Acadian Contractors, Inc.

• Project:

• Location
  Address

• Inspection Date:

  Date

• Inspected By:

• Workers/subcontractors Inspected:

• Location of Inspection
  Address

• Company Personnel Present for Inspection

SECTION 1: SAFETY

1.0 GENERAL

• 1.1 Task affiliated paperwork is readily accessible on site and up to date with information; i.e. JSEA, Safety Meeting, Hoisting Documents

  Yes

  No

  N/A

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• 1.2 Workers are wearing the appropriate Personal Protective Equipment (PPE) including but limited to proper foot protection, fire retardant clothing, safety glasses and hard hat

  Yes

  No

  N/A

• 1.3 PPE is fit for purpose and in good condition

  Yes

  No

  N/A

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• 1.4 All workers are trained and understand how to properly use and store PPE

  Yes

  No

  N/A

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• 1.5 Materials in vehicles are stored adequately

  Yes

  No

  N/A

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• 1.6 Site and/or pathways clear of slip/ trip hazards

  Yes

  No

  N/A

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2.0 HAZARDOUS SUBSTANCES

• 2.1 Is storage for hazardous substances secure and in accordance with the appropriate Safety Data Sheets (SDS)?

  Yes

  No

  N/A

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• 2.2 Is the SDS available and readily accessible on site for each substance in use?

  Yes

  No

  N/A

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• 2.3 Are all containers labeled clearly?

  Yes

  No

  N/A

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• 2.4 Are compressed gas cylinders stored upright and secured?

  Yes

  No

  N/A

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3.0 TRAINING/ CERTIFICATES

• 3.1 Are all persons on site trained compliant according to the company and clients requirements?

  Yes

  No

  N/A

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• 3.2 Are personnel appropriately licensed / certified to undertake work where applicable? ( i.e. Operators, Riggers, Crane drivers, etc)

  Yes

  No

  N/A

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4.0 LADDERS

• 4.1 Are vehicle ladders inspected and in good condition?

  Yes

  No

  N/A

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• 4.2 Ladders are properly secured when in use?

  Yes

  No

  N/A

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5.0 EMERGENCY MANAGEMENT

• 5.1 Telephone numbers and locations of nearby physicians / hospitals are available and known?

  Yes

  No

  N/A

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• 5.2 Evacuation point is established, in a safe location and known to site workers?

  Yes

  No

  N/A

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• 5.3 Are trained first-aid personnel on-site?

  Yes

  No

  N/A

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• 5.4 Is a first aid kit properly stocked and available?

  Yes

  No

  N/A

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6.0 HOISTS AND CRANES

• 6.1 Cables and sheaves have been inspected prior to use?

  Yes

  No

  N/A

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• 6.2 Slings, chains, hooks, and eyes are certified and inspected before each use?

  Yes

  No

  N/A

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• 6.3 All heavy lifts and all multiple crane lifts are risk assessed and have a documented lift plan available?

  Yes

  No

  N/A

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• 6.4 All outriggers are packed/ supported as per manufacturers’ and/ or engineer’s recommendations and are protected from traffic/ disturbance by physical barriers?

  Yes

  No

  N/A

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• 6.5 Power lines de-activated, removed or at a safe distance?

  Yes

  No

  N/A

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• 6.6 Is there proper loading for capacity at lifting radius?

  Yes

  No

  N/A

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• 6.7 Load charts fitted and correctly used?

  Yes

  No

  N/A

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• 6.8 All equipment properly lubricated and maintained?

  Yes

  No

  N/A

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• 6.9 Signalmen used where required?

  Yes

  No

  N/A

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• 6.10 Signals understood and observed?

  Yes

  No

  N/A

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• 6.11 Inspection maintenance logs maintained?

  Yes

  No

  N/A

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• 6.12 Backup signals provided?

  Yes

  No

  N/A

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• 6.13 is the crane properly staged for the involved task and adequate to regulations?

  Yes

  No

  N/A

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• 6:14 Is an approved copper grounding device/ rod being utilized?

  Yes

  No

  N/A

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• 6:15 Has the ground rod been driven through the surface adequately and has good sufficient contact with the soil? (Proper Depth)

  Yes

  No

  N/A

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• 6:16 Is a protector being utilized on the head of the grounding device/ rod?

  Yes

  No

  N/A

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• 6:17 Is the a cable of proper gauge being utilized to contact the grounding device/ rod to the crane?

  Yes

  No

  N/A

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• 6:18 Is the ground cable properly connected to a bare metal component of the crane?

  Yes

  No

  N/A

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7.0 FIRE PREVENTION

• 7.1 Portable Fire Fighting Equipment is appropriate for the task and readily available?

  Yes

  No

  N/A

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• 7.2 Vehicles fitted with fire extinguishers?

  Yes

  No

  N/A

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• 7.3 Employees are trained in Fire Fighting procedures?

  Yes

  No

  N/A

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8.0 MOTOR VEHICLES

• 8.1 Regular inspections and maintenance carried out?

  Yes

  No

  N/A

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• 8.2 All personnel are appropriately licensed?

  Yes

  No

  N/A

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• 8.3 Brakes, lights and warning devices operative?

  Yes

  No

  N/A

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• 8.4 Weight limits and load sizes controlled?

  Yes

  No

  N/A

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• 8.5 Windshields are in good condition and free of cracks/ visual obstructions?

  Yes

  No

  N/A

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• 8.6 Parking of vehicles observed correctly (backed in)?

  Yes

  No

  N/A

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9.0 TRAFFIC MANAGEMENT

• 9.1 Traffic management signs, including speed restriction and advanced warning signage are legible and positioned in accordance with site plans and client regulations?

  Yes

  No

  N/A

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• 9.2 Are spotters/ safety observers present to control traffic movement?

  Yes

  No

  N/A

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10.0 MANUAL HANDLING

• 10.1 Manual handling risk has been identified, assessed and managed using an established risk assessment tool (JSEA or Take 5 approach)?

  Yes

  No

  N/A

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• 10.2 Mechanical aids are used where available?

  Yes

  No

  N/A

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• 10.3 Workers are not in awkward postures for long periods?

  Yes

  No

  N/A

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• 10.4 Workers are not lifting heavy items frequently?

  Yes

  No

  N/A

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11.0 WORKING IN THE HEAT

• 11.1 There are adequate amounts of water on site to drink?

  Yes

  No

  N/A

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• 11.2 Workers have the appropriate PPE including sun visor, sunscreen, loose fitting long sleeved shirt, long pants, and shaded safety glasses?

  Yes

  No

  N/A

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• 11.3 There is adequate shade available or a rest area designated?

  Yes

  No

  N/A

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• 11.4 Work/rest ratios are adequate to allow workers to recuperate in extreme heat?

  Yes

  No

  N/A

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12.0 WORKING IN THE COLD

• 12.1 Employees are wearing adequate clothing for the conditions?

  Yes

  No

  N/A

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• 12.2 There is shelter available with adequate heating?

  Yes

  No

  N/A

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13.0 GAS DETECTION

• 13.1 There is an available type four gas detector on site?

  Yes

  No

  N/A

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• 13.2 The gas detector has been bump tested, charged and working properly?

  Yes

  No

  N/A

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• 13.3 The gas detectors calibration is up-to-date and logged on registry?

  Yes

  No

  N/A

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• 13.4 All personnel are equipped with personal H2S monitors?

  Yes

  No

  N/A

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• 13.5 Workers are trained and competent in the use of the gas detector?

  Yes

  No

  N/A

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• All employees are equipped with personal H2S monitors?

  Yes

  No

  N/A

SECTION 2: ENVIRONMENTAL

14.0 NOISE AND DUST

• 14.1 Dust suppression techniques are effective at reducing dust generation to a minimum?

  Yes

  No

  N/A

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• 14.2 Workers are using adequate hearing protection around noisy operations?

  Yes

  No

  N/A

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15.0 WASTE MANAGEMENT

• 15.1 Bins are available for work site waste, recycled material, scrap, etc.?

  Yes

  No

  N/A

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• 15.2 All site areas are kept tidy with litter removed from site and disposed of appropriately?

  Yes

  No

  N/A

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• 15.3 Prescribed waste (contaminated water/soil, sharps), oils and greases and associated containers are being disposed of appropriately?

  Yes

  No

  N/A

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16.0 VEGETATION MANAGEMENT

• 16.1 All equipment and machinery cleaned before entering sites?

  Yes

  No

  N/A

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• 16.2 There is designated wash down points for vehicles and water is contained within this area?

  Yes

  No

  N/A

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17.0 HOUSE KEEPING

• 17.1 Pictures of the area are a requirement of this section.

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• 17.2 Does the environment offers a designated area for food and drink consumption out of the work area?

  Yes

  No

  N/A

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• 17.3 Are all water coolers sealed and labeled with a date of liquid fill?

  Yes

  No

  N/A

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• Comments

18.0 WORK AREA SAFETY DRIVEN

• 18.1 O to 5 you have observed behavior and/or questioned personnel and decided the work area is Production Driven. 6-10 is you have observed behavior and/or questioned personnel and decided the work area is Safety Driven

• Select date

  Date

• Comments

• Person In Charge Signature

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• Facilitator Signature

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