Site Safety Inspection Form Template

List of Site Safety Inspection Form Questions

The following questions are included in this Site Safety Inspection Form Template. 

• Project Name
• What are your current hazards? Check all that apply.
• Date
• General Items
• OSHA 300 forms posted and completed (1 year+ project only)
• Please mention in the comment box below
• OSHA poster posted?
• Inspected By
• Weekly safety meetings up to date?
• Phone number of the nearest medical center posted?
• Work area properly signed and barricaded?
• First aid supplies readily available?
• Is a treatment center for injuries located within 15 min of project?
• Are telephone numbers of physicians, hospitals, and ambulances posted conspicuously?
• Are toilet facilities adequate and clean for the project?
• Emergency action plan is developed and key personal have been trained
• Additional comments
• House Keeping
• General neatness of work areas are acceptable?
• Projecting nails have been pulled/ bent over?
• Waste containers provided and being used?
• Passageways and walkways are clear?
• Temporary lighting is in place, all areas are properly illuminated?
• Additional comments
• Fire Prevention
• Is fire prevention a current risk? If not, click no and hit next at the bottom of the page.
• Adequate fire extinguishers, checked and accessible?
• Flammable liquids properly stored?
• "No Smoking" posted and enforced near flammable liquids?
• Material Handling
• Material is properly stored?
• Employees are using proper lifting techniques?
• Proper amount of manpower to perform lifts?
• Equipment operator (forklift/ crane) has documentation of training.
• Tag lines are being used to guide loads?
• Is a written Hazard Communication Program on site including SDS, materials list, container labeling, employee training?
• Is there an exposure to silica, such as sandblasting, using sand or cutting brick controlled?
• Fall Protection
• Safety rails and cables are secured properly? If cable, flagged every 6'?
• Are employees exposed to a fall hazard tied off?
• Are employees working more than 6' protected by guardrails, safety nets, or personal fall arrest system?
• Are flights of stairs with 4 or more steps equipped with stair railing or hand rails?
• Additional comments
• Fall Protection
• Ladders
• Ladders are secure to prevent slipping, sliding, or falling?
• Base of ladder is 1' away from surface for every 4' to the top?
• Ladder side rails extend at least 3' above the upper landing surface to which the ladder is used to gain access.
• Ladders with split or missing rungs taken out of service?
• Stepladders used in fully open position?
• Is there anyone standing on the top two rungs of a step ladder?
• Additional comments
• Fall Protection
• Scaffolding
• Is there scaffolding onsite? If not, click no and next at the bottom of this page and the following page.
• Erection properly supervised?
• All scaffolding inspected daily?
• Erected on sound rigid footing with mudsills in place?
• Scaffolding is tied to structure as required?
• Is the scaffolding plum and square with the connections sound and secure?
• Are guardrails, intermediate rails, toe boards, and screens in place?
• Is the planking properly overlapped with being sound and secure?
• Planking is free of debris, ice and snow?
• Proper access provided?
• Employees below are protected from falling objects?
• Material stored on scaffolding do not exceed supplies needed for immediate use?
• Is there an overhead electrical exposure?
• Additional comments
• Caught-In or Between
• Trenches, Excavation, and Shoring
• Is there any trenching, excavation, or shoring being performed on your project? If not, click no and next at the bottom of the page.
• Competent person on hand inspecting daily?
• Excavations over 5' in depth are shored or sloped back.
• Materials and soils are stored at least 2' away from trench?
• Equipment is a safe distance from edge of trench or excavation?
• Ladders provided every 25' in trench more than 4' deep?
• Have the underground utilities been located?
• Cave-in protections
• Excavations barricaded?
• Adjacent structures shored?
• Additional comments
• Struck By Hazards
• Hand, Power, and Powder Actuated Tools
• Hand tools inspected daily? Broken handles and mushroom heads?
• Guards in place on machines? Such as saws?
• Correct tool being used for the job at hand?
• Operators of powder actuated tools have been trained?
• Struck by Hazards
• Floor and wall openings
• All floor openings are planked over or barricaded?
• Perimeter protection is in place? Toe kick?
• Deck planks are secured?
• Materials are stored away from edge?
• Additional comments
• Struck By/ Airborne Hazards
• Concrete and Masonry Construction
• All employees are protected from cement dust?
• Dust control being used? Such as Hepavac System?
• Are all protruding reinforcing rods covered?
• Limited access zone established during masonry wall construction?
• Is lockout/ tag out procedure in place on any machinery where inadvertent operation could cause injury?
• Struck by Hazards
• Personal Protective Equipment
• Are hardhats being worn?
• Please mention in the comment box below:
• Safety glasses/ face shields being worn when required?
• Please mention in the comment box below:
• Respirators are being used when required?
• Hearing protection being used when required?
• High visual traffic vests being worn when required?
• Struck by Hazards
• Vehicles
• Do vehicles/ earth moving/ compacting equipment with an obstructed view to the rear have a back up alarm or used with an observer?
• Do vehicles/ earth moving equipment have seats belts and are they being used?
• Are flagmen wearing high visual reflective garments and using flags, sign paddles, or lights?
• Glass on vehicle/ equipment is in good condition? *
• Please mention in the comment box below
• Electrical
• Extension cords with bare wires or missing ground prongs or damaged have been taken out of service?
• Ground fault circuit interrupters being used?
• Terminal boxes equipped with required covers?
• Are flexible cords and cables protected from damage?
• Are unused openings in cabinet boxes and fittings closed?
• Are all cabinets, panels and switches located in wet locations enclosed in weather proof enclosures?
• Electrical dangers are posted?
• Access to breaker boxes are clear?
• Lockout/ tag out procedures being used?
• Overhead lines protection?
• Power tools are grounded/ double insulated?
• Cords for power tools are in good condition?
• Additional comments (if any)
• Cranes
• Is there a crane onsite?
• Outriggers are extended and swing radius barricade is in place?
• Operator is familiar with load charts?
• Crane operators logs, including all inspections are up to date?
• Please mention your comments below
• Employees kept for under suspended loads?
• Chains and sling inspected and tagged as required?
• Hand signal charts are on crane?
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