Lumiform Mobile audits & inspections
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Worksite safety inspection

Use this template to carry out a brief safety inspection before starting work on the site.

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Personal Protective Equipment (PPE)
Is PPE used (examples: eye protection, hard hats, gloves, high-visibility clothing/vests, hearing protection)?
Worksite and Traffic Control
Adequate physical barriers, signage, warning tape, bollards, spotters, etc?
Is housekeeping in good shape?
Is lighting sufficient?
Are noise controls adequate?
Positioned safely and properly secured?
In good condition and suitable for the job?
Working at Heights
Fall exposures of 6 feet or higher?
Adequate edge protection with railings or warning lines, or is personal fall protection employed?
Are aerial lifts used correctly?
Is scaffolding acceptable?
Confined Spaces
Is work taking place in a permit-required Confined Space?
Are all procedures properly implemented (entry permit, air monitoring, ventilation, LOTO, retrieval equipment, etc?
Lockout/Tagout and Machine Hazards
Are machine guards in place?
Is LOTO utilized properly?
Tools & Equipment
Are tools and equipment in good condition? (including no missing or damaged guards, power cords in good condition, ground prongs not missing, etc)
Is the correct equipment used for the job?
Electrical Hazards
Is GFCI protection used?
Minimum 10-foot distance maintained from overhead power lines?
Extension cords in good shape, protected from damage, and not used permanently? Circuits not overloaded, electrical equipment not near water, no exposed live wiring, etc?
Hot Work
Was a Hot Work Permit completed and protective measures employed?
Hoisting Equipment
Are loads being lifted?
Loads not lifted over persons, not in close proximity to obstacles, and 10-feet minimum distance from overhead power lines?
Lifting equipment, including ropes, slings, chains, hooks, appears in good condition?
Safe Working Loads are not exceeded?
Ergonomics and Injury Prevention
Are means taken to reduce risk (ergonomic tools and equipment, proper lifting, ergonomic work methods, job rotation, etc)?
Environmental Hazards
Are chemicals, including fuel, stored and transported safely?
Health hazards controlled?
Adequate dust suppression?
Adequate systems to prevent contamination of storm water drains?
Comments and Corrective Actions
Sign Off
Auditor's signature
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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
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