Weekly Site Inspection Checklist Template

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Inspection
Supervisors, competent persons, and JHSC members can use this form as is or customize it for their site.
Weekly Inspection
Completed by:
Site:
Accompanied by:
Date:
Last Inspection:
Report
Item
Comment
Area
Contractor
Action taken
1. Housekeeping
2. Storage
3. PPE
4. Ladders
5. Guardrails
6. Scaffolds
7. Other work platforms
8. Fire protection
9. Electrical
10. Gas cylinders
11. Stairs
12. Public protection
13. Lighting
14. Machine guards
15. Material handling
16. Ventilation
17. Traffic control
18. Elevators
19. Floor/roof openings
20.
21.
Copies provided to:
Download form at ihsa.ca/logbook
ihsa.ca
216

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