Title Page

  • Site conducted

  • Job Name

  • Location
  • Inspected by

  • Date of Inspection

Ladders & Stairways

  • 1 Ladders inspected for defects

  • 2 Ladders extend 3' above landing

  • 3 Ladders pitched 1' from vertical for every 4' of height from foot of ladder to top support

  • 4 Ladders secured in place

  • 5 Stairways equipped with stair rails & handrails

  • 6 Stairways free of debris & other slip, trip & fall hazards

General Fall Protection

  • 7 Floor openings covered or guarded

  • 8 Workers exposed to potential falls of 6' or more protected

  • Other fall protection issues on-site?

Scaffolds

  • 9 Competent Person assigned to supervising erection

  • 10 Competent Person assigned to supervising disassembly

  • 11 Working surfaces 10' or higher equipped with guardrails

  • 12 Working surfaces clear of debris & other slip, trip & fall hazards

Excavations/Trenches

  • 13 Competent Person assigned to supervise operations

  • 14 Excavations 5' or deeper equipped with a protective system

  • 15 Excavations 4' or deeper have ladders or other means of egress within 25' of each worker

  • 16 Spoil pile is at least 2' from edge of excavation

Electrical

  • 17 GFCI or Assured Equipment Grounding Conductor Program in place

  • 18 Outlets checked for proper wiring & GFCI checked where applicable

  • 19 All tools & equipment inspected for defects in cords & plugs

  • 20 Extension cords are in good condition

  • 21 Sources of electricity such as panel boxes & overhead power lines are marked

Personal Protective Equipment

  • 22 Eye protection provided

  • 23 Hearing protection provided

  • 24 Hardhats provided

  • 25 Protected toe boots or shoes worn by workers

  • 26 Welding & cutting helmets, properly shaded lens, welding gloves & bibs available

  • 27 Respirators available where needed & respiratory protection program in place

  • Any other issues with PPE?

Cylinders

  • 28 Oxygen & fuel cylinders properly separated

  • 29 Compressed gas cylinders labeled

  • 30 Cylinders turned off & valve caps in place when not in use

  • 31 Hoses & torches free from defects

Manual Handling of Materials

  • 32 Materials delivered as close to work area as possible

  • 33 Materials staged on tables, pallets or racks off the ground close to waist height

  • 34 Material moving equipment such as carts, mobile pipe racks & wheelbarrows available

  • 35 Waste containers/bins are on wheels & readily available

Fire Prevention

  • 36 Flammable & combustible liquids stored away from ignition sources

  • 37 Portable containers approved & equipped with self-closing lids

  • 38 Adequate number of properly charged fire extinguishers available

  • 39 Extinguishers properly located and have current inspection tags attached

  • 40 Flammable & combustible debris & trash kept away from welding & cutting operations

  • 41 Oily rags disposed of in approved self-closing waste containers

Tools & Equipment

  • 42 Tools & equipment in good condition

  • 43 Defective equipment tagged & removed from work area

  • 44 Tool & equipment guards in place & in good condition

Confined Space

  • 45 Air sampling equipment calibrated

  • 46 Air samples show acceptable oxygen concentration (19.5% to 23.5%)

  • 47 Air samples show space is free of toxic, flammable & explosive gases

  • 48 Qualified attendant assigned to keep continuous contact with all workers inside space

  • 49 Qualified Person assigned to recheck air quality frequently throughout the project

Hazard Communication

  • Proper silica controls are in place

  • 50 Written Hazard Communication Program in place

  • 51 Written program includes complete list of chemicals workers could be exposed to on site

  • 52 SDS available for each chemical on the list

  • 53 Chemical containers properly labeled

First Aid

  • 54 First aid kits readily accessible to workers

  • 55 Contents of first aid kits approved by qualified health care provider

  • 56 First aid kits include medical examination gloves, eye protection & CPR mask

  • 57 Properly trained first aid provider on site

Housekeeping

  • 58 Suitable containers/bins available for disposal of trash & debris

  • 59 Walkways, aisles, hallways & passageways clear of trash, debris & materials

  • 60 Trash & debris containers/bins empty

  • 61 Tools not in use stored in job boxes

  • 62 Equipment not in use properly stored

  • 63 Pipe & other materials stored neatly

  • Any other housekeeping issues?

Other

  • 67 Potable water readily accessible to workers

  • 68 Clean, private toilets accessible to workers

  • 69 OSHA Job Site Safety Poster posted in conspicuous location

  • 70 Emergency telephone numbers posted at landline telephones & in other conspicuous places

Miscellaneous

  • Other

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