ABC IPC

• Conducted on

  Date

• Completed By (Name/Title)

• Location
  Address

• Employer/Business

• Note: Inspection findings will be reviewed on a case by case basis. Conditions related to COVID-19 and the virus are still emerging. Public health recommendations and orders are being regularly revised, and so any compliance action must take into consideration current understanding of the situation and current rules and guides. This checklist outlines fundamental requirements and is not inclusive of all safety and health requirements for employers in the construction industry. Other requirements can be found in the Washington Administrative Code (WAC) Chapters 296-24; 296-62; 296-155; 296-800; 296-803; 296¬63; 296-869; 296-874-; 296-876. Information relevant to these requirements or further assistance can be found on the agency website located at www.Lni.wa.gov/Safetv

  

COVID-19 Site Requirements

• All contractors are required to develop for each job site a comprehensive COVID-19 exposure control, mitigation, and recovery plan with a Job Hazard Analysis (JHA). Is one Available for inspection?

  Yes

  No

  N/A

• Are workers educated in the language they understand best about coronavirus and how to prevent transmission and their employer’s COVID-19 policies?

  Yes

  No

  N/A

• Is the minimum six-foot social distancing between all employees (and customers) in all interactions at all times being observed?

  Yes

  No

  N/A

• Are other prevention measures such as the use of barriers, minimizing staff or customers in narrow or enclosed areas, staggering breaks, and work shifts, etc being used when social distancing isn't feasible?

  Yes

  No

  N/A

• Is personal protective equipment (PPE) such as gloves, goggles, face shields and face masks as appropriate or required being provided to employees for the activity being performed?

  Yes

  No

  N/A

• At a minimum, are cloth facial coverings being worn by every employee not working alone (with no chance of human interaction) on the jobsite/facility?

  Yes

  No

  N/A

• Are there adequate handwashing stations, with soap and running water, available throughout the jobsite/facility to allow frequent handwashing?

  Yes

  No

  N/A

• Has a housekeeping schedule that includes frequent cleaning and sanitizing with a particular emphasis on commonly touched surfaces been established

  Yes

  No

  N/A

• Are employees being screened for signs/symptoms of COVID-19 at the start of each shift?

  Yes

  No

  N/A

• Are the employees self screening prior to coming to work?

  Yes

  No

  N/A

• Has a COVID-19 Supervisor been identified for the site/facility to observe and enforce the COVID-19 Safety Plan?

  Yes

  No

  N/A

• Is the name and contact information for the site specific COVID-19 Supervisor clearly displayed on all jobsite COVID-19 required postings?

  Yes

  No

  N/A

• Is the COVID-19 Supervisor present on the job site/facility at all times whenever there are 7 or more employee present?

  Yes

  No

  N/A

• Are Safety Stand-Down/toolbox talk/tailgate training being conducted on all job sites on the first day of returning to work, and weekly thereafter, to explain the protective measures in place for all workers?

  Yes

  No

  N/A

• Are the meetings being documented and maintained for inspection?

  Yes

  No

  N/A

• Is social distancing being maintained at all gatherings (Stand Downs, Safety Meetings, Tailgate Meetings, Lunch and Breaks, etc.)?

  Yes

  No

  N/A

• Have “choke points” and “high-risk areas” on the jobsite/facility been identified and communicated to control those areas so social distancing is always maintained?

  Yes

  No

  N/A

• Are interactions being minimized when picking up or delivering equipment, products, or materials to ensure the minimum 6-foot social distance rule?

  Yes

  No

  N/A

• Are workers being encouraged/allowed to leave their workstations to wash their hands regularly, before and after going to the restroom, before and after eating and after coughing, sneezing or blowing their nose?

  Yes

  No

  N/A

• Is hand sanitizer, with greater than 60% ethanol or 70% isopropanol, available for use on the jobsite/facility as a back up for the soap and running water?

  Yes

  No

  N/A

• Are shared tools and equipment being sanitized between users?

  Yes

  No

  N/A

• Have policies been established which encourage workers to stay home or leave the worksite when feeling sick or when they have been in close contact with a confirmed positive case of COVID-19?

  Yes

  No

  N/A

• Have the appropriate disciplinary actions/procedures been established for employees refusing to wear the appropriate facial coverings?

  Yes

  No

  N/A

Program Requirements, First Aid, and Housekeeping

• Is the written APP tailored to hazards associated with work operations? 155-110(2)

  Yes

  No

  N/A

• Are crew leader safety meetings held at the beginning of job and weekly thereafter? 155-110(5)(a)

  Yes

  No

  N/A

• Are safety meetings tailored to the operations? 155-110(5)(b)

  Yes

  No

  N/A

• Are safety meetings documented and attendance taken? 155-100(6)(d) & (e)

  Yes

  No

  N/A

• Are safety walk-around inspections conducted at the beginning of the job and weekly thereafter? 155-110(9)(a)

  Yes

  No

  N/A

• Are walk-around inspections documented and available for inspection? 155-110(9)(b)

  Yes

  No

  N/A

• Is there a first aid certified person(s) available onsite at all times and is their certification valid/current? 155-120(1)

  Yes

  No

  N/A

• Are the crew leaders and supervisors first aid trained? 155-120(2)

  Yes

  No

  N/A

• Is proper housekeeping maintained at the jobsite? 155-020(1)-(12)

  Yes

  No

  N/A

Chemicals/Hazard Communication Globally Harmonized System (GHS)

• Is a written hazard communication program (HCP) and list of all potentially "hazardous chemicals" or substances available on site? 901-14010(1) &<br>901-14010(1)(a)

  Yes

  No

  N/A

• Is a Safety Data Sheet (SDS) for each hazardous chemical readily available at the job site for emergencies and routine use? 901-14014(7)

  Yes

  No

  N/A

• Are all containers of hazardous chemicals labeled properly? 901-14012(6)

  Yes

  No

  N/A

• Were employees provided with effective information and training about all chemical hazards, necessary safety measures and HCP requirements? 901-14016

  Yes

  No

  N/A

• Do other on-site employers (e.g., subcontractors) know how to access your SDSs and get information about necessary safety measures and your on-site labeling system? 901-14010(2)

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Are individual hard hats available on site? 155-205(2)

  Yes

  No

  N/A

• Is eye/face protection worn? 155-215(1)(a)/350(3)

  Yes

  No

  N/A

• Are short sleeved shirt and long pants worn? 155-200(2)

  Yes

  No

  N/A

• Is leg protection used during chainsaw usage? 155-211

  Yes

  No

  N/A

Ladders

• Is the ladder in good repair? 876-30005(1)

  Yes

  No

  N/A

• Are defective ladders tagged out of service and/or removed? 876-30005(4)

  Yes

  No

  N/A

• Are ladders used for the purpose they were designed? 876-40005(1)

  Yes

  No

  N/A

• Is the weight of the ladder within the capacity of the ladder rating? 876-40005(2)

  Yes

  No

  N/A

• Is the ladder set up on a firm level surface or is it secured to prevent displacement? 876-40015(1)(a)

  Yes

  No

  N/A

• Is the ladder set up at a 4:1 angle? 876-40020(1)

  Yes

  No

  N/A

• Are workers carrying tools, materials, equipment in a manner that allows the use of both hands? 876-40025(1)

  Yes

  No

  N/A

• Are workers facing the ladder when ascending/descending? 876-40025(2)

  Yes

  No

  N/A

• Is the area around top and bottom of ladder free of tripping hazards? 876-40025(4)

  Yes

  No

  N/A

• Do ladders extend at least 3 feet above the surface being accessed? 876-40030(1)

  Yes

  No

  N/A

• If ladders don't extend at least 3 feet for persons accessing an upper level, is the top and bottom secure and have other grasping devises been provided? 876-40030(2)

  Yes

  No

  N/A

• Is the ladder secure at the top and bottom for the person working from the ladder? 876-40040(2)

  Yes

  No

  N/A

Fall Protection — Regardless of Height

• Are employees working above or adjacent to dangerous equipment/machinery? 155-24607(1)

  Yes

  No

  N/A

• Are the employees using approved Fall Protection PPE or other devices?

  Yes

  No

  N/A

• Are there unguarded floor holes or openings? 155-24607(2)

  Yes

  No

  N/A

• Are there any impalement hazards? 155-24607(3)

  Yes

  No

  N/A

• Have the impalement hazards been adequately mitigated?

  Yes

  No

  N/A

• What type of protection is being utilized to mitigate the impalement hazards?

  Select Barricade Guardrail Rebar Caps

  • Barricade
  • Guardrail
  • Rebar Caps

Fall Distances of Four Feet or More

• Is there unprotected walking or working surfaces?

  Yes

  No

  N/A

• Are employees protected from falls while constructing a leading edge? 155-24611(1)(b)

  Yes

  No

  N/A

• Are there unprotected floor openings and/or skylight openings? 155-24609(4)(a) or (d)

  Yes

  No

  N/A

• Are wall openings guarded, where the bottom of the opening is less than 39 inches above the working surface? 155-24609(5)(a)(i)(ii)

  Yes

  No

  N/A

• Are employees protected from falls while placing or tying reinforcing steel on a vertical surface? 155-24609(6)

  Yes

  No

  N/A

• Are employees protected from falls when working on steep pitch roofs (greater than 4:12)? (includes roofing work) 155-24609(7)(a)

  Yes

  No

  N/A

• Are employees using fall protection while working on low pitch roof (4:12 or less) (doesn't include roofing or leading edge work)? 155-24609(7)(b)

  Yes

  No

  N/A

Fall Distances of Ten Feet or More

• Is there a written fall protection work plan that addresses fall hazards of 10 feet or more? Is it available onsite 155-24611(2)

  Yes

  No

  N/A

• Are employees protected from falls while working on surfaces that are less than 45 inches in all directions (not applicable to ramps, runways, inclined walkways)? 155-24611(1)(c)

  Yes

  No

  N/A

• Since fall protection is required for employees standing in or working in the affected area of a trench or excavation exposed to a fall hazard of ten feet or more — and the employees are not directly involved with the excavation, process or the employees are on the protective system or any other structure in the excavation — do all these employees have fall protection? 155-24611(1)(d)(i),(ii)

  Yes

  No

  N/A

Electrical

• Are extension cords with ground pins used? 155-447(6)(f)

  Yes

  No

  N/A

• Are extension cords free of improper splices? 155-449(7)(b)(iii)

  Yes

  No

  N/A

• Are multi-outlet J-Boxes waterproof? 155-449(1)(a)(iii)

  Yes

  No

  N/A

• Are ground-fault circuit interrupters or an assured equipment grounding program used? 155-447(2)(a)(i)

  Yes

  No

  N/A

• Are strain relief devices used on flexible cords and cables? 155-449(7)(b)(iv)

  Yes

  No

  N/A

Guarding Tools and Equipment

• Are circular/skill saws properly guarded? 155-370(2)

  Yes

  No

  N/A

• Are table saws guarded(hood, spreader, anti-kickback)? 155-370(3)(a)

  Yes

  No

  N/A

• Are radial-arm saws properly guarded? 155-370(4)(a)

  Yes

  No

  N/A

• Are circular power miter saws properly guarded? 155-370(7)

  Yes

  No

  N/A

• Does pneumatic equipment have a safety device on the muzzle? 155-360(2)(c)

  Yes

  No

  N/A

Trenches and Excavations

• Were utilities that would be expected to be encountered during excavation work located prior to opening an excavation? 155-655(2)(a)

  Yes

  No

  N/A

• Are approved means of egress supplied in trench excavations that are 4 feet or more in depth and require no more than 25 feet of lateral travel? 155-655(3)(b)

  Yes

  No

  N/A

• Are employees protected from cave-ins by an approved protective system? 155-657(1)(a)

  Yes

  No

  N/A

• Was the soil classified by a competent person? 155-66401(3)(a)

  Yes

  No

  N/A

• Are daily inspections of excavations and adjacent areas conducted by a competent person? 155-655(11)(a)

  Yes

  No

  N/A

• Are employees being protected from hazards associated with water accumulation if water is present in the excavation? 155-655(8)(a)

  Yes

  No

  N/A

Scaffolds

• Is a competent person qualified in erecting, moving, dismantling, or altering scaffold supervising experienced and trained employees selected by the competent person? 874-20004

  Yes

  No

  N/A

• Are working platforms fully planked/decked? 874-20008

  Yes

  No

  N/A

• Is safe access provided? 874-20020

  Yes

  No

  N/A

• Are guardrails or personal fall arrest systems used to protect employees from falls greater than 10 feet to a lower level? 874-20052

  Yes

  No

  N/A

• Are guardrails installed in accordance with the standard along open-sides and ends? 874-20064

  Yes

  No

  N/A

• Are scaffolds set up on a firm, level foundation capable of supporting the load? 874-40006

  Yes

  No

  N/A

Stairways

• Are permanent or temporary stairs installed in building or structures two or more stories high or twenty-four feet or more in height or depth? 155-477(1)(c)

  Yes

  No

  N/A

• Are the stairways installed in wood frame buildings before studs are raised to support the second or next higher floors? 155-477(1)(f)(i)

  Yes

  No

  N/A

• Are stairways having 4 or more risers or rising more than 30 inches, whichever is less, equipped with at least one handrail and one stair rail system along each unprotected side or edge 155-477(3)(a)(i),(ii)

  Yes

  No

  N/A

• When there is a break in elevation of 19 inches or more, is a stairway, ramp or ladder provided? 155-476(1)

  Yes

  No

  N/A

Ramps, Runways, Inclined Walkways

• Is the ramp, runway or inclined walkway at least 18 inches wide? 155-24619(1)(a)

  Yes

  No

  N/A

• Is the ramp, runway or inclined walkway slanted less than 20 degrees on the horizontal surface and is it cleated or treated to prevent a slipping hazard on the walking surface? 155-24619(1)(b)

  Yes

  No

  N/A

• Is the ramp, runway, or inclined walkway equipped with a standard guardrail along each open side where there's a fall of 4 feet or more? 155-24609(3)(a)

  Yes

  No

  N/A

Dump Trucks

• Do dump trucks used on site with an obstructed rear view have an operable automatic reverse alarm? 155-610(2)(f)

  Yes

  No

  N/A

• Is the alarm audible above the surrounding noise level and no less than 15 feet from the rear of the vehicle? 155-610(2)(f)(i)

  Yes

  No

  N/A

• If workers are in the backing zone or could reasonably be expected to enter the area, is there a designated backup spotter/observer OR a backup video camera for the driver? 155-610(2)(f)(i)

  Yes

  No

  N/A

Cranes

• Is the crane currently certified for the state of Washington? 155-52901

  Yes

  No

  N/A

• Is the crane operator certified by an accredited testing organization? 155-53300(1)(a)

  Yes

  No

  N/A

• Is the rigger qualified with the documented written and practical tests? 155-53306

  Yes

  No

  N/A

• Is the signal person qualified with documented written and practical tests? 155-53302

  Yes

  No

  N/A

• Has the qualified lift director been designated? 155-53401(5)(c)

  Yes

  No

  N/A

• Are all parts of the crane, load line or load prevented from getting closer than 20 feet to power lines? 155-53408(2)(a)(ii)

  Yes

  No

  N/A

Lead

• Has the job site been reviewed for potential lead-containing paint and other materials that could be released in the air by grinding, sanding, welding, cutting, abrasive blasting or other work activities? 155-17609(2)

  Yes

  No

  N/A

• Did you determine if any employee may be exposed to lead at or above the action level (e.g. by conducting air monitoring)? 155-17609(1)

  Yes

  No

  N/A

• Have you notified each employee in writing of the results which represent that employees' airborne exposure to lead? 155-17609(8)(a)

  Yes

  No

  N/A

• Have you established and implemented a written compliance program? 155-17611(2)

  Yes

  No

  N/A

• Have you developed, implemented and maintained a written respiratory protection program? 155-17613

  Yes

  No

  N/A

• Have you selected and provided appropriate respirators for each employee required to use one? 155-17613(3)

  Yes

  No

  N/A

• Have you provided, at no cost to the employee, appropriate protective work clothing and equipment? 155-17615(1)

  Yes

  No

  N/A

• Have you instituted a medical surveillance program for employees exposed to airborne lead above the action level? 155-17621(1)

  Yes

  No

  N/A

Asbestos

• Did you obtain a Good Faith Inspection report, or a written statement, from the property owner or owner's agent that identifies any asbestos on the property? 62-07721(2)(e) & 62-07721(2)(b)(ii) & 62-07721(2)(b)(iii)

  Yes

  No

  N/A

• Did you share the written report or statement with other contractors or employers hired to work on site? 62-07721(2)(c)(ii)(B) & 62-07721(2)(d)

  Yes

  No

  N/A

• If Asbestos Containing Material (ACM) and/or Presumed Asbestos Containing Material (PACM) is going to be disturbed, has a qualified company been hired? (e.g., a certified asbestos contractor) 65-030

  Yes

  No

  N/A

• If the work is an "asbestos project", was L&I (and the local clean air agency) notified about the work? 65-020 62-07703

  Yes

  No

  N/A

• Have you informed employees in proximity to any work activity where asbestos is being abated or disturbed about asbestos hazards and safety precautions? 62-07721(2)(c) 62-07721(2)(c)(iii)

  Yes

  No

  N/A

Completion

• Note: This checklist outlines fundamental requirements and is not inclusive of all safety and health requirements for employers in the construction industry. Other requirements can be found in the Washington Administrative Code (WAC) Chapters 296-24; 296-62; 296-155; 296-800; 296-803; 296¬863; 296-869; 296-874-; 296-876. Information relevant to these requirements or further assistance can be found on the agency website located at www.Lni.wa.gov/Safety

• Name and Signature

  Sign