Professional Documents
Culture Documents
Inspected by ________________________________________________________________________________________
Company/Project ____________________________________________________________________________________
Number of Employees ___________________________
Copies to __________________________________
Date ____________________________________________
___________________________________________
1. SITE ACCESS
OK
Not Ok
__________________________________________________
Adequate ramps
__________________________________________________
Adequate stairs
__________________________________________________
Adequate ladders
__________________________________________________
2. PROTECTIVE EQUIPMENT
OK
Not Ok
ACTION TAKEN
__________________________________________________
__________________________________________________
Skin protection:
Eye & face protection:
Hearing protection:
Respiratory protection:
__________________________________________________
Worn
__________________________________________________
Available
__________________________________________________
Worn
__________________________________________________
Available
__________________________________________________
Worn
__________________________________________________
Available
__________________________________________________
Worn
__________________________________________________
Available
__________________________________________________
3. GUARDRAILS, BARRICADES
OK
Not Ok
ACTION TAKEN
___________________________________________________
Properly constructed
___________________________________________________
Adequately secured
___________________________________________________
4. LADDERS
OK
Not Ok
Secured
ACTION TAKEN
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Properly used
___________________________________________________
___________________________________________________
Non-slip bases
___________________________________________________
5. FIRE PROTECTION
28
ACTION TAKEN
OK
Not Ok
ACTION TAKEN
___________________________________________________
Fully charged
___________________________________________________
Adequately identified
___________________________________________________
___________________________________________________
JOBSITE INSPECTION CHECKLIST
6. PUBLIC WAY PROTECTION
OK
NOT OK
ACTION TAKEN
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
7. HOUSEKEEPING
OK
NOT OK
ACTION TAKEN
Clear walkways
__________________________________________________
__________________________________________________
__________________________________________________
8. FALL PROTECTION
OK
NOT OK
ACTION TAKEN
CSA approved
__________________________________________________
Properly worn
__________________________________________________
__________________________________________________
__________________________________________________
Working from:
Ladders
__________________________________________________
Scaffolds
__________________________________________________
Swingstages
__________________________________________________
OK
NOT OK
ACTION TAKEN
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
10. SCAFFOLDS
OK
NOT OK
ACTION TAKEN
__________________________________________________
Properly secured
__________________________________________________
Properly planked
__________________________________________________
__________________________________________________
__________________________________________________
Acceptable loading
__________________________________________________
OK
NOT OK
General condition
ACTION TAKEN
__________________________________________________
__________________________________________________
Tagging as DEFECTIVE
__________________________________________________
OK
NOT OK
ACTION TAKEN
__________________________________________________
__________________________________________________
and connections
__________________________________________________
OK
NOT OK
ACTION TAKEN
Properly located
__________________________________________________
Properly secured
__________________________________________________
__________________________________________________
Properly hooked up
__________________________________________________
29
JOBSITE INSPECTION CHECKLIST
OK
NOT OK
WHMIS training
Company safety policy & program
__________________________________________________
Injury reporting
__________________________________________________
Hazard reporting
__________________________________________________
__________________________________________________
__________________________________________________
OK
NOT OK
aiders on jobsite
ACTION TAKEN
__________________________________________________
Adequate number
__________________________________________________
Adequate contents
__________________________________________________
OK
NOT OK
ACTION TAKEN
__________________________________________________
__________________________________________________
Competent operator
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
Competent signaller
__________________________________________________
17. WELDING
OK
NOT OK
ACTION TAKEN
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
OK
NOT OK
ACTION TAKEN
Worker training
__________________________________________________
Properly used
__________________________________________________
__________________________________________________
Acceptable loading
__________________________________________________
__________________________________________________
OK
NOT OK
ACTION TAKEN
__________________________________________________
Properly located
__________________________________________________
__________________________________________________
__________________________________________________
30
ACTION TAKEN
__________________________________________________
OK
NOT OK
ACTION TAKEN
Properly identified
__________________________________________________
__________________________________________________
__________________________________________________
JOBSITE INSPECTION CHECKLIST
OK
NOT OK
ACTION TAKEN
__________________________________________________
__________________________________________________
MSDSs
__________________________________________________
Warning signs
__________________________________________________
__________________________________________________
Report forms
__________________________________________________
OK
NOT OK
ACTION TAKEN
Properly located
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
OK
NOT OK
ACTION TAKEN
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
24.CONFINED SPACES
OK
NOT OK
ACTION TAKEN
Proper access
__________________________________________________
__________________________________________________
__________________________________________________
and used
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
OK
NOT OK
ACTION TAKEN
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
26. FORMWORK
OK
NOT OK
ACTION TAKEN
__________________________________________________
__________________________________________________
competent worker
__________________________________________________
27. HYGIENE
Cleanliness of facilities
OK
NOT OK
ACTION TAKEN
__________________________________________________
31