Safety-Safety Checklist - Builder Academy

When submitted, form responses are sent to the email addresses provided and then deleted.
IF YOU WISH TO RETAIN THE INFORMATION YOU HAVE ENTERED, ADD AN EMAIL ADDRESS BEFORE SUBMITTING.

JOB SITE SAFETY CHECKLIST

SITE SUPERVISOR - Complete BEFORE construction begins and BI-WEEKLY thereafter.

PROJECT MANAGER - Copy to physical and/or digital Project Binder.

ACCOUNTING/RISK MANAGEMENT - File in Safety Compliance folder for minimum 5 years.

Project

Builder

Builder Representative

Representative email

Project Manager email

Risk Management email

Copy to

Inspection date

Program Administration

Job Board is secured in conspicuous location (https://www.builder-resources.com/Job-Board.html).

Yes No NA

Company contact information is posted.

Yes No NA

Emergency numbers are posted.

Yes No NA

Map to nearest emergency care facility is posted.

Yes No NA

Company safety program binder is available.

Yes No NA

OSHA 2000 log is accessible and in use.

Yes No NA

Housekeeping

Task lighting is adequate for conditions.

Yes No NA

All light bulbs are protected.

Yes No NA

Walkways are unobstructed.

Yes No NA

Waste containers are available and accessible.

Yes No NA

First Aid and Medical Services

Medical care location is clearly posted.

Yes No NA

Emergency contact list is posted.

Yes No NA

First aid supplies are readily available on job site.

Yes No NA

Additionally, each subcontractor has been instructed to provide first aid supplies for their crew.

Yes No NA

All injury incidents have been, and will be, fully investigated.

Yes No NA

All injury incident reports have been, and will be, filed within 6 days of incident.

Yes No NA

Personal Protective Equipment

Hard hats are, and will be, inspected and in use.

Yes No NA

Gloves and hand protection are, and will be, in use.

Yes No NA

Hearing protection is, and will be, in use.

Yes No NA

Eye protection is, and will be, inspected and in use.

Yes No NA

Footwear and clothing are, and will be, appropriate.

Yes No NA

Respiratory and dust protection is, and will be, in use.

Yes No NA

Fall Protection

Fall Protection Plan is on the jobsite.

Yes No NA

Framing subcontractor confirms that all employees and other users have been trained on fall protection.

Yes No NA

Plumbing subcontractor confirms that all employees and other users have been trained on fall protection.

Yes No NA

Roofing subcontractor confirms that all employees and other users have been trained on fall protection.

Yes No NA

Siding subcontractor confirms that all employees and other users have been trained on fall protection.

Yes No NA

Fall protection equipment has been, and will be, inspected before each use.

Yes No NA

Personal fall arrest systems are, and will be, inspected before each use.

Yes No NA

Excavations

Excavated area is barricaded.

Yes No NA

Adjacent structures are properly shored.

Yes No NA

Spoil setback is minimum 24 inches.

Yes No NA

Equipment is kept away from edge of cut.

Yes No NA

Ladder or steps provided to excavation.

Yes No NA

Excavations have been, and will be, inspected daily.

Yes No NA

Hand and Power Tools

Tools and cords are in good condition.

Yes No NA

All cords are grounded or double insulated.

Yes No NA

Subcontractor crew leaders have been instructed to visually inspect all tools prior to use.

Yes No NA

Proper guards are, and shall remain, in place on all tools.

Yes No NA

Personal Protective Equipment is in use by all workers on jobsite.

Yes No NA

Electrical

Electrical cords are, and will be, inspected DAILY.

Yes No NA

Ground Fault Circuit Interrupters are in use.

Yes No NA

Circuit breaker box is accessible.

Yes No NA

"Electrical" and "Overhead Dangers" sign is conspicuously posted.

Yes No NA

Underground utilities are located and staked.

Yes No NA

Ladders and Stairways

Ladders

Are in good condition.

Yes No NA

Are properly secured.

Yes No NA

Extend 36" above platform at each use instance.

Yes No NA

Are set at the appropriate angle to surface.

Yes No NA

Stepladders

Are fully opened when in use.

Yes No NA

Are used only as designed.

Yes No NA

Stairways

Have safety railing in place.

Yes No NA

Can support 400 pounds.

Yes No NA

Fire Safety

Flammables are properly stored.

Yes No NA

"No Smoking" signs are posted.

Yes No NA

Fire Extinguishers

Are properly located and accessible.

Yes No NA

Have been currently serviced.

Yes No NA

Are the correct type and quantity.

Yes No NA

Hazard Communications

Chemicals are labeled and stored safely.

Yes No NA

Safety Data Sheet (SDS) information is available for all chemicals being stored on site.

Yes No NA

Barricades and Fencing

Site is fenced.

Yes No NA

Roads are protected.

Yes No NA

Access to site is controlled.

Yes No NA

Sidewalks are protected.

Yes No NA

Floor and Edge Protection

Any exposed edges have in place (choose all that apply):

Guardrails Top Rails Mid-Rails Toe boards

Floor opening covers (choose all that apply):

Are secured and labeled Can withstand twice the maximum floor load without deflecting more than 1/4"

Air Compressors

Pressure relief valve is functioning.

Yes No NA

Air filter is in place and functioning.

Yes No NA

Belt drive, if present, is enclosed.

Yes No NA

Condensation is drained periodically.

Yes No NA

"Auto-Start" is checked and functioning.

Yes No NA

All safety devices have been checked.

Yes No NA

Compressed Gas Cylinders

Valve protection is in place.

Yes No NA

Cylinders are secured to prevent falling over.

Yes No NA

Cylinder contents are clearly marked.

Yes No NA

Scaffolding

Scaffold structure is assembled by a competent person.

Yes No NA

All structural pieces are in good condition.

Yes No NA

All connections are solid and secure.

Yes No NA

Scaffolding is secured to structure.

Yes No NA

Footings are adequate with no settling.

Yes No NA

Planking cleats are in place.

Yes No NA

Working levels are fully planked.

Yes No NA

Planking overlap is adequate.

Yes No NA

Guardrails (top, mid-rail, toe board) are in use.

Yes No NA

Cross-bracing is installed and adequate.

Yes No NA

Protection from falling objects, if appropriate, is in place.

Yes No NA

Structure is, and will be, inspected daily.

Yes No NA

Welding and Cutting

Screens and shields are in place.

Yes No NA

Dedicated fire extinguishers are immediately available.

Yes No NA

Gas cylinder is secured upright.

Yes No NA

Welding cables are in acceptable condition.

Yes No NA

Subcontractor has been instructed that hot work is to be cool before it is left unattended.

Yes No NA

Electrical equipment is grounded.

Yes No NA

You have completed this periodic jobsite safety checklist.
Add the next inspection to your calendar NOW!!!

Note 1:

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Note 5:

When the “Send Inspection Report” button is selected, an email with all the information in this Inspection Report will be sent to the “Builder email” address of the Company Representative completing this report and to the “Subcontractor email” address and “Copy to” addresses if provided.

When submitted, form responses are sent to the email addresses provided and then deleted. IF YOU WISH TO RETAIN THE INFORMATION YOU HAVE ENTERED, ADD AN EMAIL ADDRESS BEFORE SUBMITTING.

JOB SITE SAFETY CHECKLIST

Program Administration

Housekeeping

First Aid and Medical Services

Personal Protective Equipment

Fall Protection

Excavations

Hand and Power Tools

Electrical

Ladders and Stairways

Ladders

Stepladders

Stairways

Fire Safety

Fire Extinguishers

Hazard Communications

Barricades and Fencing

Floor and Edge Protection

Air Compressors

Compressed Gas Cylinders

Scaffolding

Welding and Cutting

You have completed this periodic jobsite safety checklist. Add the next inspection to your calendar NOW!!!

Note 1:

Note 2:

Note 3:

Note 4:

Note 5:

When submitted, form responses are sent to the email addresses provided and then deleted.
IF YOU WISH TO RETAIN THE INFORMATION YOU HAVE ENTERED, ADD AN EMAIL ADDRESS BEFORE SUBMITTING.

You have completed this periodic jobsite safety checklist.
Add the next inspection to your calendar NOW!!!