Jobsite Inspection

Date

Job #

Contractor

Loction of Inspection

Number of Employees

Name

First NameLast Name

E-mail

example@example.com

Phone Number

Format: (000) 000-0000.

Site Access

Rows	Satisfactory	Not Satisfactory	Not Applicable
Service Quality
Clean, level ground
Adequate ramps
Adequate unobstructed stairs
Adequate ladders, properly situated

Comments:

Housekeeping

Rows	Satisfactory	Not Satisfactory	Not Applicable
Clear walkways
Clear work areas
Clear access and landing

Comments:

Personal Protective Equipment

Rows	Satisfactory	Not Satisfactory	Not Applicable
Hard Hats are being Worn
CSA Approved Footwaree
Safety Glasses
Hearing Protection
Respiratory Protection
Fall Protection

Comments:

Ladder Safety

Rows	Satisfactory	Not Satisfactory	Not Applicable
Secured
Proper Angle (extention ladders)
Proper Size & Type
Safe, Useable Condition
Properly Used
Proper Handrail & Landing
Non-Slip Base

Comments:

Scaffolds

Rows	Satisfactory	Not Satisfactory	Not Applicable
Properly Erected
Properly Secured
Properly Planked
Proper Guardrails, Toeboards
Proper Access to Platform
Acceptable Loading

Comments:

Power Tools & Equipment

Rows	Satisfactory	Not Satisfactory	Not Applicable
General Condition
Proper Guards, Cords
Tagging Removal if Defective

Comments:

Stairwells & Ramps

Rows	Satisfactory	Not Satisfactory	Not Applicable
Proper Filler Blocks in metal stairs
Proper cleats on ramps
Adequate lighting in stairwells
Proper handrails or guardrails

Comments:

Traffic Control

Rows	Satisfactory	Not Satisfactory	Not Applicable
Trained traffic control persons
Properly located
Clean, regulation sign
Properly dressed (including vest)

Comments:

Fall Protection

Rows	Satisfactory	Not Satisfactory	Not Applicable
CSA-approved and verified equipment
Properly worn & Fitted
In safe, usable condition (no fraying)
Protection at openings and edges

Comments:

Guardrails & Barricades

Rows	Satisfactory	Not Satisfactory	Not Applicable
Located where required
Properly constructed
Adequately secured

Comments:

Gas Cylinders

Rows	Satisfactory	Not Satisfactory	Not Applicable
Properly located
Properly secured
Properly moved or lifted
Properly hooked up

Comments:

Confined Spaces

Rows	Satisfactory	Not Satisfactory	Not Applicable
Proper access
Air testing before entry
Rescue equipment/team readily available
Safety harness, lifeline properly anchored & used
Second person for rescue
Outgoing air monitored
Entry permit where required

Comments:

First Aid Requirements

Rows	Satisfactory	Not Satisfactory	Not Applicable
Adequate qualified first aiders on jobsite
First aid kits:

Comments:

Fire Protection

Rows	Satisfactory	Not Satisfactory	Not Applicable
Master emergency plan
Extinguishers where required
Fully charged
Adequately identified

Comments:

Cranes & Hoists

Rows	Satisfactory	Not Satisfactory	Not Applicable
Safe setup of equipment
Maintenance log available
Competent operator
Condition of slings, hardware
Safety catches on all hooks
Proper use of tag lines
Proper lifting containers
Competent signaller

Comments:

Overhead Wire

Rows	Satisfactory	Not Satisfactory	Not Applicable
Ensure workers are aware of minimum safe distance
Proximity of overhead powerlines to the work zone
Powerlines are clearly visible and free from obstruction
Operators are aware of powerline locations and safe operating zones
Warning signs are posted near powerline hazard zones.
Emergency response plan is in place
Operator has Electrical Safety Awareness Training

Comments:

Welding

Rows	Satisfactory	Not Satisfactory	Not Applicable
Rods & cylinders properly labeled
MSDSs readily available
Properly secured ground cables
Proper eye protection worn
Proper screens and exhaust
Fire extinguisher readily available

Comments:

Elevated Work Platforms

Rows	Satisfactory	Not Satisfactory	Not Applicable
Worker training
Properly used
Safe, usable condition
Acceptable loading
Manufacturer’s operating manual

Comments:

Trenches & Excavation

Rows	Satisfactory	Not Satisfactory	Not Applicable
Properly sloped, where required
Excavated soil properly placed
Appropriate shoring used
Proper access to trench
Proper storage of materials in and above

Comments:

Material Storage

Rows	Satisfactory	Not Satisfactory	Not Applicable
Properly located
Safely piled, stacked, bundled
Properly moved or lifted
Properly labeled (WHMIS)

Comments:

Sign & Print Material

Rows	Satisfactory	Not Satisfactory	Not Applicable
OH&S Act and regulations
WSIB Form 82 poster
Warning signs
Emergency phone list
Report forms

Comments:

Worker Education

Rows	Satisfactory	Not Satisfactory	Not Applicable
WHMIS training
Working at Heights training
Company safety policy & program
Injury reporting
Hazard reporting

Comments:

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