ACE Safety Report 1.2

• Location Of Job
  Address

• Prepared by

• Other Personal Attending Inspection

• Site Supervisor
  Address

Signage

• OSHA Poster

  Compliant

  Non-Compliant

  N/A

• Safety Rules Posted

  Compliant

  Non-Compliant

  N/A

• Emergency Evacuation Instruction and Emergency Contacts

  Compliant

  Non-Compliant

  N/A

Regulatory and/or Company Required Documentaion

• Daily JHA Completed

  Compliant

  Non-Compliant

  N/A

• Weekly Tool Box Completed

  Compliant

  Non-Compliant

  N/A

• Equipment Inspection Checklist Completed

  Compliant

  Non-Compliant

  N/A

• Tailgate Meeting Current

  Compliant

  Non-Compliant

  N/A

• Scaffold Permit

  Compliant

  Non-Compliant

  N/A

• Demolition Permit

  Compliant

  Non-Compliant

  N/A

• Hot Work Permit

• Annual Trenching Permit and Daily Inspection

  Compliant

  Non-Compliant

  N/A

• Confined Space Assessment and/or Permit

  Compliant

  Non-Compliant

  N/A

• Heat Illness Prevetion Form

  Compliant

  Non-Compliant

  N/A

• Copy Of HSE & SDS Books (Paper or Electronic Copy)

  Compliant

  Non-Compliant

  N/A

Ladder Safety - Inspection & Usage

• Ladder Usage

  Safe

  At Risk

  N/A

• Housekeeping

  Yes

  No

  N/A

PPE

• Hard Hats

  Compliant

  Non-Compliant

  N/A

• Vests

  Compliant

  Non-Compliant

  N/A

• ANZI Z87.1 Safety Glasses (Not Sun Glasses)

  Compliant

  Non-Compliant

  N/A

• Hand Protection Correct for task

  Compliant

  Non-Compliant

  N/A

• Hearing Protection

  Compliant

  Non-Compliant

  N/A

• Respiratory Protection

  Compliant

  Non-Compliant

  N/A

• Welding PPE

  Compliant

  Non-Compliant

  N/A

Fall Prevention

• Compliant

  Non-Compliant

  N/A

Scaffold Safety

• Compliant

  Non-Compliant

  N/A

Confined Space Safety

• Compliant

  Non-Compliant

  N/A

Electrical Safety

• Compliant

  Non-Compliant

  N/A

Job Site Housekeeping

• Yes

  No

  N/A

Trip & Fall Hazards

• Yes

  No

  N/A

Tool, Equipment & Machiner Safety

• Yes

  No

  N/A

Storm Water Pollution Prevention

• Yes

  No

  N/A

Steel Erection Process

• Yes

  No

  N/A