JOBSITE INSPECTION CHECKLIST
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
Hard hats worn
__________________________________________________
Foot protection worn
__________________________________________________
Fall protection worn
Skin protection:
Eye & face protection:
Hearing protection:
Respiratory protection:
__________________________________________________
Worn
__________________________________________________
Available
__________________________________________________
Worn
__________________________________________________
Available
__________________________________________________
Worn
__________________________________________________
Available
__________________________________________________
Worn
__________________________________________________
Available
__________________________________________________
3. GUARDRAILS, BARRICADES
OK
Not Ok
Located where required
ACTION TAKEN
___________________________________________________
Properly constructed
___________________________________________________
Adequately secured
___________________________________________________
4. LADDERS
OK
Not Ok
Secured
ACTION TAKEN
___________________________________________________
Proper angle (extension ladders)
___________________________________________________
Proper size and type
___________________________________________________
Safe, usable condition
___________________________________________________
Properly used
___________________________________________________
Proper handrail and landings
___________________________________________________
Non-slip bases
___________________________________________________
5. FIRE PROTECTION
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ACTION TAKEN
Clean, level ground
OK
Not Ok
ACTION TAKEN
Extinguishers where required
___________________________________________________
Fully charged
___________________________________________________
Adequately identified
___________________________________________________
Master emergency plan
___________________________________________________
JOBSITE INSPECTION CHECKLIST
6. PUBLIC WAY PROTECTION
OK
NOT OK
ACTION TAKEN
Properly located (within 4.5 m)
__________________________________________________
Covered where required
__________________________________________________
Min. height, width requirement
__________________________________________________
Proper rail on street side
__________________________________________________
Proper lighting, where required
__________________________________________________
7. HOUSEKEEPING
OK
NOT OK
ACTION TAKEN
Clear walkways
__________________________________________________
Clear work areas
__________________________________________________
Clear access and landing
__________________________________________________
8. FALL PROTECTION
OK
NOT OK
ACTION TAKEN
CSA approved
__________________________________________________
Properly worn
__________________________________________________
Safe, usable condition
__________________________________________________
Unprotected openings and edges
__________________________________________________
Working from:
Ladders
__________________________________________________
Scaffolds
__________________________________________________
Swingstages
__________________________________________________
9. STAIRWELLS & RAMPS
OK
NOT OK
ACTION TAKEN
Proper filler blocks in metal stairs
__________________________________________________
Proper cleats on ramps
__________________________________________________
Adequate lighting in stairwells
__________________________________________________
Proper handrails or guardrails
__________________________________________________
10. SCAFFOLDS
OK
NOT OK
Properly erected (all parts used)
ACTION TAKEN
__________________________________________________
Properly secured
__________________________________________________
Properly planked
__________________________________________________
Proper guardrails, toeboards
__________________________________________________
Proper access to platform
__________________________________________________
Acceptable loading
__________________________________________________
11. POWER TOOLS, EQUIPMENT
OK
NOT OK
General condition
ACTION TAKEN
__________________________________________________
Proper guards, cords, PPE
__________________________________________________
Tagging as DEFECTIVE
__________________________________________________
12. EXTENSION CORDS
OK
NOT OK
ACTION TAKEN
Outdoor-type, rated over 300 volts
__________________________________________________
General condition of casing, ends,
__________________________________________________
and connections
13. GAS CYLINDERS
__________________________________________________
OK
NOT OK
ACTION TAKEN
Properly located
__________________________________________________
Properly secured
__________________________________________________
Properly moved or lifted
__________________________________________________
Properly hooked up
__________________________________________________
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JOBSITE INSPECTION CHECKLIST
14. WORKER EDUCATION
OK
NOT OK
WHMIS training
Company safety policy & program
__________________________________________________
Injury reporting
__________________________________________________
Hazard reporting
__________________________________________________
OH&S Act and Regulations
__________________________________________________
Personal H&S responsibilities
__________________________________________________
15. FIRST AID REQUIREMENTS
OK
NOT OK
Adequate number of qualified first
aiders on jobsite
First aid kits:
ACTION TAKEN
__________________________________________________
Adequate number
__________________________________________________
Adequate contents
__________________________________________________
16. CRANES, HOISTS, ETC.
OK
NOT OK
ACTION TAKEN
Safe setup of equipment
__________________________________________________
Maintenance log available
__________________________________________________
Competent operator
__________________________________________________
Condition of slings, hardware
__________________________________________________
Safety catches on all hooks
__________________________________________________
Proper use of tag lines
__________________________________________________
Proper lifting containers
__________________________________________________
Competent signaller
__________________________________________________
17. WELDING
OK
NOT OK
ACTION TAKEN
Rods & cylinders properly labelled
__________________________________________________
MSDSs readily available
__________________________________________________
Properly secured ground cables
__________________________________________________
Proper eye protection worn
__________________________________________________
Proper screens and exhaust
__________________________________________________
Gas cylinders upright and secured
__________________________________________________
Fire extinguisher readily available
__________________________________________________
18. ELEVATING WORK PLATFORM
OK
NOT OK
ACTION TAKEN
Worker training
__________________________________________________
Properly used
__________________________________________________
Safe, usable condition
__________________________________________________
Acceptable loading
__________________________________________________
Manufacturers operating manual
__________________________________________________
19. TRAFFIC CONTROL
OK
NOT OK
ACTION TAKEN
Trained traffic controllers
__________________________________________________
Properly located
__________________________________________________
Clean, regulation sign
__________________________________________________
Properly dressed (including vest)
__________________________________________________
20. TEMPORARY POWER SUPPLY
30
ACTION TAKEN
__________________________________________________
OK
NOT OK
ACTION TAKEN
Properly identified
__________________________________________________
Overhead lines flagged & secured
__________________________________________________
Surface cables buried or protected
__________________________________________________
JOBSITE INSPECTION CHECKLIST
21. SIGNS & PRINT MATERIAL
OK
NOT OK
OH&S Act and Regulations
ACTION TAKEN
__________________________________________________
WSIB Form 82 poster
__________________________________________________
MSDSs
__________________________________________________
Warning signs
__________________________________________________
Emergency phone list
__________________________________________________
Report forms
__________________________________________________
22. MATERIALS STORAGE
OK
NOT OK
ACTION TAKEN
Properly located
__________________________________________________
Safely piled, stacked, bundled
__________________________________________________
Properly moved or lifted
__________________________________________________
Properly labelled (WHMIS)
__________________________________________________
23.TRENCHES & EXCAVATIONS
OK
NOT OK
ACTION TAKEN
Properly sloped, where required
__________________________________________________
Excavated soil properly placed
__________________________________________________
Appropriate shoring used
__________________________________________________
Proper access to trench
__________________________________________________
Proper storage of materials in
and above trench
__________________________________________________
24.CONFINED SPACES
OK
NOT OK
ACTION TAKEN
Proper access
__________________________________________________
Air testing before entry
__________________________________________________
Rescue equipment readily available
__________________________________________________
Safety harness, lifeline properly anchored
and used
__________________________________________________
Second person for rescue
__________________________________________________
Outgoing air monitored
__________________________________________________
Entry permit where required
__________________________________________________
25. SUSPENDED SCAFFOLDS
OK
NOT OK
ACTION TAKEN
Properly attached and capable of
at least 4 times maximum load
__________________________________________________
Outrigger beam tied to fixed support
with adequate counterweight
__________________________________________________
All mechanical/electrical devices
in good working condition
__________________________________________________
Independent lifelines for each
worker (extend to ground)
__________________________________________________
Engineers drawing on site if reqd.
__________________________________________________
26. FORMWORK
OK
NOT OK
ACTION TAKEN
Guardrails and fall-arrest system
__________________________________________________
Design drawings kept on project
__________________________________________________
Inspection statement by engineer or
competent worker
__________________________________________________
27. HYGIENE
Cleanliness of facilities
OK
NOT OK
ACTION TAKEN
__________________________________________________
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