Safety Site Inspection
Project
Foreman
First Name
Last Name
Machine 1 Type
Operator for Machine 1
First Name
Last Name
Machine 2 Type
Operator for Machine 2
First Name
Last Name
Machine 3 Type
Operator for Machine 3
First Name
Last Name
JSB done?
Yes
No
N/A
JHA done?
Yes
No
N/A
Was I asked to sign the JHA?
Yes
No
N/A
Daily scaffolding form submit and scaffolding tag signed and dated?
Yes
No
N/A
All safety cones secured?
Yes
No
N/A
Walkway not obstructed?
Yes
No
N/A
All carts secured?
Yes
No
N/A
Pallets secured?
Yes
No
N/A
Rachet straps are tight?
Yes
No
N/A
Everyone wearing PPE?
Yes
No
N/A
Water on site?
Yes
No
N/A
Weather conditons (hot, cold, wet, etc.)?
Ask someone what the scope of work is. Does it match the answer in the JHA?
Yes
No
N/A
Energized work being done?
Yes
No
N/A
Permits needed?
Yes
No
N/A
Submit
Should be Empty: