20.4 Job Site Graffiti Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address
• Job Number / NAME
  Address

• Instructions: For each of the 1~6 below questions, if you answered “no” to any item, attach a picture of the material and a notation of the location where it was found. Definitions: “Offensive Content”: which includes, but is not limited to, any content related to race, national origin, sex, gender, sexual orientation, gender identity, gender expression, religion, age, physical or mental disability, military or veteran status or any other legally protected category in the “active work area”. “Active Work Area”: means area plainly visible to an observer in the area where work is occurring. It is understood that as the elevators have many stops, it may not be possible/practical to get to every possible floor or potential work area. However, at least the hoistway main floor level, main lobby/basement, etc. areas where materials and tools are being loaded into he hoistway, should be observed. If you understand these instructions and definitions answer “I understand” to proceed.

  I understand

A. Job Site Area

• 1. Are the ingress routes (access route within 25’ of staging /gang box area) free from offensive graffiti, stickers, images, writings and other materials?

  Yes

  No

  N/A

• 2. Are the egress routes (access route within 25’ of staging/gang box area) free of offensive graffiti, stickers, writings, images, and other materials?

  Yes

  No

  N/A

• 3. Is staging/gang box area free of offensive graffiti, stickers, writings, images, and other materials?

  Yes

  No

  N/A

• 4. Is the lunch/break area free of offensive graffiti, stickers, writings, images, and other materials?

  Yes

  No

  N/A

• 5. Is the primary active work area free of offensive graffiti, stickers, writings, images, and other materials?

  Yes

  No

  N/A

• 6. Check a reasonable sampling of the main portable or site toilets most likely to be used by our technicians (typically these would be the main “cluster” of portable toilets on ground floor). Are the ones you were able to check free of offensive graffiti, stickers, writings, and other materials?

  Yes

  No

  N/A

• 7. Others (specify)

B. Employees

• 1. Are employee gang boxes free from graffiti, stickers, writings, and images other than the Mitsubishi Electric logo, IUEC stickers and a manufacturer logo?

  Yes

  No

  N/A

• 2. Are employee toolboxes free from graffiti, stickers, writings, and images other than the Mitsubishi Electric logo, an IUEC sticker and a manufacturer logo?

  Yes

  No

  N/A

• 3. Are employee PPE (e.g. hard hats) free from offensive graffiti, stickers, writing, and images other than the Mitsubishi Electric logo, IUEC stickers and manufacturer logos? Exception: Appropriate General Contractor or job site identification stickers or similar, will be permitted on hardhats.

  Yes

  No

  N/A

• 4. Are employee uniforms/attire free from offensive graffiti, stickers, writings, and images other than the Mitsubishi Electric logo, IUEC stickers and a manufacturer logo?

  Yes

  No

  N/A

Other Findings/Obersvations/Comments

• Use comment box.

Other Corrective Action Taken

• Use comment box. Note: the protocol for addressing these issues is to report any findings immediately to Matt Jaskiewicz and Jared Baker, who will address the findings with the General Contractor via EED local project management, supervisory or management staff. If any other actions were taken on the job site at the time of the inspection, please note in the comment box.