Q1 of 25 — Does company leadership visibly support and participate in the safety program? *

Yes

Partially

No

Not Applicable

Q2 of 25 — Is one qualified person clearly responsible for coordinating safety? *

Yes

Partially

No

Not Applicable

Q3 of 25 — Are safety responsibilities written into supervisor and employee roles? *

Yes

Partially

No

Not Applicable

Q4 of 25 — Are safety issues discussed during management or project meetings? *

Yes

Partially

No

Not Applicable

Q5 of 25 — Are employees encouraged to report hazards without fear of retaliation? *

Yes

Partially

No

Not Applicable

Q6 of 25 — Does your company maintain a current written safety and health program? *

Yes

Partially

No

Not Applicable

Q7 of 25 — Are required OSHA programs—such as Hazard Communication and Fall Protection—documented? *

Yes

Partially

No

Not Applicable

Q8 of 25 — Are OSHA 300, 301 and 300A records maintained when applicable? *

Yes

Partially

No

Not Applicable

Q9 of 25 — Are training records, inspections and corrective actions retained and organized? *

Yes

Partially

No

Not Applicable

Q10 of 25 — Are written programs reviewed at least annually and when operations change? *

Yes

Partially

No

Not Applicable

Q11 of 25 — Do new employees receive safety orientation before beginning work? *

Yes

Partially

No

Not Applicable

Q12 of 25 — Do employees receive task-specific training for the hazards they face? *

Yes

Partially

No

Not Applicable

Q13 of 25 — Are toolbox talks conducted regularly and documented? *

Yes

Partially

No

Not Applicable

Q14 of 25 — Are supervisors trained to recognize hazards and enforce requirements consistently? *

Yes

Partially

No

Not Applicable

Q15 of 25 — Is training delivered in a language and vocabulary employees understand? *

Yes

Partially

No

Not Applicable

Q16 of 25 — Are regular documented jobsite safety inspections performed? *

Yes

Partially

No

Not Applicable

Q17 of 25 — Are fall, electrical, excavation, struck-by and caught-between hazards actively controlled? *

Yes

Partially

No

Not Applicable

Q18 of 25 — Is required PPE selected, provided, used and maintained? *

Yes

Partially

No

Not Applicable

Q19 of 25 — Are subcontractors held to documented safety expectations? *

Yes

Partially

No

Not Applicable

Q20 of 25 — Are identified hazards corrected promptly and tracked to completion? *

Yes

Partially

No

Not Applicable

Q21 of 25 — Are emergency action, first aid and severe-weather procedures established? *

Yes

Partially

No

Not Applicable

Q22 of 25 — Are incidents and near misses reported and investigated for root causes? *

Yes

Partially

No

Not Applicable

Q23 of 25 — Are corrective actions assigned to a responsible person with a due date? *

Yes

Partially

No

Not Applicable

Q24 of 25 — Are emergency contacts and jobsite information readily available to employees? *

Yes

Partially

No

Not Applicable

Q25 of 25 — Does management review trends and use lessons learned to improve the program? *

Yes

Partially

No

Not Applicable

Email *

Full Name *