SAFETY INSPECTION
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Ben Summers
Clint Ballinger
Cole Plumley
Cole Walker
Grant Pedley
Michael Buckner
Michael Shirk
Jason Campbell
Julio Carreon
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Stewart Coates
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Safety Inspection Checklist
Jobsite (General)
Housekeeping
Haz-Com
Fire Prev. /Hot Work
Flammable Liquids
Electrical
PPE
Fall Protection
Hand Tools
Power Tools
Ladders
Trench/Excavation
Cranes
Heavy Equipment
Barricades
Material Handling
Blasting
Welding & Cutting
Concrete
Masonry
Secured Access & After Hours
Traffic/Highway
Jobsite (General)
Jobsite (General)
Jobsite (General)
OSHA Form 300A: Is the annual summary portion of the OSHA 300 available?
YES
NO
N/A
Is the JHA/SWP available and completed correctly?
YES
NO
N/A
Are posters and safety signs or warnings in place?
YES
NO
N/A
First aid kit available and adequately stocked?
YES
NO
N/A
Are emergency telephone numbers posted?
YES
NO
N/A
Are traffic routes identified?
YES
NO
N/A
Jobsite (General)
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Jobsite (General) Comments
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Housekeeping
Housekeeping
Housekeeping
Are work area(s) generally neat and clean?
YES
NO
N/A
Are passageways and walkways clear?
YES
NO
N/A
Is the work area well lighted?
YES
NO
N/A
Have nails, boards, and debris been removed?
YES
NO
N/A
Housekeeping
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Housekeeping Comments
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Hazard Communication
Hazard Communication
Hazard Communication
Are control and disposal measure(s) established?
YES
NO
N/A
Are material(s) properly stored and labeled?
YES
NO
N/A
Are labels legible?
YES
NO
N/A
Are SDS current and available
YES
NO
N/A
Hazard Communication
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Fire Prevention
Fire Prevention
Fire Prevention
Are an adequate number and types of fire extinguisher(s) available?
YES
NO
N/A
Are inspections of fire extinguishers performed periodically?
YES
NO
N/A
Are fire extinguisher(s) provided on appropriate equipment?
YES
NO
N/A
Are flammable liquids stored in approved containers and correctly labeled?
YES
NO
N/A
Are flammable liquids properly stored?
YES
NO
N/A
Is equipment shut down prior to refueling?
YES
NO
N/A
Are no-smoking signs posted and enforced?
YES
NO
N/A
Fire Prevention
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Flammable Liquids and Materials
Flammable Liquids and Materials
Flammable Liquids and Materials
Are only approved containers being used?
YES
NO
N/A
Are containers stored in approved and appropriate area(s)?
YES
NO
N/A
Is outside storage bermed for containment?
YES
NO
N/A
Are storage tanks properly grounded and bonded, and is pressure relief provided?
YES
NO
N/A
Are cylinders stored or secured in an upright position?
YES
NO
N/A
Flammable Liquids and Materials
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Flammable Liquids and Materials Comments
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Electrical
Electrical
Electrical
Are extension cords or attachments with bare wires, missing ground pins, or damage taken out of service?
YES
NO
N/A
Do electrical devices have a current inspection?
YES
NO
N/A
Is electrical equipment properly maintained?
YES
NO
N/A
Are ground fault circuit interrupters (GFCIs) being used?
YES
NO
N/A
Is equipment properly grounded?
YES
NO
N/A
Are proper fire extinguisher(s) provided?
YES
NO
N/A
Electrical
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Personal Protective Equipment (PPE)
Personal Protective Equipment (PPE)
Personal Protective Equipment (PPE)
Is protective equipment adequate for exposure?
YES
NO
N/A
Are employees issued PPE where needed?
YES
NO
N/A
Is PPE being used?
YES
NO
N/A
Are high visibility vest being used?
YES
NO
N/A
Is eye protection available?
YES
NO
N/A
Is face protection (glasses, goggles, shields) available?
YES
NO
N/A
Is hearing protection available?
YES
NO
N/A
Are respirators and masks provided?
YES
NO
N/A
Are respirators used to protect against harmful dust, asbestos, sand blasting, and welding (lead, paint, and galvanized zinc or cadmium)?
YES
NO
N/A
Personal Protective Equipment (PPE)
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Fall Protection
Fall Protection
Fall Protection
Are unprotected sides and edges guarded?
YES
NO
N/A
Are holes protected by covers, guardrails, or PFAS?
YES
NO
N/A
Are covers secured against accidental displacement by employees, equipment, or wind?
YES
NO
N/A
Are covers color coded or marked with the words “Hole” or “Cover” to provide warning of the hazard?
YES
NO
N/A
Are employees on walking/working surfaces with unprotected sides and edges protected by guardrails, safety nets or personal fall arrest systems? 1926.501(b)(1)
YES
NO
N/A
Is walking/working surface strong enough to support employees and the work to be done? 1926.501(a)(2)
YES
NO
N/A
Are anchorage points capable of supporting 5000 lbs. or maintaining a safety factor of 2x the intended loaded provided and installed according to the manufacturer’s instructions?
YES
NO
N/A
Is the top rail located at a height of 42” +/- 3” from the walking/working surface?
YES
NO
N/A
Is the mid rail located at a height of 21” or halfway between the top rail and the walking/working surface?
YES
NO
N/A
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?
YES
NO
N/A
Are guardrails constructed or installed to resist a load of 200 lbs.?
YES
NO
N/A
Are wire rope guardrails flagged every 6’ with a high visibility material?
YES
NO
N/A
Is Fall Protection Equipment inspected prior to use for wear, damage, or other deterioration?
YES
NO
N/A
Fall Protection
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Hand Tools
Hand Tools
Hand Tools
Are hand tools maintained in a safe condition? 1926.300(a)
YES
NO
N/A
Are proper tool(s) used for the job?
YES
NO
N/A
Are handles free of cracks and properly attached to tools?
YES
NO
N/A
Are inspections and proper maintenance performed prior to use?
YES
NO
N/A
Are tools neatly stored and safely carried?
YES
NO
N/A
Hand Tools
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Power Tools
Power Tools
Power Tools
Are power tools maintained in a safe condition? 1926.300(a)
YES
NO
N/A
Are power tools, belts, gears, shafts, pulleys, sprockets, spindles, drums, fly wheels, and chains properly guarded? 1926.300(b)(1) & (2)
YES
NO
N/A
Is proper housekeeping conducted where tools are used?
YES
NO
N/A
Are inspections and proper maintenance of tools performed?
YES
NO
N/A
Are electric power operated tools equipped with proper ground or are they double-insulated? 1926.302(a)
YES
NO
N/A
Are tool guards in place and used correctly?
YES
NO
N/A
Are damaged or malfunctioning tools tagged out until repaired or replaced?
YES
NO
N/A
Are cords included in electrical inspection?
YES
NO
N/A
Power Tools
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Ladders
Ladders
Ladders
Are ladders inspected and in good condition? 1926.1053(b)(15)
YES
NO
N/A
Are ladders used properly?
YES
NO
N/A
Are ladders secured to prevent slipping, sliding, or falling?
YES
NO
N/A
Do siderails extend 36 inches above top of landing?
YES
NO
N/A
Are ladders properly maintained and stored?
YES
NO
N/A
Is fall protection provided for fixed ladders in excess of 20 feet long?
YES
NO
N/A
Ladders
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Trenching / Excavation
Trenching / Excavation
Trenching / Excavation
Are holes, trenches, and cuts more than 5 feet deep shored, benched, and sloped, or are trench boxes used?
YES
NO
N/A
Are excavation or other materials kept at least 2 feet from the edge of the excavations? 1926.651(j)(2)
YES
NO
N/A
Are ladders placed to ensure no more than 25 feet of lateral travel by worker?1926.651(c)(2)
YES
NO
N/A
Are adjacent structures properly shored?
YES
NO
N/A
Is shoring and sheathing correct for soil and depth?
YES
NO
N/A
Are roads and sidewalks supported and protected?
YES
NO
N/A
Is excavation barricaded and lighting provided?
YES
NO
N/A
Have all underground utility installations been located? 1926.651(b)(1), (2), and (3)
YES
NO
N/A
Are registered professional engineer designs or approvals performed?
YES
NO
N/A
Are confined-space entry permit required plans established?
YES
NO
N/A
Are daily inspections completed by a competent person?
YES
NO
N/A
Is a warning system such as barricades, hand or mechanical signals or stop logs used when mobile equipment approaches the edge of the excavation? 1926.651(f)
YES
NO
N/A
Trenching / Excavation
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Cranes
Cranes
Cranes
Are annual inspections completed?
YES
NO
N/A
Is equipment inspected by a competent person before each use? 1926.1417(e)(1)(iii)
YES
NO
N/A
Are outriggers used?
YES
NO
N/A
Are power lines deactivated or removed, or are warning signs posted with at least 10 feet of clearance from overhead power lines (for voltages 50,000 volts or below)?
YES
NO
N/A
Is proper loading for capacity at lifting radius?
YES
NO
N/A
Is load testing accomplished?
YES
NO
N/A
Are signal workers placed where needed?
YES
NO
N/A
Are alarms working and audible?
YES
NO
N/A
Are rated load capacities, recommended operating speeds, and special hazard warnings posted on all equipment and visible from operator’s station? 1926.1417(c)
YES
NO
N/A
Are accessible areas within the swing radius of the of the crane barricaded? 1926.1424
YES
NO
N/A
Before leaving crane unattended, is the boom securely fastened? 1926.1417(e) ANSI B30.5-1968 Chapter 5-3
YES
NO
N/A
Are chains and slings inspected and tagged as required?
YES
NO
N/A
Cranes
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Heavy Equipment
Heavy Equipment
Heavy Equipment
Is regular inspection and maintenance performed? 1926.601(b)(14)
YES
NO
N/A
Are seat belts provided and used in equipment with rollover protection structure? 1926.601(b)(9)
YES
NO
N/A
Are backup alarms working and audible? 1926.601(b)(3)
YES
NO
N/A
Are employees riding equipment with proper seating?
YES
NO
N/A
Are lights, brakes, and warning signals operative?
YES
NO
N/A
Are parking brakes set and are wheels chocked when necessary? 1926.600(a)(3)(ii)
YES
NO
N/A
Are haul roads well maintained and laid out properly?
YES
NO
N/A
Is equipment properly secured when not in use?
YES
NO
N/A
Equipment which are left unattended at night, adjacent to a highway in normal use or a construction site where work is in progress, equipped with lights, reflectors, or barricades to identify the location of the equipment? 1926.600(a)(1)
YES
NO
N/A
Heavy Equipment
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Barricades
Barricades
Barricades
Are barricades used for protection of workers in conformance with Part VI of the MUTCD (1988 Edition, Revision 3 or the Millennium Edition)? 1926.202
YES
NO
N/A
Are floor openings planked over or barricaded?
YES
NO
N/A
Are roadways and sidewalks protected?
YES
NO
N/A
Is adequate lighting provided?
YES
NO
N/A
Are barricades or covers installed over shafts, wall openings, stairways, stairwells, trenches, and outriggers?
YES
NO
N/A
Barricades
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Handling and Storage of Materials
Handling and Storage of Materials
Handling and Storage of Materials
Are materials properly stored or stacked? 1926.250(a)(1)
YES
NO
N/A
Are passageways clear? 1926.250(a)(3)
YES
NO
N/A
Are there sufficient employees to do the job?
YES
NO
N/A
Are employees lifting materials correctly?
YES
NO
N/A
Is dust protection used?
YES
NO
N/A
Is the correct type of fire extinguisher(s) and other fire protection available?
YES
NO
N/A
Is all rigging equipment for material handling inspected prior to use? 1926.251(a)(1)
YES
NO
N/A
Are waste materials disposed of properly? 1926.252
YES
NO
N/A
Handling and Storage of Materials
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Blasting
Blasting
Blasting
Are only authorized and qualified persons permitted to handle explosives 1926.900(a)
YES
NO
N/A
Is explosive inventory complete and accounted for at all times?
YES
NO
N/A
Are stray electrical currents checked?
YES
NO
N/A
Are blasting mats used when required?
YES
NO
N/A
Are all signs, warning signals, and protective equipment in place?
YES
NO
N/A
Are non-essential personnel removed from area?
YES
NO
N/A
Are precautions taken to prevent accidental discharge of electric blasting caps from current induced by radar, radio transmitters, lighting, adjacent power lines, dust storms and other sources of extraneous electricity? 1926.900(k)
YES
NO
N/A
Are procedures for handling misfire in place?
YES
NO
N/A
Are explosives properly stored?
YES
NO
N/A
Are detonators tested before each shot?
YES
NO
N/A
Is an area inspection completed after each shot?
YES
NO
N/A
Are explosives and related materials stored in approved facilities? 1926.904(a) Note: See Bureau of Alcohol, Tobacco and Firearms regulations contained in 27 CFR part 56, Commerce in Explosives.
YES
NO
N/A
Blasting
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Welding and Cutting
Welding and Cutting
Welding and Cutting
Are screens and shields in place?
YES
NO
N/A
Is oxygen and acetylene stored properly?
YES
NO
N/A
When transporting or storing compressed gas cylinders, are cylinders secured and caps in place? 1926.350(a)(1)
YES
NO
N/A
Is proper eye protection and PPE used?
YES
NO
N/A
Are employees who are performing any type of welding, cutting, or heating protected by suitable eye protective equipment? 1926.353(e)(2)
YES
NO
N/A
Is suitable fire extinguishing equipment immediately available in the work area and ready for instant use? 1926.352(d)
YES
NO
N/A
Is the area inspected for fire hazards?
YES
NO
N/A
Are gas lines and power cables protected and in good condition?
YES
NO
N/A
Are all compressed gas cylinders secured in an upright position at all times? 1926.350(a)(9)
YES
NO
N/A
Is there a proper separation distance between fuels and oxygen? (minimum 20 feet)
YES
NO
N/A
Welding and Cutting
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Concrete Construction
Concrete Construction
Concrete Construction
Are adjacent structures properly shored?
YES
NO
N/A
Is shoring and sheathing correct for soil and depth?
YES
NO
N/A
Are impalement hazards protected?
YES
NO
N/A
Nails and stripped form material removed from area?
YES
NO
N/A
Concrete Construction
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Masonry
Masonry
Masonry
Requirements for masonry construction: Is a limited access zone established when constructing a masonry wall? 1926.706(a)
YES
NO
N/A
Are all masonry walls over eight feet in height braced or supported to prevent collapse? 1926.706(b)
YES
NO
N/A
Are masonry saws properly equipped, and is dust protection provided?
YES
NO
N/A
Is safe hoisting equipment used?
YES
NO
N/A
Are limited-access zones established as required?
YES
NO
N/A
Masonry
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Highway Construction
Highway Construction
Highway Construction
Are competent flag workers properly dressed, trained, and posted?
YES
NO
N/A
Are adequate warning signs and markers used?
YES
NO
N/A
Is equipment not blocking the right of way?
YES
NO
N/A
Is traffic control used through construction site?
YES
NO
N/A
Are detours adequately marked and maintained?
YES
NO
N/A
Is adequate lighting provided?
YES
NO
N/A
Are barricades erected with correct directional stripes?
YES
NO
N/A
Highway Construction
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Secured Access & After Hours
Secured Access & After Hours
Secured Access & After Hours
Are warning signs in place?
YES
NO
N/A
Are open ditches protected?
YES
NO
N/A
Are drop-offs protected?
YES
NO
N/A
Are hazard lights used?
YES
NO
N/A
Is equipment secured?
YES
NO
N/A
Are utility ditches flagged or barricaded?
YES
NO
N/A
Secured Access & After Hours
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INSPECTION SUMMARY
INSPECTION SUMMARY
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Positive Observations
Negative Observations
Positive Observations
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Negative Observations
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9
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UN-SAFE ACTS TOTAL
Score
NEGATIVE OBSERVATION AREAS
HOUSEKEEPING
HAZARD COMMUNICATION
FIRE PREVENTION
FLAMMABLE LIQUIDS
ELECTRICAL
PPE
FALL PROTECTION
HAND TOOLS
POWER TOOLS
LADDERS
TRENCHING/EXCAVATION
CRANE
HEAVY EQUIPMENT
BARRICADES
MATERIAL HANDLING
BLASTING
WELDING/CUTTING
CONCRETE
SECURED ACCESS
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