Contractor safety self-evaluation checklist

Template Information

An on-site observational safety checklist to identify at-risk behaviors

Category: general

Template Questions

  • Preparatory Phase/ORM Planning
  • Add media
  • Office Trailer / Signage / General
  • Fire Prevention
  • Personal Protective Equipment (PPE)
  • Scaffold Safety
  • Fall Protection
  • Ladder Safety
  • Excavations
  • Electrical
  • Cranes
  • Confined Space
  • Roofing
  • Equipment
  • Tree Maintenance and Removal
  • Demolition
  • Abatement
  • Waterfront Activities
  • Total applicable for each category = X (Where X includes responses for category of "Yes" and "No" but
  • Contractor Representative (First, Last, Title)
  • Contractor Representative Signature
  • NAVFAC Representative (First, Last, Title)
  • NAVFAC Auditor Signature
  • Comments: