Information
-
Adams Robinson Job-Site
-
Adams Robinson
-
Location
-
Weather Condition
- Sunny
- Cloudy
- Rainy
- Windy
- Snowy
- Hot
- Cold
-
Temperature
- 90*-100*
- 80*- 90*
- 70*-80*
- 60*- 70*
- 50*- 60*
- 40*- 50*
- 32*- 40*
- 20*- 32*
- 0*- 20*
-
Today's Date
-
Prepared by
-
Signature
-
Draw / Sketch Here :
-
Add : Photo / Video / WebLink
Programs site planning
PRE TASK PLANNING
-
Posted / Accessible
-
Adequate Steps Listed
-
Hazards Identified
-
Controls Identified
-
Crew Participation / Signed
PROJECT PLANNING / SPECIAL PERMITS
-
Add Photo
-
Description
-
Confined Space
-
Lock Out / Tag Out
-
Hot Work
-
Lift Plan / Crane Pick
PRE TASK PLANNING
-
Posted / Accessible
-
Adequate Steps Listed
-
Hazards Identified
-
Controls Identified
-
Crew Participation / Signed
PROGRAMS / INFORMATION
-
Add Photo
-
Description
-
Have all employees been indoctrinated with respect to their individual safety responsibilities
-
Are safety meetings being held once a week?
-
Are Federal & State OSHA Safety & Health protection posters on the job?
-
Daily Inspections / Equipment
-
Safety Meetings
-
New Employee Orientations
-
Have all employees been indoctrinated with respect to their individual safety responsibilities
FIRST AID
-
Kits / Supplies
-
Visible
-
Are emergency phone numbers posted? Are first-aid supplies on the job?
-
Are first-aid trained personnel on the job? Are warning signs and posters adequate?
SITE / PUBLIC PROTECTION
-
Add Photo
-
Description
-
Access / Egress
-
Sign In Sheet / Visitor Log
-
Impalement Protection
-
Exposure Control (Dust,Mud,Ice,Snow)
-
Signs / Barricades
-
Adequate Lighting
HOUSEKEEPING
-
Add Photo
-
Description
-
Debris Removal
-
Exit / Stairs Clear
-
Cord Management
-
Nails Bent Over / Removed
ELECTRICAL
-
Add Photo
-
Description
-
Cords Protected from Damage
-
LockOut / TagOut
-
Lighting
-
Temp Power / Spider Boxes
EXCAVATION
-
Add Photo
-
Description
-
Barricades Around
-
Benching / Shoring / Sloping
-
Access / Ramps / Ladders
-
Signs on Tape
FIRE PROTECTION
-
Add Photo
-
Description
-
Extinguishers
-
Hot Work Permit
-
Fire Watch
-
Welding / Cutting Equipment
LADDERS / SCAFFOLDS / STAIRS
-
Add Photo
-
Description
-
Ladder Condition
-
Proper Set Up / Secured - Tied off
-
Safe Use / 3 Point Contact / Belt Buckle remains between uprights
-
Storage
MOBILE EQUIPMENT
-
Add Photo
-
Description
-
Crane
-
Earth Moving Equipment
-
Forklift
-
Scaffold
-
Scissor Lift
-
Boom Lift
PERSONAL PROTECTION
-
Add Photo
-
Description - Using the categories below to check needs for this site: Quantity available, condition, and usage
-
Hearing Protection
-
Glasses / Facesheild
-
Fall Protection
-
Foot Protection
-
Hand / Arm Protection
-
Hard Hats
-
Reflective Vest / Hi Viz Shirt
-
Respiratory Potection
HANDRAILS / HOLE COVERS
-
Add Photo
-
Description
-
Floor Openings / Hole Covers / Signage
-
Perimeter / Handrails / Warning Line / Barricade / Signage
RIGGING
-
Add Photo
-
Description
-
Daily Inspection / Equipment
-
Rigging Plan / Set Up
TOOLS / MATERIAL
-
Add Photo
-
Description
-
Proper Use of Tools
-
Guarded / Secured While Cutting
-
Stored Orderly
CHEMICAL MANAGEMENT
-
Add Photo
-
Description
-
MSDS / Labeling
-
Storage / Disposal
Behavioral Observations
-
Unsafe behaviors observed - Actions taken to correct & prevent reoccurrence
-
Safe behaviors observed - Actions taken to encourage safe behavior
