Information
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Client / Site
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Conducted on
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Prepared by
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Location
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed?
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1.2 - Are there no outstanding actions?
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1.1 - Has the last inspection been reviewed?
2.0 - Fall Protection
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2.1 - Is the height of the top rail between 39" and 45"?
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2.2 - If wire rope is used as the top rail, is it flagged at least every 6 feet?
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2.3 - Is fall protection being used if working over 6 feet from the ground?
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2.4 - No worker is tied off to a guardrail/handrail?
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2.5 - There are no wall opening greater than 18" wide and 30" high?
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2.6 - Is PFAS being used when operating an aerial lift?
3.0 - Floor Openings
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3.1 - Are holes larger than 2" in any direction covered?
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3.2 - Is the hole cover labeled with "hole" or other warning"
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3.3 - Is the cover sufficiently secured to the floor?
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3.4 - Will the cover support twice the anticipated load?
4.0 - Stairways
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4.1 - Is there a handrail if there are more than 4 risers or height is greater than 40"?
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4.2 - If the elevation change is greater than 19" is a ladder, ramp, or stair case being used?
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4.3 - Are handrails set at a height between 36" and 37"?
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4.4 - Stair and risers kept clear?
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4.5 - Are railings in good condition?
5.0 - Ladders
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5.1 - Are ladders secured?
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5.2 - Are workers working within the confines of the ladder rails?
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5.3 - Do extension ladders extend 3 feet beyond the landing?
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5.4 - Only fiberglass ladders are being used onsite?
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5.5 - No employees are working from the top 2 rungs of a step ladder?
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5.6 - Step ladders are open and not leaning against object?
6.0 - Scaffolding
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6.1 - Planks extend 6" but not more than 12" beyond the scaffold.
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6.2 - Has scaffold been inspected and tagged by a competent person?
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6.3 - If scaffold is greater than 30' wide or 20' high, is it secured directly to the building?
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6.4 - Does scaffold have baseplates?
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6.5 - Does the scaffold have a 10' guardrail system and toe-boards?
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6.6 - Does baker scaffold have outriggers if more than one section high?
7.0 - Roof Work
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7.1 - Material is not located within 6' of the edge of the roof?
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7.2 - Is there a warning line 6' from the edge of the roof (10' with equipment) (cannot be caution tape)?
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7.3 - Are the top rail and warning line flagged every 6'?
8.0 - Excavating & Trenching
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8.1 - If trench/hole 4' deep or more, does it have ladder access?
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8.2 - If trench/hole is 5' deep or more, is a bench or trench box being used?
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8.3 - If soil is Type C, is the soil walled or sloped (benching is not sufficient)?
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8.4 - Is a competent person present?
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8.5 - Was "One Call" notified prior to excavation?
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8.6 - Is there a ladder within 25' of travel to use to enter/exit the ditch?
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8.7 - If the trench is 20' or more deep, a Professional Engineer must stamp the excavation plans?
9.0 - Electrical
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9.1 - Are GFCI's in use?
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9.2 - Is there a cover on the electric panel (when energized)?
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9.3 - No double adapters in use?
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9.5 - No broken plugs, sockets or switches?
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9.6 - No cords/wires crossing walkways or driveways?
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9.7 - No frayed or damaged wires/cords?
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9.8 - No strained leads?
10.0 - Power Tools
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10.1 - Do tools have ground plugs unless double insulated?
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10.2 - Are all users of powder actuated tools and lasers certified?
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10.3 - Are copies of certifications on file in field office?
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10.4 - Portable power tools in good working condition?
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10.5 - If tools use temporary wiring, do they have GFCI's?
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10.6 - Are all guards in place and functioning properly?
11.0 - Temporary Lighting
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11.1 - Are light bulbs protected by closed cages?
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11.2 - Temporary lighting is not hung by nails, wires, or staples?
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11.4 - Do all sockets have light bulbs installed and working properly?
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11.5 - Are all light stringers hung above 7'?
12.0 - Mobile Equipment
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12.1 - Does mobile equipment have required rollover protection systems?
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12.2 - Are seatbelt's being worn at all times?
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12.3 - Are forks and/or buckets in the down position at all times while in the parked position?
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12.4 - Do all back-up alarms function at an audible level?
13.0 - Cranes
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13.1 - Are all maintenance and inspection reports on file in the field office?
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13.2 - Are the crane operator's CCO and PA crane license on file in the field office?
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13.3 - Has a "Crane Lift Safety Form" been filled out each day?
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13.4 - Have the qualified riggers and signalmen been identified?
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13.5 - Is the swing radius marked with red danger tape?
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13.6 - Is the size and type of cribbing being used sufficient for the size of crane being used?
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13.7 - Is the wind speed less than 30 MPH?
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13.8 - If working near an airport are the FAA beacon and flag installed and working properly?
14.0 - PPE
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14.1 - Are all employees wearing hard hat, safety glasses, and high-visibility clothing?
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14.2 - Employees do not have cutoff shirts, tank tops, or sneakers.
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14.3 - Are gloves being worn if the job specific task requires them?
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14.4 - Are face shields being worn if the job specific task requires them?
15.0 - JSA
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15.1 - Has proper action been taken to allow work in confined spaces?
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15.2 - Has proper action been taken to allow hot work?
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15.3 - Has proper action been taken to allow work in and around trenches?
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15.4 - Has proper action been taken to allow for safe critical lifts?
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15.5 - Has proper action been taken to allow for roofing steel erection?
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15.6 - Are lockout/tagout procedures being followed?
16.0 - Confined Space
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16.1 - Are there any permit required confined spaces on-site?
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16.2 - Has Alexander been notified before an employee entered a confined space?
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16.3 - Is atmospheric monitoring being used in the confined space?
17.0 - Fire Extinguishers
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17.1 - Are all fire extinguisher's monthly visual inspections up to date?
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17.2 - Are all fire extinguisher's yearly 3rd party inspections up to date?
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17.3 - Are there fire extinguisher's within 100' of travel from any point on site?
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17.4 - Is there 1 fire extinguisher for every 3000 square feet of floor space?
18.0 - Bulk Fuel Storage
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18.1 - Are bulk fuel storage tanks at least 25' from the building?
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18.2 - There are no rooms inside the building storing more than 25 gallons of flammable liquids.
19.0 - Air & Gas Cylinder Storage
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19.1 - Are air and gas cylinders stored safely with caps over valves?
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19.2 - Are all cylinders 20 feet away from combustible materials?
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19.3 - Are full and empty tanks separated?
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19.4 - Are all gauges working and in good condition (glass not broken)?
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19.5 - Have all valves been purged and turned off?
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19.6 - Is the area clear of open flames, sparks, and other sources of ignition?
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19.7 - Is the storage area 20 feet away from building or enclosed by a 5 foot or larger, 30 minute rated fire wall?
20.0 - Hot Work
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20.1 - Have been daily permits for hot work been completed?
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20.2 - Are 30 minute fire watches occurring after hot work has ended?
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20.3 - Do workers performing hot work have a fire extinguisher within reach?
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20.4 - Have all combustible materials within 35 feet been removed prior to hot work beginning?
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20.5 - Have compressed gas cylinders and fuel tanks within 50 feet been removed prior to hot work beginning?
21.0 - Overhead Power Lines
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21.1 - Are personnel staying 10 feet away from power lines up to 50 kV?
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21.2 - Are personnel staying 20 feet away from power lines above 50 kV and lines where the voltage is not known?
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21.3 - Are boundaries clearly marked with danger or caution tape?
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21.4 - Is a spotter being used when working around power lines?
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21.5 - Is the spotter someone other than the load guide?
22.0 - Concrete/Masonry
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22.1 - Have all form pins and rebar been covered with impalement rated caps?
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22.2 - Are all masonry walls over 8 feet adequately braced?
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22.3 - Is all stacked blocking stepped back above 6 feet?
23.0 - Miscellaneous
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23.1 - No one is dry cutting concrete without a respirator?
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23.2 - Are there no plastic fuel cans on site?
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23.3 - Have good housekeeping practices been followed?
Sign Off
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Auditor's signature
