Safety Inspection Form

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  Job Name
  Job Number
  Date Inspected
Note:  Records are referenced by Job Name.
Click the Submit button to save your work.

P.P.E./Fall Prot Pass Fail N/A
Hard Hats
Work Boots
Work Pants/Shirt
Safety Glasses
Hearing Protection
Harness & Lanyard
Face Shield
Hand Protection
Fire Extinguishers


Scaffolding Pass Fail N/A
Competent on Site
Proper Setup
Hand / Mid Rails
Toe Boards
Ladder Access
Locking Wheels
Planking / Platform
Rails / Outriggers
Tied to Structure
Proper Fall Prot
Safety Nets


Power Tools Pass Fail N/A
Cords / Ends
Proper Maintenance
Guards in Place


Cords / G.F.C.I. Pass Fail N/A
Condition / Ends
Proper Insulation
G.F.C.I./Proper Use


Aerial Equipment Pass Fail N/A
Trained Operators
Proper Operation
Prop. Fall Protection
Basket/Platform Load Limits


Employee Training Pass Fail N/A
OSHA 10/30
Hour Course
First Aid / C.P.R.
Fall Protection
Aerial Equipment
Powder Actuated
Laser/Eye Protection


Jobsite Postings Pass Fail N/A
Emergency Response Plan
OSHA 300 Form
OSHA 300-A Form
OSHA 301 Form
MSDS Sheets
Laser in Use Card

Actions Taken

General Notes

Click the Submit button to save your work.  You can always go back later to the entry and make changes.