Transportation Construction Safety Checklist
This is a sample Transportation Construction Safety Checklist. Use it to help you identify
safety personnel, tasks, hazards, and controls based on the scope of your work. Modify it to fit
your job site or project.
Personnel
1. Subcontractor Site Safety Representative:
List anyone onsite who is capable of identifying hazards or working conditions that are
dangerous, and who has the authorization to take prompt corrective measures to eliminate
them.
Site Safety Representative:
Site Safety Representative:
2. OSHA Competent Person(s):
List anyone onsite who has extensive knowledge, training, and experience, has successfully
demonstrated the ability to solve or resolve problems relating to the subject matter, the work,
or the project.
Asbestos Competent Person:
Lead Competent Person:
Crane Competent Person:
Confined Space Entry Supervisor:
Demolition Competent Person:
Electrical LOTO Qualified Person(s):
Energized Electrical Qualified Electrical
Worker(s):
Excavation & Trenching Competent Person:
Fall Protection Competent Person:
Fall Protection Qualified Person:
Ladder Competent Person:
Scaffold Competent Person:
Steel Erection Competent Person:
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Transportation Construction Safety Checklist
Personal Protective Equipment
3. Required PPE
Safety glasses, hard hats and work boots are required at all times while working within the
designated construction area. High visibility clothing is also required. The class of clothing
depends on the type of work and the time of your shift.
Additional task-specific PPE is required based on the answers below:
Identify the PPE that you require based on the hazards of the tasks to be performed
Full Face Shields YES NO
Chemical Splash Goggles YES NO
Welders Hood and Goggles, Leathers Gloves YES NO
Steel Toed Boots, YES NO
Work Gloves YES NO
Ear plugs Or Ear Muffs YES NO
Other (describe) YES NO
4. Identify Specialty PPE
Some types of work require special PPE. Modify the table for additional specialty PPE.
Fall Protection NA
Active or passive fall protection is required any time the worker is above 6 feet
Documentation for fall protection:
Fall Protection Work Plan YES NO
Training Records YES NO
Electrical PPE NA
Head protection YES NO
Eye & Face YES NO
Rubber-Insulating Gloves YES NO
Rubber-Insulating Sleeves YES NO
Flame Resistant Clothing YES NO
Respiratory Protection NA
Respiratory Protection Plan YES NO
Medical Surveillance Release YES NO
Training Records: YES NO
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Transportation Construction Safety Checklist
Tools
Tools that are not functioning properly, or need to be checked or tested need to follow lock out
/ tag out (LOTO) procedures to prevent unintended injury.
Hand and Power Tools NA
Are you using of electrically powered tools? YES NO
Are you using of pneumatically powered tools? YES NO
Are you using of powder-actuated tools YES NO
Lock Out Tag Out (LOTO) NA
Are you servicing, maintaining, or modifying equipment where unexpected
energization or start-up of the equipment, or the release of stored energy, YES NO
could cause injury to people or damage to equipment?
Are you removing or opening any electrical equipment covers of electrical
equipment? For example boxes, panels, disconnect switches, etc.
YES NO
Are you working in the travel path of a crane, hoists, or other equipment that
present crush or pinch hazards?
YES NO
Excavation, Trenching and Penetrations
Ground & Surface Penetrations NA
Are you cutting, chipping, drilling, or making other penetrations into walls or other
surfaces?
YES NO
Are you penetrating into any concrete surface at any depth? YES NO
Have building surfaces or structures to be penetrated been evaluated for lead
YES NO
and asbestos?
Excavation and Trenching NA
Are you excavating up to 5 feet deep? YES NO
Are you excavating deeper than 5 feet? YES NO
Are you repairing or replacing sanitary sewer lines? YES NO
Are you repairing or replacing storm sewer lines? YES NO
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Transportation Construction Safety Checklist
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Transportation Construction Safety Checklist
Permit-Required Confined Space Entry NA
Does any task require employees to be working in a confined space where
physical or atmospheric hazards (i.e. Flammable or toxic) may be present?
YES NO
Confined Space Program YES NO
Permit-required Confined Space Entry Permits YES NO
Training record YES NO
Traffic Control
Traffic & Pedestrian Control NA
Will this work scope require ANY traffic or pedestrian disruptions? YES NO
Do you have an approved Temporary Traffic Control Plan (TTCP) YES NO
Do you have an Internal Traffic Control Plan (ITCP) YES NO
Working at Height
Elevated Work Surfaces (aerial / scissors lifts, scaffolds or Ladders) NA
Elevated Work Platforms
Aerial Lift YES NO
Articulating Boom Lift YES NO
Scissor Lift YES NO
Man-Lift YES NO
Other (identify)
YES NO
Training Records for each person operating lift. YES NO
Scaffolding
Tubular & Coupler Scaffolding YES NO
Rolling Scaffold YES NO
Mobile Scaffold YES NO
Mason/Bricklayers Scaffold YES NO
Other (describe): YES NO
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Transportation Construction Safety Checklist
Training records for each person erecting and disassembling scaffold. YES NO
A written fall protection plan (such as the LBNL fall protection matrix) YES NO
Training records for users of fall protection YES NO
Training records for scaffold users YES NO
Will ladders be used on this project? YES NO
Cranes & Heavy Equipment NA
Backhoe YES NO
Front End Loader YES NO
Excavator YES NO
Crane Under 3 Tons YES NO
Crane Over 3 Tons
YES NO
Forklift
YES NO
Other (identify)
YES NO
Crane operator’s license: YES NO
Backhoe, Front End Loader, Excavator proof of competency YES NO
Forklift operator certification/license: YES NO
Hazardous Substances or Materials
Are you using of any chemicals, such as paints, solvents, adhesives, epoxy YES NO
coatings, fuels or other hazardous materials?
Are all personnel using these materials trained in safe handling? YES NO
Could workers be exposed to airborne concentrations of hazardous gas, fume, YES NO
dust or mist?
Are MSDS(s) be available to the workers onsite? YES NO
Are respirators required? YES NO
Welding / Hot Cutting NA
Will the work involve welding/cutting steel at painted surface? YES NO
Will the work involve welding/cutting stainless steel? YES NO
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Transportation Construction Safety Checklist
Subcontractor will submit the following items for welding or hot cutting on
non-lead containing surfaces (new steel construction):
- Respiratory Protection Program
YES NO
- Qualitatively fit tested ½ mask negative pressure respirator with fit test
YES NO
records
YES NO
- Medical approval to wear respirators
YES NO
- Respiratory protection training records
Subcontractor will submit the following items for welding or hot cutting on lead
containing surfaces (where lead paint exists or has been abated):
- Respiratory Protection Program
YES NO
- Quantitatively fit tested full face-piece Powered Air Purifying Respirator
YES NO
(PAPR) and fit test records
YES NO
- Medical approval to wear respirators
YES NO
- Blood lead baseline sample results (excluding employee SSNs)
YES NO
- Documentation that workers have received lead awareness training.
YES NO
- Respiratory protection training records
YES NO
Subcontractor will submit the following items for welding or hot cutting on YES NO
stainless steel:
- Respiratory Protection Program
YES NO
- Quantitatively fit tested, full face-piece negative pressure respirator and fit
YES NO
test records.
YES NO
- Medical approval to wear respirators
YES NO
- Documentation of hexavalent chromium training.
YES NO
- Respiratory protection training records
Lead Paint NA
Will the work involve sanding, grinding, scraping, brazing, cutting, welding, YES NO
removing or otherwise disturbing painted surfaces in such a way that lead
particles may become airborne?
Subcontractor will submit the following items for lead paint removal:
- JHA for lead paint removal YES NO
- Site-Specific Lead Compliance Plan YES NO
- Respiratory Protection Program YES NO
- Company’s Lead Compliance Program YES NO
- Department of Public Health Lead Worker & Supervisor Training YES NO
Certificates
YES NO
- Full face-piece negative pressure respirator with quantitative fit test
YES NO
- Medical approvals for respirator use
YES NO
- Respiratory protection training records
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Transportation Construction Safety Checklist
Asbestos NA
Will the work require asbestos removal or disturbance? YES NO
Will the work require a 10 day notification to (BAAQMD) for renovations YES NO
involving RACM greater than or equal to 100 linear feet 100 sq ft, or 35 cu ft
prior to renovations?
Subcontractor will submit the following items for asbestos removal:
- BAAQMD renovation/demolition forms prior to sending to the BAAQMD for YES NO
review by LBNL EH&S Environmental Services
- Site Specific Asbestos Compliance Plan
YES NO
- JHA addressing asbestos hazards
YES NO
- Respiratory Protection Program
YES NO
- Subcontractor’s Asbestos Program
YES NO
- AHERA Asbestos Worker Training Certificates
YES NO
- Medical approvals & fit test records for respirator use
YES NO
- Respiratory protection training records
YES NO
Application of Paint and Other Coatings NA
Does the scope of your work include sanding, scraping, grinding, washing or YES NO
other prep activity?
How will the paint / coating be applied:
Sprayed YES NO
YES
Rolled NO
YES
Other (describe) NO
Subcontractor will submit the following items for Painting and application of
other coatings:
- JHA detailing the work plan
YES NO
- Respiratory Protection Program
YES NO
- Qualitative respirator fit test records
YES NO
- Medical approval to wear respirators
YES NO
- Respiratory protection training records
YES NO
- Minimum of ½ mask, air-purifying respirator (Full face piece, air-purifying
YES NO
or Powered Air Purifying Respirators may be required depending on
product, task, and environmental factors).
Sanitation NA
Will the scope of work require the subcontractor to provide temporary washing YES NO
facilities and toilets?
Silica Dust NA
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Transportation Construction Safety Checklist
Will work involve jack-hammering, rotohammering, drilling, grinding or other YES NO
disturbance of concrete or use of products that contain crystalline silica that
might create silica dust?
Will work involve wet slab or wall concrete cutting, drilling, and coring or YES NO
cutting/sanding drywall or joint compound?
If “YES” to either of the above questions, describe below the method of dust
control and control of worker and other persons who could be exposed, such
as using wet methods and respiratory protection/training:
Subcontractor will submit the following items:
- JHA describing silica hazards and controls
- Subcontractor’s Respirator Protection Program
- For indoor work: YES NO
Quantitatively fit tested full face-piece, air-purifying respirator along with YES NO
fit test records
- For outdoor work:
YES NO
Qualitatively fit tested ½ mask negative pressure respirator along with fit
test records
- Medical approval to wear respirators
YES NO
- Respiratory protection training records
YES NO
- Documentation of silica hazards awareness training
YES NO
YES NO
Company Related Programs NA
Heat Related Illness Program
Is heat related illness a potential hazard for this scope of work? YES NO
Is a heat related illness prevention program is in place per Cal/OSHA YES NO
requirements?
Ergonomics Program
Does the subcontractor have an Ergonomics Program in place? YES NO
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Transportation Construction Safety Checklist
SCL Review
Construction Sign-in Sheet
Date: ______________ Time: _____________
Name:
Print Signature
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Notes: Field Changes:
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