Information
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Document No.
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MBIC Project
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Conducted on
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Prepared by
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Location
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Brief Description of Work
Housekeeping and Sanitation
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Project work areas are clean, orderly, and free of excess trash and debris
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Trash Receptacles provided and maintained
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Aisles and Stairs Clear of Debris
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Material and Equipment Clean, Properly Stored, and Orderly
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Proper number of maintained portable toilets
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Scrap material free of protruding nails or other puncture hazards
Fall Protection and Perimeter Protection
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Fall prevention / protection methods reviewed prior to work start
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Personal fall arrest systems used properly when needed
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Controlled access zones are established with physical barriers and proper signage
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Fall arrest system installed and inspected properly by a competent person
Ladders/Stair in Placed and Maintained
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Ladders properly used and maintained / inspected
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All access and egress to ladders and stairs clear and free of debris
Scaffolds Constructed Properly and Maintained
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Scaffold tags in place and inspected daily by a competent person<br>
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Proper access and egress provided
Floor Openings/Penetrations
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All holes greater than 2" in diameter covered, marked, and secured
Adequate Lighting Provided
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Lights provided throughout the project for access / egress routes
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Adequate task lighting is provided for each employee
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Temporary lighting properly protected
Electrical Power (GFCI / Electrical Cords / Power Lines)
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Electrical cords are inspected on a daily basis
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Lock out tag out / labeled breakers
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GFCI used and inspected on a daily basis
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All electrical splices are properly protected
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Electrical rooms (temporary and permanent) are kept clean and are free of excess materials and debris
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All temporary electric inspected monthly
Environmental Issues
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Hazardous materials are stored and/or diposed properly
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Dust Control
Fire Protection
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Fire extinguishers provided for every 3,000 sq. ft. of building space, not to exceed 75' travel
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Fire extinguishers inspected, tagged, logged monthly and serviced annually
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Emergency plan practiced and egress routes maintained
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Hot work permits are utilized for all hot work operations and fire watch provided
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Evacuation routes posted and all employees are informed of gathering point
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Have Fire Alarms Been Deactivated
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36" unobstructed access maintained in front of fire exits, fire extinguishers, and electrical panels/disconnects
Personal Protective Equipment Utilization
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Proper eye protection worn at all times and face protection when needed
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Hard hats worn at all times
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Gloves worn at all times
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Hearing protection used around high noise sources above 90 dB
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Respiratory protection worn when necessary
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Proper footwear worn at all times
Pedestrian Protection
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Jobsite temporary partitions / fence installed, inspected, and maintained around perimeter of project
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Proper signage secured at access points / pedestrian walkways
Hand and Power Tools
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Hand and power tools inspected and maintained
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Proper guards in place and maintained
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Power tools are grounded or double insulated
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Whip lines and/or pins are provided for at all air compressor connections
Flammable and Combustible Substances
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Flammable / combustible liquids are stored and handled properly
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All containers are properly labeled / protected where required
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Fire extinguisher provided within 50' of storage area(s)
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No smoking / open flame signage secured near storage area(s)
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Flammable / combustible liquids are not stored within 10' from stairwells, elevators, and exits
Signage
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OSHA posters posted on jobsite bulletin board
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Exit signs posted and safety awareness / training signs posted throughout the project
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Warning signs posted at temporary partitions or perimeter fence near access points
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Federal posters and anti-harassment signs posted on jobsite bulletin board
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Proper PPE Signage Displayed
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First Aid Kit Readily Available and Inspected Monthly
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Daily Paperwork Completed (JSA, Contractor Safety Checklist, Toolbox Talk, Permits)
Mobile Equipment
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Daily inspection conducted on all mobile equipment and documentation maintained
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Fire extinguishers in all mobile equipment
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Owner's manual secured in all mobile equipment
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Seat belts functional and worn on mobile equipment (as required)
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Proper attachments used on all mobile equipment
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Crane Lift Plan Approved Prior to Hoisting Activities
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Annual Crane Inspection Completed
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Crane Operator Certification Verified
Ergonomics
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Proper lifting techniques used
Additional Comments
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Additional Comments