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Site Safety Checklist
Associate Requesting:
Email:
Site Information
To be completed by CSS or Event Manager
Client Name:
Job Name:
Client (on-site) Contact:
Phone
P#:
Install Date:
MM slash DD slash YYYY
Strike Date:
MM slash DD slash YYYY
CSS/EM Name:
Phone
Surface
Grass
Asphalt
Gravel
Concrete
Wood
Level
Not Level
Clear
Not Clear
Underground Hazards
Electrical
Gas
Telephone
Septic
Sprinklers
Pool Lines
Blue Stake Called
Blue Stake Not Called
Equipment
Rough Terrain Forklift
Purchase Forklift
Scissor/Boom Lift
Stake Driver
Stake Puller
Other
Overhead Hazards
Electrical
Telephone
Branches
Light Post
Other
Site Specifics
Straightforward
Working at Heights
Close to House/Building
Noise Restrictions
Proper Vehicle Clearance
Over Pool
Equipment Other
Overhead Hazards Other
Other Details / Custom Work
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