1CONTRACTOR SAFETY INSPECTION CHECKLIST

These are suggested guidelines. You may need to add or subtract items for specific jobs or locations. The facility safety officer
should complete a safety inspection of the contractors job on a weekly basis and file the inspection results with the contractors
job records. Results must be reviewed with the contractor and records should be kept of the responses and timeliness of any
corrective actions. These should be taken into consideration when evaluating the contractor at the completion of the job.
Facility Safety Officer/Inspector___________________________________________________________
Project Title and Number________________________________________________________________
Contractor being inspected_______________________________________________________________
General Contractor_____________________________________________________________________
Date of Inspection______________________________________________________________________
Personal Protective Equipment

Yes

No

N/A

Personal Protective Equipment

Safety Glasses

Respirators

Steel-toed shoes

Hearing Protection

Clothing

Face Shields

Gloves

Hard Hats

Other:

Other:

Yes

No

N/A

Comments:____________________________________________________________________________________
___________________________________________________________________________________________
Lockout/Tag Out

Yes

No

N/A

Pneumatic

Lockout/Tag Out

Yes

No

N/A

Electrical

Hydraulic
Procedural Requirements
Comments:____________________________________________________________________________________
___________________________________________________________________________________________
Hot Work

Yes

No

N/A

Hot Work

Hot Work Permits

Welding Goggles

Fire Extinguishers

Hearing Protection

Cable Trays Protected

Water Hoses

Gas Bottles

Fire Watches

Other:

Other:

Yes

No

N/A

Comments:____________________________________________________________________________________
___________________________________________________________________________________________

Confined Space Entry

1-contractor safety inspectio

Yes

No

N/A

Confined Space Entry

Yes

No

N/A

Entry Permit

Safety Equipment

Other:
Other:
Comments:____________________________________________________________________________________
___________________________________________________________________________________________
Equipment

Yes

No

N/A

Equipment

Ladders

Electrical Cords

Grinders

Air Hoses

Back-up Alarms

Ground Fault Interrupts

Lift Trucks

Guards

Compressors

Other:

Yes

No

N/A

Other:
Comments:____________________________________________________________________________________
___________________________________________________________________________________________
Hoisting, Rigging and
Scaffolding

Yes

No

N/A

Hoisting, Rigging and

Scaffolding

Cables

Slings

Hand Rails

Cleated Boards

Tie Lines

Safety Harnesses

Yes

No

N/A

Safety Hooks
Foundation (base)
Comments:____________________________________________________________________________________
___________________________________________________________________________________________
Housekeeping

Yes

No

N/A

Housekeeping

Welding Rods

Port-a-johns

Trash Receptacles

Potable Water

Scrap Dumpsters

Air Hoses

Electrical Cords

Welding Leads

Plastic

Other:

Yes

No

N/A

Comments:____________________________________________________________________________________
___________________________________________________________________________________________
Work Practices: Were any unsafe work practices observed? If so, describe:

General Comments/Observations:
2-contractor safety inspectio

All deficiencies have been corrected:

3-contractor safety inspectio

____________________________________
Signature of Contractor Coordinator
Date

_______________