| | | |
| Created by checklistguro.com | | |
| | | |
| Site Access & Security (STEP) | | |
| Visitor Log Count (NUMBER) | | |
| Last Perimeter Fence Inspection Date (DATE) | | |
| Gate Lock Status (SELECTION options: Locked, Unlocked, Malfunctioning) | | |
| Access Control Measures in Place (SELECTION options: Security Cameras, Fencing, Keypad Entry, Guard Presence) | | |
| Location of Emergency Access Point (LOCATION) | | |
| Notes on Security Concerns (TEXT) | | |
| | | |
| Personal Protective Equipment (PPE) (STEP) | | |
| Number of Hard Hats Available (NUMBER) | | |
| Number of Safety Glasses/Goggles Available (NUMBER) | | |
| Number of High-Visibility Vests/Clothing Available (NUMBER) | | |
| PPE Inspection Status (Gloves) (SELECTION options: Good, Fair, Damaged, N/A) | | |
| Last PPE Training Date (DATE) | | |
| Condition of Respirators (if applicable) (SELECTION options: Clean & Functional, Needs Cleaning, Damaged/Needs Replacement, N/A) | | |
| Notes on PPE Condition/Observations (TEXT) | | |
| | | |
| Hazard Identification & Control (STEP) | | |
| Describe any identified fall hazards (e.g., unprotected edges, scaffolding issues) (TEXT) | | |
| Which of the following potential electrical hazards are present? (SELECTION options: Exposed Wiring, Overhead Power Lines, Damaged Equipment, Inadequate Grounding, None) | | |
| Detail control measures implemented for identified noise hazards (e.g., hearing protection, barriers) (TEXT) | | |
| Distance maintained from overhead power lines (in feet) (NUMBER) | | |
| Confined space entry permit required? (If yes, permit number) (SELECTION options: Yes, No) | | |
| Upload photos of any identified hazards (UPLOAD) | | |
| Describe measures taken to prevent dust exposure. (TEXT) | | |
| | | |
| Equipment & Machinery (STEP) | | |
| Equipment ID Number (NUMBER) | | |
| Last Inspection Date (DATE) | | |
| Operating Hours (since last service) (NUMBER) | | |
| Operational Status (Pre-Use) (SELECTION options: Functional, Needs Repair, Out of Service) | | |
| Notes/Observations (Mechanical Condition) (TEXT) | | |
| Operator Certification Valid? (SELECTION options: Yes, No, N/A) | | |
| Upload Maintenance Records (optional) (UPLOAD) | | |
| Fluid Levels (e.g., Oil, Coolant) (NUMBER) | | |
| | | |
| Excavation & Trenching Safety (STEP) | | |
| Excavation Depth (feet) (NUMBER) | | |
| Trenching Method (SELECTION options: Shoring, Sloping, Benching, Underslung, Shielding) | | |
| Soil Classification (OSHA) (SELECTION options: Type A, Type B, Type C, Type D) | | |
| Shoring Spacing (feet) (NUMBER) | | |
| Atmospheric Testing Date (DATE) | | |
| Atmospheric Testing Results (O2, CO, H2S) (TEXT) | | |
| Competent Person Verification (SELECTION options: Yes, No) | | |
| Photographic Evidence (Shoring/Sloping) (UPLOAD) | | |
| | | |
| Electrical Safety (STEP) | | |
| Voltage Level (kV) (NUMBER) | | |
| Grounding Method Verified? (SELECTION options: Rod Grounding, Plate Grounding, Grid System, Other) | | |
| Last Lockout/Tagout Training Date (DATE) | | |
| Lockout/Tagout Procedures Followed? (SELECTION options: Yes, No, N/A) | | |
| Distance from Overhead Power Lines (feet) (NUMBER) | | |
| Any Electrical Hazards Observed? (Describe) (TEXT) | | |
| GFCI Protection Available and Functioning? (SELECTION options: Yes, No, N/A) | | |
| Upload Electrical Inspection Report (if applicable) (UPLOAD) | | |
| | | |
| Fall Protection (STEP) | | |
| Guardrail Height (Feet) (NUMBER) | | |
| Safety Net Distance Below Work Surface (Feet) (NUMBER) | | |
| Type of Fall Arrest System in Use (SELECTION options: Personal Fall Arrest (Harness & Lanyard), Safety Net, Controlled Access Zone, Guardrail System) | | |
| Date of Last Fall Protection Training (DATE) | | |
| Harness Condition (Visual Inspection) (SELECTION options: Excellent, Good, Fair, Poor - Requires Replacement) | | |
| Areas Requiring Fall Protection (SELECTION options: Roofing, Scaffolding, Trenches, Edge Protection, Mezzanines) | | |
| Inspector Signature (SIGNATURE) | | |
| | | |
| Housekeeping & Sanitation (STEP) | | |
| Waste Container Count (NUMBER) | | |
| Restroom Soap/Sanitizer Levels (Scale of 1-5) (NUMBER) | | |
| Areas needing sweeping/cleaning? (SELECTION options: Entrance, Break Room, Restrooms, Work Areas, Perimeter) | | |
| Specific Cleaning Notes/Issues (TEXT) | | |
| Last Sanitation Service Date (DATE) | | |
| Overall Cleanliness Rating (Poor, Fair, Good, Excellent) (SELECTION options: Poor, Fair, Good, Excellent) | | |
| | | |
| Emergency Preparedness (STEP) | | |
| Emergency Contact List (TEXT) | | |
| First Aid Kit Expiration Date (MM/DD/YYYY) (NUMBER) | | |
| Last Fire Drill Date (DATE) | | |
| Scheduled Time for Next Fire Drill (DATE) | | |
| Location of Fire Extinguishers (LOCATION) | | |
| Evacuation Routes Verified? (SELECTION options: Yes, No, Partial) | | |
| Evacuation Plan Map (Optional) (UPLOAD) | | |
| Emergency Response Team Identified? (SELECTION options: Yes, No) | | |
| | | |
| Regulatory Compliance (STEP) | | |
| OSHA Permit Number (if applicable) (NUMBER) | | |
| Relevant Environmental Permits Obtained? (SELECTION options: Yes, No, Pending) | | |
| Last OSHA Inspection Date (DATE) | | |
| Summary of any Compliance Issues Found & Corrective Actions Planned (TEXT) | | |
| Stormwater Pollution Prevention Plan (SWPPP) Current? (SELECTION options: Yes, No, N/A) | | |
| Relevant Permits & Documentation (Upload) (UPLOAD) | | |
| Air Quality Permit Number (If Applicable) (NUMBER) | | |
