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Jobsite Inspection Checklist
Date of Inspection
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Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
Company/Project
Inspected by:
First Name
Last Name
Site Access
Site Access
Yes
No
Clean, level ground
Site Access: Clean, level ground (Yes)
Clean, level ground (No)
Adequate ramps
Adequate ramps (Yes)
Adequate ramps (No)
Adequate stairs
Adequate stairs (Yes)
Adequate stairs (No)
Adequate ladders
Adequate ladders (Yes)
Adequate ladders (No)
Actions Taken
Protective Equipment
Protective Equipment
Yes
No
Fall protection worn
Protective Equipment: Fall protection worn (Yes)
Fall protection worn (No)
Hard hats worn
Hard hats worn (Yes)
Hard hats worn (No)
Eye and Face protection worn or available
Eye and Face protection worn or available (Yes)
Eye and Face protection worn or available (No)
Skin protection worn or available
Skin protection worn or available (Yes)
Skin protection worn or available (No)
Hearing protection worn or available
Hearing protection worn or available (Yes)
Hearing protection worn or available (No)
Respiratory protection worn or available
Respiratory protection worn or available (Yes)
Respiratory protection worn or available (No)
Actions Taken
Guardrails and Barricades
Guardrails and Barricades
Yes
No
Located where required
Guardrails and Barricades: Located where required (Yes)
Located where required (No)
Properly constructed
Properly constructed (Yes)
Properly constructed (No)
Adequately secured
Adequately secured (Yes)
Adequately secured (No)
Actions Taken
Ladders
Ladders
Yes
No
Secured
Ladders: Secured (Yes)
Secured (No)
Proper angle (for extension ladders)
Proper angle (for extension ladders) (Yes)
Proper angle (for extension ladders) (No)
Proper size and type
Proper size and type (Yes)
Proper size and type (No)
Safe, usable condition
Safe, usable condition (Yes)
Safe, usable condition (No)
Properly used
Properly used (Yes)
Properly used (No)
Proper handrail and landings
Proper handrail and landings (Yes)
Proper handrail and landings (No)
Non-slip bases
Non-slip bases (Yes)
Non-slip bases (No)
Actions Taken
Fire Protection
Fire Protection
Yes
No
Extinguishers where required
Fire Protection: Extinguishers where required (Yes)
Extinguishers where required (No)
Full charged
Full charged (Yes)
Full charged (No)
Adequately identified
Adequately identified (Yes)
Adequately identified (No)
Master emergency plan
Master emergency plan (Yes)
Master emergency plan (No)
Actions Taken
Scaffolds
Scaffolds
Yes
No
Properly erected
Scaffolds: Properly erected (Yes)
Properly erected (No)
Properly secured
Properly secured (Yes)
Properly secured (No)
Properly planked
Properly planked (Yes)
Properly planked (No)
Proper guardrails
Proper guardrails (Yes)
Proper guardrails (No)
Proper access to platform
Proper access to platform (Yes)
Proper access to platform (No)
Acceptable loading
Acceptable loading (Yes)
Acceptable loading (No)
Actions Taken
Power Tools and Equipment
Power Tools and Equipment
Yes
No
Proper guards, cords, PPC
Power Tools and Equipment: Proper guards, cords, PPC (Yes)
Proper guards, cords, PPC (No)
Tagging as DEFECTIVE
Tagging as DEFECTIVE (Yes)
Tagging as DEFECTIVE (No)
Good condition
Good condition (Yes)
Good condition (No)
Actions Taken
Extension Cords
Extension Cords
Yes
No
Outdoor-type, rated over 300 volts
Extension Cords: Outdoor-type, rated over 300 volts (Yes)
Outdoor-type, rated over 300 volts (No)
Good condition on casing
Good condition on casing (Yes)
Good condition on casing (No)
Good condition on ends
Good condition on ends (Yes)
Good condition on ends (No)
Good condition of connections
Good condition of connections (Yes)
Good condition of connections (No)
Actions Taken
First Aid Requirements
First Aid Requirements
Yes
No
Adequate qualified first aiders on jobsite
First Aid Requirements: Adequate qualified first aiders on jobsite (Yes)
Adequate qualified first aiders on jobsite (No)
First aid kits on jobsite
First aid kits on jobsite (Yes)
First aid kits on jobsite (No)
Actions Taken
Cranes, Hoists, Etc.
Cranes, Hoists, Etc.
Yes
No
Safe setup of equipment
Cranes, Hoists, Etc.: Safe setup of equipment (Yes)
Safe setup of equipment (No)
Maintenance log available
Maintenance log available (Yes)
Maintenance log available (No)
Competent operator
Competent operator (Yes)
Competent operator (No)
Slings, hardware in good condition
Slings, hardware in good condition (Yes)
Slings, hardware in good condition (No)
Safety catches on all hooks
Safety catches on all hooks (Yes)
Safety catches on all hooks (No)
Proper use of tag lines
Proper use of tag lines (Yes)
Proper use of tag lines (No)
Proper lifting containers
Proper lifting containers (Yes)
Proper lifting containers (No)
Competent signaller
Competent signaller (Yes)
Competent signaller (No)
Actions Taken
Welding
Welding
Yes
No
Rods & cylinders properly labeled
Welding: Rods & cylinders properly labeled (Yes)
Rods & cylinders properly labeled (No)
MSDSs readily available
MSDSs readily available (Yes)
MSDSs readily available (No)
Properly secured ground cables
Properly secured ground cables (Yes)
Properly secured ground cables (No)
Proper eye protection worn
Proper eye protection worn (Yes)
Proper eye protection worn (No)
Proper screens and exhaust
Proper screens and exhaust (Yes)
Proper screens and exhaust (No)
Gas cylinders upright and secured
Gas cylinders upright and secured (Yes)
Gas cylinders upright and secured (No)
Fire extinguisher readily available
Fire extinguisher readily available (Yes)
Fire extinguisher readily available (No)
Actions Taken
Elevating Work Platform
Elevating Work Platform
Yes
No
Worker training
Elevating Work Platform: Worker training (Yes)
Worker training (No)
Properly used
Properly used (Yes)
Properly used (No)
Safe, usable condition
Safe, usable condition (Yes)
Safe, usable condition (No)
Acceptable loading
Acceptable loading (Yes)
Acceptable loading (No)
Manufacturer’s operating manual
Manufacturer’s operating manual (Yes)
Manufacturer’s operating manual (No)
Actions Taken
Temporary Power Supply
Temporary Power Supply
Yes
No
Properly identified
Temporary Power Supply: Properly identified (Yes)
Properly identified (No)
Overhead lines flagged and secured
Overhead lines flagged and secured (Yes)
Overhead lines flagged and secured (No)
Surface cables buried and protected
Surface cables buried and protected (Yes)
Surface cables buried and protected (No)
Actions Taken
Sign and Print Material
Sign and Print Material
Yes
No
OH&S Act and Regulations
Sign and Print Material: OH&S Act and Regulations (Yes)
OH&S Act and Regulations (No)
WSIB Form 82 poster
WSIB Form 82 poster (Yes)
WSIB Form 82 poster (No)
MSDSs
MSDSs (Yes)
MSDSs (No)
Warning signs posted
Warning signs posted (Yes)
Warning signs posted (No)
Emergency phone list readily available
Emergency phone list readily available (Yes)
Emergency phone list readily available (No)
Report forms readily available
Report forms readily available (Yes)
Report forms readily available (No)
Actions Taken
Materials Storage
Materials Storage
Yes
No
Properly located
Materials Storage: Properly located (Yes)
Properly located (No)
Safely piled, stacked, bundled
Safely piled, stacked, bundled (Yes)
Safely piled, stacked, bundled (No)
Properly moved or lifted
Properly moved or lifted (Yes)
Properly moved or lifted (No)
Properly labeled (WHMIS)
Properly labeled (WHMIS) (Yes)
Properly labeled (WHMIS) (No)
Actions Taken
Tenches and Evacuations
Tenches and Evacuations
Yes
No
Properly sloped, where required
Tenches and Evacuations: Properly sloped, where required (Yes)
Properly sloped, where required (No)
Excavated soil properly placed
Excavated soil properly placed (Yes)
Excavated soil properly placed (No)
Appropriate shoring used
Appropriate shoring used (Yes)
Appropriate shoring used (No)
Proper access to trench
Proper access to trench (Yes)
Proper access to trench (No)
Proper storage of materials in and above
Proper storage of materials in and above (Yes)
Proper storage of materials in and above (No)
Trench
Trench (Yes)
Trench (No)
Actions Taken
Suspended scaffolds
Suspended scaffolds
Yes
No
Properly attached and capable of at least 4 times maximum load
Suspended scaffolds: Properly attached and capable of at least 4 times maximum load (Yes)
Properly attached and capable of at least 4 times maximum load (No)
Outrigger beam tied to fixed support with adequate counterweight
Outrigger beam tied to fixed support with adequate counterweight (Yes)
Outrigger beam tied to fixed support with adequate counterweight (No)
All mechanical/electrical devices in good working condition
All mechanical/electrical devices in good working condition (Yes)
All mechanical/electrical devices in good working condition (No)
Independent lifelines for each worker (extend to ground)
Independent lifelines for each worker (extend to ground) (Yes)
Independent lifelines for each worker (extend to ground) (No)
Engineer’s drawing on site if required
Engineer’s drawing on site if required (Yes)
Engineer’s drawing on site if required (No)
Actions Taken
Inspector Signature
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