Title Page

  • Document No.

  • Safety Committee monthly check list. Month of?

  • Foreman / Job number/ Project manager

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Personal Protective Equipment

  • Hard Hats worn at all times

  • Safety Glasses with sideshield

  • Face shields when there is potential for flying debris

  • Hearing protection where required

  • Full Body Harness with lanyard where needed

Hot Work

  • Fire Protection ( extinguisher/ tarpaulins)

  • Fire extinguisher inspected and tagged

  • Welding shields in use

  • Cylinders secured and capped when not in use

  • Leads and Hoses in good condition

Walking/Working Surfaces

  • All floor openings and holes greater than 2" covered

  • Aisleways are clear of hazards such as:<br>ext, cords, welding leads and stored material

  • All leading edges with falls greater than 6' protected

  • Welding rod/all thread stubs are placed in a bucket/ trash container

  • Work is properly illuminated

  • Roof top work has proper fall protection system

  • How often is clean-up being done per day ?

Material Lifting/Handling

  • Employee's are using proper lifting techniques, etc.

  • Slings are in good condition

  • Rigging is being inspected before each use

  • Shackles are used on all multi-leg picks

  • Cranes, Chain falls, Come-along and air tuggers are properly sized and used in a safe manner

  • Porta Powers are properly sized and used in a safe manner

Scaffolds and Manlifts

  • Number of scaffolds your crew is using

  • Handrails and toe boards are in place

  • Scaffolds have proper access and are tagged, dated and inspected by a competent person

  • Fall protection used in Boomlifts

  • Fall protection requirements for scissor lifts are being met

Excavations

  • Excavation depth is _______________ feet?

  • Designated competent person is?

  • 5' or more in depth - shored or benched

  • Spoil is a minimum of 2' from edge of excavation

  • Excavations are inspected daily for any change in working conditions

  • Entry permits are filled out and posted for excavations greater than 5'

  • Protective systems for excavation over 20' in depth have been designed by a professional engineer

  • Proper access / egress is provided

Ladders

  • All ladders free of defects

  • Step ladders used in only the open position

  • Straight ladders are being used at proper angle

  • Straight ladders are equipped with safety feet and are secured to avoid displacement

  • Access to ladders free of debris and/or obstructions

Power Tools

  • Power cords in good condition

  • Guards in place

  • Ground fault interruption protection is being used

Questions for Foreman

  • I am working with PM to resolve any of the above issues

  • Was a Project Safety Analysis performed on this project?

  • Current Safe Behavior by craftsman

  • Daily Job Hazard Analysis

  • Are we General Contractor or Subcontractor ?

  • Comments or complaints ( explain if any no's above)

  • Take a Photo of concerns

  • Name of Safety Committee member doing inspection

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