LBCO - Work Site Inspections

Inspection Items and Corrective Actions
YESNO
Please explain
YESNO
Items Outstanding
01. Unsafe Acts*
02. Traffic Control*
03. Ground Disturbance/Utilities/Trenching*
04. PPE*
05. Respiratory Protective Equip.*
06. Vehicles / Equipment*
07. Machinery/Electrical*
08. Tools Hand/Power*
09. Slings/Cables/Chains*
10. Ladders*
11. WHMIS / Chemical*
12. Permits (Confined Space, Hot Work, Locates)*
13. Emergency Preparedness*
14. Housekeeping*
15. Ventilation*
16. Lighting/Heating*
17. Fire Exits*
18. Door Ways/Windows*
19. Floors / Stairs*
20. Fire Extinguishers*
21. First Aid Requirements*
22. Safety Bulletin Board*
23. Securing of Worksite*
25. Working from Height*
26. Electrical Work*
Other Hazards
Safety Summary
Inspection Pictures

Cancelof
Corrective Action Pictures

Cancelof
Inspector Name
Inspector Email
example@example.com
Inspection Team
Inspector Signature

Clear
Daas SouiedHenok GebremichelJaime QuinterosMark GrantMohamad Abou AhmadMohsin MoghrabiRui RibeiroUlises HernandezWassim El-TurkYohannes WoldekidaneYoussef EsmailOther
Site Foreman OLD
Site Foreman Email*
example@example.com
Foreman Signature

Clear
Date

MonthDayYear
Date
Manager Name
Manager Email
example@example.com
Date Signed

MonthDayYear
Date
Manager Signature

Clear
Should be Empty:

Inspection Items and Corrective Actions