Jobsite Inspection Forms
October 30th, 2009
Below is an example of what SWMSC provides when we conduct Jobsite Inspections
Contact us today to receive more information on how we can protect you from OSHA Citations!
Jobsite Inspection Report
Contractor Construction Company Inspected By Russell Hinds
1234 Office
City, ST XXXXX
Date xxx x, xxxx Location 1234 Somewhere Job The Job
City, ST
Violation (1926.451, 1926.451 (c)(2)(v) Scaffolds)
Failure to use proper work platform on variable reach forklift. Fork-lifts shall not be used to support scaffold platforms unless the entire platform is attached to the fork and the fork-lift is not moved horizontally while the platform is occupied.
Violation (1926.453(b)(2)(v) Aerial Lifts)
A body belt shall be worn and a lanyard attached to the boom or basket when working from an aerial lift. Note to paragraph (b)(2)(v): As of January 1, 1998, subpart M of this part (1926.502(d)) provides that body belts are not acceptable as part of a personal fall arrest system. The use of a body belt in a tethering system or in a restraint system is acceptable and is regulated under 1926.502(e).
Corrective Action
Notified worker and job foreman immediately of violation. Recommended the purchase of a work platform that meets OSHA requirements.
The work platform must be no longer the 3 ft wider than forklifts wheel base, be attached to the forklift, must have a guardrail system that includes, 3.5” toe board, midrail and a toprail. Platform may not be wider than the forks, on this unit that would be 48”. Worker must be secured to platform with appropriate fall protection.
Violation (1926.100(a) Head Protection)
Employees working in areas where there is a possible danger of head injury from impact, or from falling or flying objects, or from electrical shock and burns, shall be protected by protective helmets.
Corrective Action
Notified employee and job foreman immediately of the requirement of hard hats under OSHA and Company policy.

