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University of Michigan SELF-INSPECTION FORMAT

Construction Safety Checklist

JOB NAME / # _________________________ DATE ______________________________

INSPECTOR ___________________________ SIGNED ____________________________

First Aid and Emergency OK Action Needed Ladders and Scaffolding OK Action Needed
First aid kit Inspected and proper
Certified first aider/CPR Proper location and tied
Emergency help posted #’s Guardrails/toe boards/screen
Emergency communication sys Working levels debris free
Stretcher Signs posted
Housekeeping and Sanitation Hoist, Cranes, Derricks
Work areas/passages clear Adequate clearances
Toilets adequate/clean/gender Load capacity & trained emp.
Drinking water/cups/garbage Clearances from electric
Scheduled dumpster removal Swing radius 360° protect
Fire Prevention & Protection Excavation & Shoring
Fire code posted Shoring, box for depth/soil
Adequate fire extinguishers Traffic control
Standpipes required level Spoil bank and equip away
Flammable storage marked Ladders 3’ above each 25’
No open fires Water pumped/inspected
Gas cylinders; use & storage Competent person on site
Personal Protect Equipment Material Handling & Storage
Hard hats worn/sign posted Pre-job storage plan
Eye and ear protection used Stacks secure/neat/protect
Dust masks/respirators used 4 to 1 base to height stack
Safety harnesses/lanyards Away from edge/walkways
Electrical Installation Tools, Hand & Power
Electrical dangers posted Proper tool for each task
Temporary lighting adequate Inspection and maintenance
GFI or assured grounding Training: laser, power act
Outlets secured Guarding in place
Lockout/tagout Electrical ground test
Public Protection Barricades & Railings
Signs posted Secure and clearly separate
Flagging Floor openings protected
Permits Stairway railings/steps
Overhead protection Open sided floors protected
Required Posters: Fed & State OSHA
EEO MIOSHA Jobsite Inspection Form
Min Wage/Overtime/Child MIOSHA HAZCOM
Fed. Financed/Fed contract MIOSHA Assured Grounding
Polygraph MSDS
Work Comp/Wage-age-days Safety Policy
Unemployment Insurance MIOSHA 300
Fed. Med. Leave Act
University of Michigan SELF-INSPECTION FORMAT

Jobsite Inspection Form

Client Name: ___________________________ Date: _______________________________


Superintendent: ________________________ Jobsite: _____________________________

Standard Description Corrective Measures

Subcontractor #1:
Standard Description Corrective Measures

Subcontractor #2:
Standard Description Corrective Measures

Subcontractor #3:
Standard Description Corrective Measures

Completed By:__________________________

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