Information
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Client / Site
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Conducted on
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Document No.
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Prepared by
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Location
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Personnel
JOB INFORMATION
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OSHA 300 log posted and up to date [as required] ?
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Safety meetings & toolbox talks up to date ?
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Phone numbers & directions for nearest medical center posted or maps [handouts] available ?
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Fire & police numbers and site emergency contact posted and visible, or handouts used ?
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First aid kits available / access to trained first aiders ?
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Worker compensation & other required information posted ?
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SECTION NOTES
WEATHER CONDITIONS
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WEATHER CONDITIONS TO BE RECORDED?
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TEMPERATURE
- VERY HOT
- HOT
- WARM
- COOL
- COLD
- VERY COLD
- FREEZING
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WIND CONDITIONS
- DANGEROUS WINDS
- HIGH WINDS
- SLIGHT WINDS
- CALM
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GENERAL WEATHER
- CLEAR
- VERY HEAVY RAIN
- HEAVY RAIN
- INTERMEDIATE RAIN
- LIGHT RAIN
- VERY HEAVY SNOW
- HEAVY SNOW
- LIGHT SNOW
- HAIL
- FOG
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WEATHER CONDITION NOTES
HOUSEKEEPING
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HOUSEKEEPING AUDITED ?
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General neatness of work area ?
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Waste containers provided & used at all times / containers are properly loaded & covered when needed ?
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Any projecting nails or sharp objects removed or bent over, no trip hazards ?
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Proper material storage procedures used ?
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All stair ways & passage ways kept clear & well lit at all times ?
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Impalement Hazards (Rebar caps etc) ?
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Lack of or inadequate amenities ? [toilets, wash areas, lunch rooms etc.]
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All barricades & caution tape properly installed and maintained ?
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Lack of hot / cold weather provisions ? [cool drinking water provided etc.]
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SDS sheets & emergency procedures readily accessible on site ?.
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Laser in use warning signs posted when, where and as needed ?.
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SECTION NOTES
PERSONAL PROTECTIVE EQUIPMENT (PPE)
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PERSONAL PROTECTIVE EQUIPMENT AUDITED?
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Hard Hats, hiviz[ shirts, vest or jacket ], eye & hearing protection, proper shoes (available, worn by crew and in safe condition)
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Lack of system to issue, inspect, replace & monitor PPE
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Lack of training in proper use and care of PPE
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Respiratory Protection when needed (available, used and in safe condition)
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Appropriate Clothing (in safe condition)
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SECTION NOTES
FALL PROTECTION
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FALL PROTECTION AUDITED ?
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Fall protection equipment inspected inspected regularly and before use
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Appropriate for task and used properly by crew where applicable
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Lanyards with shock absorbers or retractables used when required
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Unsafe or unsuitable Anchorage Points
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Fall risks of 19" or more guarded ? [including changes in elevation, voids, pits & trenches etc.]
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Lack of, or unsafe / incomplete leading edge protection ? [toe boards, railings etc.]
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All elevator & stair shafts properly marked and protected ?
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All roof areas properly marked and protected ?
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All floor openings larger then 3" covered and marked "hole" ?
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All work areas 6' or more have proper protection ? [ safety rails, nets or a personal arrest system]
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All stairs & landings have correct hand rails & guards ?
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Employees working below work areas are protected from falling objects ?
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Entrances and exits are protected from falling objects ? [canopy etc.]
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SECTION NOTES
LADDERS
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LADDERS AUDITED?
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Unsafe or damaged ladders / unsafe positioning of ladder?
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Ladder not properly used ? [closed, not tied, not extended 3', improper angle, unsuitable ladder [metal ladder used for electrical work, ladder other then type 1,1A or 1AA
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Worker straddling ladder, stepping of step ladder, over reaching or standing to high on ladder?
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SECTION NOTES
SCAFFOLDING
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SCAFFOLDING AUDITED ?
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Unlicensed or untrained persons erecting or dismantling scaffolding?
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Scaffold unsafe, not fully planked, incorrect plank, correct plank overlap, safety rails or toe boards?
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Lack of daily inspection protocol?
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Work on scaffold is restricted during high winds, storms etc?
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Scaffold not secured to structure when required, incorrect ladder used to access?
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Rolling scaffold [baker] used correctly ?[wheels locked when used]
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SECTION NOTES
TOOLS & EQUIPMENT
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TOOLS & EQUIPMENT AUDITED ?
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General condition of tools
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Tools and Equipment inspections take place and are recorded
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Right tools are being used for tasks & all proper guards in place and used
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Powder actuated tools are only used by properly trained & licensed workers & spent shots handled & disposed properly?
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Crew members are trained to be competent in the tools appropriate for their work tasks
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LockOutTagOut procedures used for cleaning, service & maintenance of tools ?
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safe operation of all generators & compressors, whip guards in use, hoses inspected and in good condition / generators have GFCI protection [built in or portable]
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SECTION NOTES
EXCAVATION
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EXCAVATIONS AUDITED ?
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Access/Egress is safe and ease of egress is acceptable [ proper ladders provided as required]
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Shoring/Shielding/Sloping is safe, adequate for poor or wet conditions
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Barricades are in place as required
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Competent person on site
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when working near power lines a person is appointed to monitor equipment while work is ongoing
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Unlicensed or inexperienced operators
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Are all utilities properly marked out & markings protected ?
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SECTION NOTES
ELECTRICAL SAFETY
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ELECTRICAL SAFETY AUDITED ?
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Ground fault circuit interrupters in use at all times [generator and supplied power] & tested on a regular basis ?
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Unsafe extension Cords [missing ground prongs, pulled out of plug/socket, taped repair, missing insulation or used inappropriately [trip hazard, laying in water or on steel track etc.]
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Powered panels & boxes are covered and marked "live" ?
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Overloaded or damaged outlets ?
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Temporary lighting and power is properly installed and maintained at all times ?
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Lack of LockOutTagOut procedures for electrical equipment & tools? ?
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High voltage work only by certified employees and work permits issued when needed ?
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Power Tools are undamaged and being used properly & for job intended ?
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SECTION NOTES
FIRE SAFETY
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FIRE SAFETY AUDITED ?
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Properly tagged & hung fire extinguishers of correct rating in proper locations and accessible ?
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All exits clearly marked and kept clear, all passage ways kept clear and directions to exits clearly marked ?
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Fire extinguishers at all gasoline powered equipment including generators
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Only metal safety gasoline cans on site or in trucks or fuel storage and dispensing system with NFPA signs & fire extinguisher nearby ?
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Torch cart has proper divider & back flow protectors installed and fire extinguisher nearby ?
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No smoking signs posted and enforced throughout site
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Oxygen & fuel gas cylinders properly stored [ minimum 20' apart & secured or in proper cage with NFPA approved signs and fire extinguisher within 10'
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Smoking prohibited near storage areas / all tanks stored upright, secured & capped?
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Unsuitable storage containers for chemicals ?
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Unsafe storage location [near source of ignition or where spill could enter storm sewer]
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SECTION NOTES
PIT'S [elevated work platforms, construction fork lifts etc.]
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POWERED INDUSTRIAL TRUCK'S AUDITED ?
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Elevated work platforms used in accordance with manufactures recommendations ?
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Daily inspections of equipment is preformed with records kept on site ? ?
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All workers in boom type manlifts using proper fall protection at all times
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When working near power or overhead lines a person is appointed to monitor equipment as work is being preformed to insure safe clearance ?
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All operators trained & certified in PIT operation [certificate in hand] as required
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workers using manlifts keep both feet on platform, door or safety chain closed, do not stand on rails or climb off work platform?
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All ground controls working correctly?
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When lifting materials a tag line is used / no loads lifted over persons / all slings & chains inspected before each use ?
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Lifting equipment unlabeled, no SWL displayed or equipment overloaded?
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If construction fork lift is used to lift workers is proper cage used & does lift manufacturer approve use
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SECTION NOTES
VEHICLES
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VEHICLES AUDITED ?
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Vehicles [material & earth moving] have an unobstructed view & have a working back up alarm ?
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All vehicles and equipment have seat belts or restraints and are used at all times
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All cranes and construction fork lifts are used correctly and not over loaded
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Workers kept from under suspended loads at all times
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all operators are trained & certified in use of the equipment [PIT if required]?
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SECTION NOTES
ADMINISTRATIVE & EMERGENCY PROCEDURES [INCLUDING TRAFFIC MANGEMENT]
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ADMINISTRATIVE & EMERGENCY PROCEDURES AUDITED ?
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Competent person on site for every contractor when ever contracter is working?
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Specific site safety plan on file for every contractor working on site
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Lack of proper induction procedure, orientation, training and sign in for all workers
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lack of / or inadequate emergency or incident notification plan?
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lack of / or inadequate emergency communication equipment [horns, radios]
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All contractors silica exposure prevention plans on file
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Failure of contractors to obtain special permits [hot work, confined space etc]
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Lack of emergency plans & training / knowedge of emergency plans
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Lack of or inadequate traffic management plan [TMP]
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Lack of or inadequate training in traffic management
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Inadequate controls for TMP [barracades, bollards, spotters, flagmen, signs]
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SECTION NOTES
CONCRETE CONSTRUCTION
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CONCRETE CONSTRUCTION AUDITED ?
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all workers protected from cement dust and all exposed skin covered?
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all rebar both horizontal & vertical have correct caps
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All walls over 8' properly supported
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all demo type saws have proper guard and workers using proper PPE at all times
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Proper access & egress to work area at all times, proper number of workers for task?
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SECTION NOTES
PEOPLE SAFETY
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Do you wish to check work crew safety knowledge at this inspection?
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Approach at least one team member and record their responses to the following. Make clear this is not an assessment of the team member themselves, but rather the safety procedures on site.
Team Member
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Has the team member attended a pre-start meeting or toolbox talk within the last week?
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Is the team member able to describe the correct process to follow in an emergency situation?
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Is the worker able to identify three hazards they may encounter in their tasks today?
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Trade interviewed
GENERAL COMMENTS
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Any further comments or recommendations arising from this inspection?
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Add any additional relevant photos
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Have all required corrective actions been added as Actions to this inspection?
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Please add any corrective actions to the appropriate questions above before completing this report
Sign Off
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Name & Signature of Inspector
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Name & Signature of Site Supervisor / Foreman