Employee Jobsite Safety Checklist
Date: ___________ Shift:_______________________
Work Location: __________________________________ OK if checked/Describe deficiencies below Lockout/Tagout - Energy sources isolated and verified PPE - Task-specific PPE available and in good shape Access - Work area and access to it clear, free of debris Mobile Equipment - Inspection complete & documented Hand Tools - Tools clean & in good useable condition Power Tools - Power cord & equipment housing OK Power Tools - Blade, bit, disk OK and guard in place Power Cords - Free of cuts & cracks, ground plug in place Wet Conditions - GFCI available and in use Overhead Issues - No hazardous work going on overhead Illumination - Lighting sufficent and bulbs guarded Slip, Trip, Fall Hazards - If none are present check OK Area secure - Caution/Hazard tape or physical barrier up Issues: _______________________________________ ________________________________________________ Employee Name (Print) ________________________________________________ Employee Signature _________________________________________________ Other employees on the crew