Manual Material Handling
     Yes___No___Are mechanical devices being used in place of manual handling of material?  
     Yes___No___Are ropes, slings, chains, hook, cables, and chokers in good condition? 
     Yes___No___Proper staging of materials to minimize lifting and carrying?   
     Yes___No___ Rigging equipment inspected regularly and in good condition? 
     Yes___No___Is the handling of bagged material limited to 50 lbs?
     Yes___No___Are carrying handles being used when a single worker is carrying sheeted materials?

Housekeeping:  Slips, Trips and Falls
     Yes___No___Are walking and working surfaces clear and free of debris?
     Yes___No___Are waste and trash containers provided, and used?
     Yes___No___Is there regular removal of waste and trash from the containers?
     Yes___No___Does each trade clean up after themselves?
     Yes___No___Is adequate temporary lighting provided?
     Yes___No___Is temporary storage of materials and supplies done in  an organized fashion?

Fire Protection and Prevention
     Yes___No___Are all flammable liquid containers clearly identified?
     Yes___No___Are all flammable liquid containers UL of FM listed?
     Yes___No___Have proper storage practices for flammables been observed?
     Yes___No___Are extinguishers readily accessible and serviced regularly?
     Yes___No___Are hydrants clear and accessible for fire department personnel?
     Yes___No___Have gas cylinders been chained upright with valve caps securely fastened?
     Yes___No___Has there been proper segregation between flammable gasses?
     Yes___No___Proper labeling of full and empty cylinders?
     Yes___No___Are temporary heaters located at a safe distance from combustibles?
     Yes___No___Is ventilation adequate for temporary heaters?

     Yes___No___Are all switch gear, panels, and devices that are energized marked and/or guarded?
     Yes___No___Lockout devices available/used on  circuits that could become energized while being worked?
     Yes___No___Are all temporary circuits properly guarded and grounded?
     Yes___No___Are extension cords in continuous lengths without splice?
     Yes___No___Are GFCI's and/or Assured Equipment Grounding Conductor Program being used?
     Yes___No___If temporary lighting is provided, are bulbs protected against accidental breakage?
     Yes___No___Are working surfaces clear of cords so as not to create a tripping hazard?
     Yes___No___Is there a  sufficient number of temporary outlets on the job site?
     Yes___No___Any visual signs of outlet overloading?

Hazard Communication     Does the Program include:
     Yes___No___A list of hazardous chemicals.
     Yes___No___Container labeling.
     Yes___No___Material Safety Data Sheets (MSDS)
     Yes___No___Employee training.
     Yes___No___Informing other contractors.

     Yes___No___Have utility companies been notified of proposed excavation work?
     Yes___No___Are all tools, equipment, and shoring materials readily available prior to job start up?
     Yes___No___Are overhead utility lines noted and precautions taken to avoid contact with equipment?
     Yes___No___Is the spoil pile at least two feet from the edge of the excavation?
     Yes___No___Is the excavation inspected daily or more frequently when conditions could affect the soil?
     Yes___No___If needed, are barricades, stop logs, properly placed?
     Yes___No___ Has soil classification been made by a competent person?
     Yes___No___Are excavations five feet or deeper correctly sloped, benched, shored or is a trench box used?
     Yes___No___Is a ladder or other means of egress provided in trenches or excavations six feet or deeper?
     Yes___No___When ladders are used, do they extend three feet above the surface and are they secured?
     Yes___No___Are shoring and shielding systems inspected daily by a competent person?
     Yes___No___Is the trench backfilled as soon a work is completed?

     Yes___No___Are floor openings planked and secured or barricaded?
     Yes___No___Are direction signs used to inform the public of upcoming construction work?
     Yes___No___Is the sidewalk protection effective?
     Yes___No___Is a flag person provided to direct traffic when needed?
     Yes___No___Has the person been trained on how to direct traffic and the public?
     Yes___No___Are open excavation, road drop offs, manholes, uneven surfaces barricaded?

     Yes___No___Is the proper ladder for the job being used?
     Yes___No___Are ladders in good condition (no missing or broken rungs)?
     Yes___No___Are there safety shoes/cleats on the bottom of ladders?  Are they needed?
     Yes___No___Are non-conductive ladders available for use around live wiring?
     Yes___No___Are ladders tied-off at top or otherwise secured?
     Yes___No___Do side rails extend 36 inches above top of landing?
     Yes___No___Rungs or cleats uniformly spaced 10 - 14 inches apart?
     Yes___No___Are step ladders fully open when in use?

     Yes___No___Are scaffold components visibly free of any physical damage? (no bent supports or bracing)
     Yes___No___Is scaffold properly erected with all pins and braces in place and locked?
     Yes___No___Are rolling scaffolds equipped with locking wheels?
     Yes___No___Are wheels locked when scaffold is in use?
     Yes___No___Is scaffold erected on a firm and substantial surface?
     Yes___No___Is planking of a scaffold grade?
     Yes___No___Planking in good condition and properly installed?
     Yes___No___Are toe boards and guardrails in place on scaffolds over 10 feet?
     Yes___No___Are workers on scaffolding protected from falling objects if overhead hazards exist?
     Yes___No___Ladder provided for access to scaffold work platform?

Personal Protective Equipment
     Yes___No___Is hearing protection available for personnel that may be exposed to noisy conditions?
     Yes___No___Is respiratory protection available to personnel and being used when conditions require them?
     Yes___No___Are safety harnesses, lifelines and shock absorbing lanyards available and being used?
     Yes___No___Are personnel using gloves when handling sharp or rough material?
     Yes___No___ Where required, rubber gloves with protectors-insulators being used?
     Yes___No___Is life saving equipment available for work over or near water?

     Yes___No___Are first-aid kits available and properly stocked?
     Yes___No___Are all emergency phone numbers posted?
     Yes___No___Are employees aware of the address of the site/ capable of giving directions to emergency crew?
     Yes___No___Is anyone trained in first aid and CPR?

Tools: Hand and Power
     Yes___No___Are tools free of any obvious physical damage?
     Yes___No___Are tools inspected for frayed or damaged cords?
     Yes___No___Are tools and cords properly grounded (ground pins are in good condition?
     Yes___No___Are double insulated tools in use and in good condition?
     Yes___No___Are the handles on all tools in good condition (not bent, splintered or broken)?
     Yes___No___Are all hoses on air or hydraulic tools in good condition?
     Yes___No___Are all shields and guards in place on the tools and in good condition?
     Yes___No___Operator qualified and instructed to use powder actuated tools?

Welding and Cutting
     Yes___No___Are non-combustible enclosures, (screens/shields) provided and used when welding?
     Yes___No___Welding goggles, gloves, and clothing being used by welder?
     Yes___No___Inspection for fire hazards after welding stops?
     Yes___No___Are gas cylinder, hoses, regulators, torches, torch tips and welding carts, in good condition?
     Yes___No___Welding and ground cables properly insulated, sized and located to avoid tripping hazards?
     Yes___No___Natural or mechanical ventilation adequate?
     Yes___No___Surrounding areas free of flammables and combustibles?
     Yes___No___Proper storage of gas cylinders?

Hoist, Cranes and Derricks
     Yes___No___Are cables and sheaves checked?
     Yes___No___Are slings, hooks, eyelets, chokes inspected?
     Yes___No___Are load capacities posted in cab?
     Yes___No___Are power lines at a safe distance?
     Yes___No___Do cranes have proper barricades around swing radius?
     Yes___No___Are crane inspection logs with crane?

Floor, Wall Openings, Stairways
     Yes___No___Floor and roof openings guarded by guardrails and toe boards or a secured cover?
     Yes___No___Open-sided floors/platforms six feet or higher guarded with railing, toe boards or equivalent?
     Yes___No___Are stairs with four or more risers equipped with standard hand rail protection?
     Yes___No___Runways four feet or more above ground properly guarded?
     Yes___No___Anchor posts and framing capable of withstanding 200lb load in any direction?

Powder Activated Tools
.    Yes___No___Operators properly trained and authorized?
     Yes___No___Operators use eye, face, hearing and hand protection?
     Yes___No___Tools inspected and tested daily before use to assure safety devices operational?
     Yes___No___Anchors and charges comply with tool manufacturer's specs?
     Yes___No___Anchorage limited to recommended materials?
     Yes___No___Tools loaded immediately prior to use?
     Yes___No___Other employees warned to expect loud noise and possible airborne debris?
     Yes___No___Employees who may be in harms way relocated?
     Yes___No___Unattended and stored tools always rendered unloaded and secure?

.    Yes___No___Employees working with concrete properly clothed to protect skin?
     Yes___No___PPE (gloves, boots, hard hats, eye/face protection) used where required?
     Yes___No___Employees trained to avoid hazards of cement burns and inhalation?
     Yes___No___Form work designed, fabricated, erected, supported, braced and maintained to support vertical and lateral loads?
     Yes___No___Shoring inspected prior to, during and after concrete placement?
     Yes___No___Scaffolding or platforms used by employees properly designed and constructed to support load?
     Yes___No___Scaffold platforms equipped with standard guard rails?
     Yes___No___Raising or lowering of concrete buckets over heads of people prohibited?
     Yes___No___Employees forbidden from riding concrete buckets?
     Yes___No___Safe access provided for equipment and vehicles?
     Yes___No___Safe shoring and form removal procedures established?
     Yes___No___Vertical reinforcing steel protected from impalement hazards?
     Yes___No___Lift slab operations designed and planned by a PE with all employees trained?
     Yes___No___Required distances maintained between overhead electrical power lines and concrete placement equipment?

     Yes___No___Limited access zone established on the un-scaffold side of the wall?
     Yes___No___Walls properly supported to prevent overturn or collapse?
     Yes___No___Dust protection used during sawing, mortar mixing, or other dust generating activities?

Structural Steel
     Yes___No___Permanent and/or temporary flooring requirements been met?
     Yes___No___Temporary planking sized and installed correctly?
     Yes___No___Employees using the required fall protection equipment?
     Yes___No___Company approved fall protection program in place?
     Yes___No___Danger zone beneath the steel erection  designated to limit unauthorized employee?
     Yes___No___Hoisting equipment and accessories inspected as required?
     Yes___No___Tag lines used to control loads?
     Yes___No___Proper erection bolting and bracing procedures followed?
     Yes___No___Floor, roof and wall openings protected immediately as they appear?
     Yes___No___Ladders, stairways, approved personnel lifts or other safe means or access?

Heavy Equipment
     Yes___No___Operators properly trained and authorized?
     Yes___No___Inspection and maintenance performed on a regular schedule?
     Yes___No___Bi-directional machines have operational signal horns?
     Yes___No___Back-up alarms operational?
     Yes___No___Roll over protection provided as required and with seat belts?
     Yes___No___Equipment clean and free of grease, oil, mud, fluids and other slipping hazards?
     Yes___No___Moving parts protected by guards?
     Yes___No___Engines shut off during refueling?
     Yes___No___Glass free of defects and rated as safety glass or equivalent?
     Yes___No___Lights, reflectors, wipers, defrosters, brakes, tires, etc. in good condition?
     Yes___No___Employees prohibited from riding on heavy equipment without a proper seat?
     Yes___No___Are haul roads properly maintained?

Aerial Lifts
     Yes___No___Employees using aerial lifts are trained and authorized?
     Yes___No___Manufacture's operation and safety rules obeyed?
     Yes___No___Unit safety inspected and all controls tested prior to each days use?
     Yes___No___Unit positioned on solid, level ground?
     Yes___No___Boom and basket load limits within manufacture's specs?
     Yes___No___Everyone in lift basket standing firmly on the floor, wearing fall prevention or protection equipment?
     Yes___No___Brakes set and outriggers positioned as required?
Project Name: Project Location:
Inspected By: Date:  
Project Name______________________
Inspected By_______________________
Project Location____________________