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Contractor Weekly Safety Inspection Report Template

The Contractor Weekly Safety Inspection Report outlines a comprehensive checklist for assessing safety conditions on a job site, covering areas such as job information, housekeeping, fire prevention, electrical safety, and personal protective equipment. Each section includes specific criteria to evaluate safety practices and conditions, with options for categorizing issues that need attention. The report also provides space for comments and signatures to document the inspection process.

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38 views3 pages

Contractor Weekly Safety Inspection Report Template

The Contractor Weekly Safety Inspection Report outlines a comprehensive checklist for assessing safety conditions on a job site, covering areas such as job information, housekeeping, fire prevention, electrical safety, and personal protective equipment. Each section includes specific criteria to evaluate safety practices and conditions, with options for categorizing issues that need attention. The report also provides space for comments and signatures to document the inspection process.

Uploaded by

amaan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Contractor Weekly Safety Inspection Report

JOB NO. _______ JOB NAME: ________________________________________________

SUPERINTENDENT: ___________________________________________ DATE: __________


PERSON(S) MAKING INSPECTION: _________________________________________________

Subcontractors On-site (List Name and Trade):

COLUMN A = Adequate at time of inspection


B = Needs consideration
C = Needs immediate attention
N/A= Not applicable
A B C N/A Action Taken
1. Job Information
• OSHA 300 forms posted and complete?
• OSHA poster posted?
• Phone no. for the nearest medical center posted?
• Toolbox talks up to date?
• Work areas properly signed and barricaded?

2. Housekeeping
• General neatness of work area?
• Projecting nails removed or bent over?
• Waste containers provided and used?
• Passageways and walkways clear?
• Cords and leads off of the floor?

3. Fire Prevention
• Adequate fire extinguishers, checked and accessible?
• Phone no. of fire department posted?
• “No Smoking” posted and enforced near flammables?

4. Electrical
• Extension cords with bare wires or missing ground prongs
taken out of service?
• Ground fault circuit interrupters being used?
• Terminal boxes equipped with required covers?

5. Hand, Power & Power-actuated Tools


• Hand tools inspected regularly?
• Guards in place on machines?
• Right tool being used for job at hand?
• Operators of power-actuated tools are licensed?
Contractor Weekly Safety Inspection Report Page 2 of 3
6. Fall Protection
• Safety rails and cables are secured properly?
• Employees have D-ring of belts in center of back?
• Employees exposed to fall hazards are tied off?
• Employees below protected from falling objects?

7. Ladders
• Ladders extend at least 36 inches above the landing?
• Ladders are secured to prevent slipping, sliding or falling?
• Ladders with split or missing rungs taken out of service?
• Stepladders used in fully open position?
• No step at top two rungs of stepladder?

8. Scaffolding
• All scaffolding inspected daily?
• Erected on sound rigid footing?
• Tied to structure as required?
• Guardrails, intermediate rails, toeboards and screens in place?
• Planking is sound and sturdy?
• Proper access provided?
• Employees below protected from falling objects?

9. Floor & Wall Openings


• All floor or deck openings are planked over or barricaded?
• Perimeter protection is in place?
• Deck planks are secured?
• Materials stored away from edge?

10. Trenches, Excavation & Shoring


• Competent person on hand?
• Excavations are shored or sloped back?
• Materials are stored at least two feet from trench?
• Ladders provided every 25 feet in trench?
• Equipment safe distance from edge of trench or excavation?

11. Material Handling


• Materials are properly stored or stacked?
• Employees are using proper lifting methods?
• Tag lines are used to guide loads?
• Proper number of workers for each operation?

12. Welding & Burning


• Gas cylinders stored upright?
• Proper separating distance between fuels and oxygen?
• Burning/welding goggles or shields are used?
• Fire extinguishers are nearby?
• Hoses are in good condition?

13. Cranes
• Outriggers extended and swing radius barricade in place?
• Operator is familiar with load charts?
• Hand signal charts are on crane?
• Crane operators’ logs are up to date?
• Employees kept from under suspended loads?
• Chains and slings inspected and tagged as required?

To report an injury, go to dexform.com or call 800.873.7242.


14. Concrete Construction
• Employees are protected from cement dust?
• Exposed skin is covered?
• Runways are adequate?

15. Personal Protective Equipment


• Hard hats are being worn?
• Safety glasses are being worn?
• Respirators are used when required?
• Hearing protection being worn when required?
• Traffic vests being worn?

16. Unsafe Acts or Practices Observed


(List):______________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
____

Comments:
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
___
___________________________________________________________________________________________________________
__________________________________________________________________________________________________________
_
___________________________________________________________________________________________________________

Signature: ___________________________________________________________________ Date: _______________

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