Site / Area Inspection Form

Observer Name*

Date of Inspection*

Site*

Area / Job*

House Keeping*

(trip hazards, spills, garbage)

Comments (House Keeping)*

Rigging*

(Mousetraps, frays, kinks, hooks)

Comments (Rigging)*

Machines and tools*

(guards, properly used)

Comments (Machines and tools)*

Falls Hazards*

(fall plan signed, proper tie off points, ladders in good condition and tied off)

Comments (Fall Hazards)*

PPE & Signage*

(Hard hats, steel toe, glasses, gloves, exit signs, controlled access signs)

Comments (PPE & Signage)*

Electrical*

(Grounds, sheathing, overloads)

Comments (Electrical)*

Hot Work*

(Area clear of flammables, extinguisher near)

Comments (Hot Work)*

Heavy Equipment Operation*

(Certified operator, Spotters, Equipment inspections, Speed limits)

Comments (Heavy Equipment Operation)*

Ergonomics/ Lifting/ Carrying/ Repetitive*

(Lifting technique, Worker rotation, Lifting partners, Heavy/unstable loads, uneven/unstable ground)

Comments (Ergonomics/Lifting/Carrying/Repetitive)*

Inspection Total

Photos of Issue

Drop files here or

You may upload 4 images at a time. Each image must be 10MB or less in size.

Comments