Leidal & Hart Safety App

Jobsite

Date of Review

Site Foreman

Time of Review

Labor Foreman

Reviewed By

Free Text

Use of PPE (1-10) - if under 10 for any item listed, explain why below.

Hard Hat

Safety Glasses

High Vis

Respirator Use

Ear Protection

If under 10, why?

Free Text

Site Conditions (1-10) - if under 10 for any item listed, explain why below.

Material Organization

Clean Up

Maintenance of Restricted Zones

If under 10, why?

Free Text

Equipment Condition (1-10) - if under 10 for any item listed, explain why below.

Hi Lo Maintenance/Inspection

Mixer Cleanliness/Proper Use

Saw Condition

If under 10, why?

Free Text

Scaffold Condition (1-10) - if under 10 for any item listed, explain why below.

Tagging/Inspection

Baseplate/Cribbing

Guardrails

Proper Planking/Plank Condition

Proper Access

If under 10, why?

Free Text

Silica Exposure Control (1-10) - if under 10 for any item listed, explain why below.

Saw Cutting

Mixer Area

If under 10, why?

General Notes