Site Safety Checklist

MANDATORY: Complete this checklist at EVERY site, EVERY time—before beginning work.

Project: ______________________ Date: ______________________ Site Location: ______________________ Technician(s): ______________________


Personal Protective Equipment (PPE)

Required PPE (Minimum)

  • Safety glasses with side shields
  • Hard hat (Type I minimum, Type II if site-required)
  • Steel-toed or composite-toe work boots
  • High-visibility vest or shirt (if site-required)

Additional PPE (Site-Dependent)

  • Cut-resistant gloves (Level 5 if required)
  • Hearing protection (if noise exceeds 85 dB)
  • Respiratory protection (if dust/fumes present)
  • Fall protection harness (if working above 6 feet)
  • Electrical-rated gloves (if working on live circuits)

Site-Specific PPE Requirements: ______________________


Site Hazard Assessment

Environmental Hazards

  • Adequate lighting for safe work
  • Weather conditions acceptable (no lightning, extreme heat/cold)
  • Floor/ground conditions stable (no standing water, ice, loose materials)
  • Emergency exits identified and accessible
  • Fire extinguisher location identified

Overhead Hazards

  • No ongoing overhead work directly above installation area
  • Ceiling height adequate for equipment and personnel
  • No low-hanging obstacles or sharp edges
  • Adequate clearance for ladders or lifts

Adjacent Hazards

  • No welding or hot work in immediate area
  • No chemical storage or hazardous materials nearby
  • Adequate separation from moving equipment or vehicles
  • Barricades or cones placed if needed

Electrical Safety

Power Source Verification

  • Power source identified and labeled
  • Voltage verified matches equipment requirements
  • Circuit breaker or disconnect location identified
  • Ground Fault Circuit Interrupter (GFCI) present if required
  • No damaged cords, exposed wiring, or electrical hazards

Lockout/Tagout (LOTO)

  • LOTO required: ☐ Yes ☐ No
  • If YES: LOTO procedures reviewed and equipment available
  • Authorized personnel identified for LOTO
  • LOTO applied and verified before work on circuits

Electrical Work Restrictions:

  • Never work on live circuits unless absolutely necessary and properly trained
  • Always test circuits with volt meter before touching
  • Assume all circuits are live until proven otherwise

Ladder & Elevated Work Safety

Ladder Use (if applicable)

  • Ladder inspected for damage (no cracks, bends, or loose rungs)
  • Ladder rated for load (person + tools/materials)
  • Ladder placed on stable, level surface
  • Ladder secured or footed by second person
  • 3-point contact maintained while climbing
  • No work from top two rungs of stepladder

Aerial Lift Use (if applicable)

  • Operator trained and authorized
  • Lift inspected (controls, guardrails, outriggers functional)
  • Ground conditions suitable for lift stabilization
  • Overhead clearances verified (power lines, structures)
  • Fall protection harness worn and attached

Fall Protection (work above 6 feet)

  • Fall protection required: ☐ Yes ☐ No
  • If YES: Harness inspected and properly fitted
  • Anchor point identified and rated (5,000 lb minimum)
  • Lanyard or self-retracting lifeline attached
  • Rescue plan in place

Tool & Equipment Safety

Hand Tools

  • All tools inspected for damage
  • Cutting tools sharp and guarded
  • Power tool cords in good condition
  • Battery-powered tools fully charged

Heavy Equipment

  • Dollies, carts, hand trucks available for material handling
  • Proper lifting technique reviewed (bend knees, straight back)
  • Team lift arranged for items over 50 lbs (or per individual capability)
  • No improvised lifting or rigging

Site-Specific Training & Permits

Required Training

  • Site-specific safety orientation completed
  • Hot work permit (if welding or cutting): ☐ N/A ☐ Obtained
  • Confined space entry permit (if applicable): ☐ N/A ☐ Obtained
  • Other permits required: ______________________

Site Rules & Restrictions

  • Site rules reviewed and understood
  • Restricted areas identified
  • Smoking/eating areas identified
  • Cell phone/camera restrictions noted
  • Visitor/contractor badging complete

Emergency Preparedness

Emergency Information

  • Emergency phone numbers posted or saved in phone
    • Site emergency: ______________________
    • 911 or local emergency: ______________________
    • VidIn PM: ______________________
  • First aid kit location identified
  • Nearest hospital or urgent care identified
  • Evacuation routes and muster points identified

Incident Reporting

If ANY injury, near-miss, or safety incident occurs:

  1. Stop work immediately
  2. Provide first aid if safe to do so
  3. Call 911 if medical attention needed
  4. Notify site contact
  5. Notify VidIn PM immediately
  6. Complete incident report within 24 hours

Work Area Setup

Housekeeping

  • Work area clear of trip hazards
  • Cords routed to avoid tripping
  • Adequate space for safe work
  • Waste containers or staging area designated

Barricades & Signage

  • Cones or barricades placed if in traffic area
  • “Caution: Work in Progress” signs posted if needed
  • Pedestrian routes maintained

Team Communication

Daily Safety Briefing

  • All team members present for safety briefing
  • Today’s specific hazards discussed
  • Work plan reviewed
  • Questions answered

Stop Work Authority

Every team member has the authority and responsibility to STOP WORK if an unsafe condition is observed.

Stop Work Triggers:

  • Unsafe condition not addressed by this checklist
  • Equipment malfunction
  • Change in site conditions
  • Fatigue or illness affecting safety
  • Unclear procedures

Pre-Work Confirmation

I certify that:

  • I have completed this safety checklist
  • I understand the hazards present
  • I have the proper PPE and tools
  • I am physically and mentally fit to work safely
  • I will stop work if unsafe conditions develop

Technician Signature: ______________________ Date/Time: ______________________

Lead/Supervisor Signature: ______________________ Date/Time: ______________________


Ongoing Safety During Work

Periodic Checks (Every 2 Hours)

  • Conditions still safe
  • PPE still in good condition
  • No new hazards developed
  • Team hydrated and rested

End-of-Day Safety

  • All tools accounted for and stored safely
  • Power disconnected from temporary equipment
  • Work area clean and trip hazards removed
  • Barricades left in place if work continues tomorrow
  • No open hazards left for next shift or public

REMEMBER: No job is so important that it cannot be done safely. If in doubt, STOP and ASK.

Questions or Concerns? Contact your PM immediately: ______________________


Version: 1.0 | Last Updated: February 12, 2026