Title Page
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Conducted on
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Prepared by
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Location
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Foreman
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Project Manager
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Weather
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Temperature
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What was the average (dBa)
Flagged Items
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Were there any flagged items on the walk-through
PPE (Personal Protection Equipment)
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All employees were wearing the required Safety Gloves.
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Who was the employee?
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Action taken?
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All employees were wearing the required Safety Glasses.
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Who was the employee?
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Action taken?
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All employees were wearing the required Safety Hard Hat.
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Who was the employee?
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Action taken?
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All employees were wearing the required High-Visibility Safety Vest.
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Who was the employee?
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Action taken?
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All employees were wearing hearing protection when required.
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Who was the employee?
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Action taken?
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All employees were wearing the proper mask when required.
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Were all employees utilizing tool lanyards when required?
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Who was the employee?
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Action taken?
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Were all employees wearing the required Fall Protection when required (Full Body Harness)?
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Who was the employee?
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Action taken?
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Were all employees utilizing the proper lanyard with their harness?
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Who was the employee?
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Action taken?
Material handling / Ergonomics
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Observed safe material handling practices for manual material handling?
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Material handling aid utilized (forklift, carts, etc.)
Inspections
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Have MEWP inspections been completed?
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Have Forklift inspections completed?
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Have GFCI inspections been completed?
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Have Telehandler inspections completed?
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Have harnesses been inspected?
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Have lanyards been inspected?
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Have ladders been inspected?
Work Environment
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Employees are not exposed to energized circuits.
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Signs are posted to restrict access to locations with exposed live parts.
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Electrical receptacles/outlets have approved covers/faceplates.
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Enclosures - Cabinets intact, no knockouts missing or other open holes, panels effectively enclosed.
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Enclosures - Breakers/Switches legibly marked to indicate purpose.
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Enclosures - Proper clearances are maintained in front of and around electrical panels.
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Enclosures - Conductors entering panels and boxes are protected by abrasion.
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Housekeeping
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Access/Egress - Pathways are clear and uncluttered. No tripping hazards.
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Holes are covered. Covers need to support twice the intended load, be marked "Hole" and be secured in place to prevent accidental displacement.
Cord & Cable
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Cord & Cable - Cords are protected & kept clear of work areas and walkways.
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Cord & Cable - Ground prong pin attached to electrical cords.
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Cord & Cable - Flexable cords are not daisy chained.
Temporary Lighting
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Is there temporary lighting on the project?
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All temporary light bulbs protected from accidental breakage.
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All temporary light string sockets have bulbs in them.
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Temporary light strings are not suspended by the electric cord.
LOTO & Electrical safe work practices
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Is LOTO being utilized?
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Ask at least one random employee if they have a lock for performing LOTO.
Ladders
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Are ladders in use on this project?
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Extension ladders are secured properly.
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Extension ladders are at the proper angle.
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Step ladders are being used safety with spreaders locked.