A H Beck Foundation Co. Inc. - For Rick

• Document No.

• PROJECT NAME

• PROJECT NUMBER

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel on worksite

AHB SUPERINTENDENT

PERSONAL PROTECTIVE EQUIPMENT

• Hard hats (with bills forward)

  Yes

  No

  N/A

• Safety glasses appropriate for conditions (tinted or clear)

  Yes

  No

  N/A

• Hard toe work boots

  Yes

  No

  N/A

• Reflective vests

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Hearing protection if required

  Yes

  No

  N/A

• Face shields for cutting or grinding

  Yes

  No

  N/A

HOUSEKEEPING

• General site storage and housekeeping

  Yes

  No

  N/A

• Trash cans in work area

  Yes

  No

  N/A

• Storage / Dog House orderly

  Yes

  No

  N/A

• Safe walkways or passages

  Yes

  No

  N/A

• Spill Kits Available

  Yes

  No

  N/A

TEMPORARY BARRICADES

• Proper tape used (red for danger, yellow for caution)

  Yes

  No

  N/A

• All sides of work area barricaded and labeled (if required)

  Yes

  No

  N/A

LADDERS AND ELEVATED WORK

• Ladders tied off

  Yes

  No

  N/A

• Ladder extended 3'

  Yes

  No

  N/A

• Ladders Inspected

  Yes

  No

  N/A

• Damaged ladders tagged Out-of-Service

  Yes

  No

  N/A

• Handrails and/or barricades in place

  Yes

  No

  N/A

• Employees tied off when working over 6 feet

  Yes

  No

  N/A

FALL PROTECTION

• Harness and lanyards used correctly

  Yes

  No

  N/A

• Harness and lanyards inspected prior to use

  Yes

  No

  N/A

• Hole protection used during working hours

  Yes

  No

  N/A

• Proper hole protection used after hours

  Yes

  No

  N/A

MOBILE EQUIPMENT

• Inspected prior to each shift

  Yes

  No

  N/A

• Seatbelts used

  Yes

  No

  N/A

• Workers trained

  Yes

  No

  N/A

• Backup alarms working

  Yes

  No

  N/A

• Spotters used when needed

  Yes

  No

  N/A

• Equipment maintained without leaks

  Yes

  No

  N/A

• Safety guards and covers in place

  Yes

  No

  N/A

• Whip-checks used on pressurized lines

  Yes

  No

  N/A

HOISTING AND RIGGING EQUIPMENT

• Annual inspection placard in place

  Yes

  No

  N/A

• Daily crane inspection performed and documented

  Yes

  No

  N/A

• Operators manual in cab

  Yes

  No

  N/A

• Rigging inspected prior to each use

  Yes

  No

  N/A

• Proper rigging and techniques used

  Yes

  No

  N/A

• Rigging properly stored

  Yes

  No

  N/A

• Qualified rigger/signal person being used

  Yes

  No

  N/A

• Safety latch on hooks

  Yes

  No

  N/A

• Workers staying clear of suspended loads

  Yes

  No

  N/A

• Knowledge of crane signals

  Yes

  No

  N/A

• Proper use of tag lines

  Yes

  No

  N/A

• Swing radius protection in place

  Yes

  No

  N/A

EXCAVATION

• Means of exiting in place for excavations deeper than 4 feet

  Yes

  No

  N/A

• Cave-In protection in place for excavations deeper that 5 feet

  Yes

  No

  N/A

• Shaft stability measures properly used (casing, fluid level maintained, etc)

  Yes

  No

  N/A

• Spin off area maintained

  Yes

  No

  N/A

• Equipment staged a safe distance away overnight

  Yes

  No

  N/A

COMPRESSES GAS CYLINDERS

• Stored upright and succored

  Yes

  No

  N/A

• Stored at least 20 feet apart

  Yes

  No

  N/A

• Separated by a 1 hour rated fire wall while in use

  Yes

  No

  N/A

• Hard caps in place when not in use

  Yes

  No

  N/A

REBAR PLACEMENT

• Lifting properly planned, communicated and managed

  Yes

  No

  N/A

• Cage properly prepared with #9 wire and/or clamps

  Yes

  No

  N/A

• Cage properly rigged for lifting

  Yes

  No

  N/A

• Cage lifted and secured in shaft safely

  Yes

  No

  N/A

CONCRETE OPERATIONS

• Concrete pump and hoses used properly

  Yes

  No

  N/A

• Slick lines and hoses properly clamped with safety wire

  Yes

  No

  N/A

• Concrete washed from skin contact

  Yes

  No

  N/A

PREWORK

• Weekly Toolbox Talks are relevant to the project, and documented

  Yes

  No

  N/A

• Safe Work Plan communicated to all employees

  Yes

  No

  N/A

• SDS for all chemicals on the project are available upon request

  Yes

  No

  N/A

• Supervisors are aware of local first-aid and hospital facilities

  Yes

  No

  N/A

• All required jobsite work permits, hot work permits, excavation permits, obtained

  Yes

  No

  N/A

• Underground locates are in place and current

  Yes

  No

  N/A

• First Aid Kit is on site in a sanitary condition and available to all employees

  Yes

  No

  N/A

• Employee training records are available for work being performed

  Yes

  No

  N/A

REPRIMANDS OR WARNINGS

• We're any reprimands issued?

  Yes

  No

• We're any verbals warnings or directives given?

  Yes

  No

• Was any Stop Work order issued?

  Yes

  No

COMMENTS

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INSPECTION PERFORMED BY:

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