back
Next
Inspection Items and Corrective Actions
Have there been any near misses?
YES
NO
Please explain
Are there any outstanding items form the last inspection?
YES
NO
Items Outstanding
01. Unsafe Acts
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
02. Traffic Control
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
03. Ground Disturbance/Utilities/Trenching
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
04. PPE
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
05. Respiratory Protective Equip.
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
06. Vehicles / Equipment
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
07. Machinery/Electrical
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
08. Tools Hand/Power
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
09. Slings/Cables/Chains
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
10. Ladders
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
11. WHMIS / Chemical
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
12. Permits (Confined Space, Hot Work, Locates)
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
13. Emergency Preparedness
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
14. Housekeeping
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
15. Ventilation
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
16. Lighting/Heating
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
17. Fire Exits
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
18. Door Ways/Windows
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
19. Floors / Stairs
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
20. Fire Extinguishers
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
21. First Aid Requirements
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
22. Safety Bulletin Board
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
23. Securing of Worksite
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
25. Working from Height
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
26. Electrical Work
*
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
Other Hazards
Please Select
Imminent Danger
Serious
Minor
Acceptable
N/A
Safety Summary
Inspection Pictures
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Corrective Action Pictures
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Inspector Name
Inspector Email
example@example.com
Inspection Team
Inspector Signature
Site Foreman
*
Daas Souied
Essam Almoghrabi
Henok Gebremichel
Jaime Quinteros
Jason Tello
Mark Grant
Mohamad Abou Ahmad
Mohsin Moghrabi
Rui Ribeiro
Ulises Hernandez
Wassim El-Turk
Yohannes Woldekidane
Youssef Esmail
Other
Site Foreman OLD
Site Foreman Email
*
example@example.com
Foreman Signature
Date
-
Month
-
Day
Year
Date
Manager Name
Manager Email
example@example.com
Date Signed
-
Month
-
Day
Year
Date
Manager Signature
Submit
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