ADCO Site Safety Inspection Report Rev2

• ADCO Site Safety Inspection Report

  Select

• Document No.

• Client / Site

• Conducted on

  Date

• Contractor Being Inspected

• Prepared by

• Location
  Address

• Personnel

• An audit is a snapshot in time. Auditors will draw conclusions on the compliance status of the facility based on conditions observed and information provided by facility staff during the period of time the auditors are on site. Auditors are not responsible, nor can they be held accountable for activities, conditions, operations, actions or failure of actions by facility staff that may occur or not occur after the auditors leave the facility. Auditors shall not be held liable for any fines, penalties, or other sanctions that may be assessed against the audited facility by any state, county, city, or other local regulatory authority for any findings reported by the auditors in the audit report.

JOB INFORMATION

• Emergency phone numbers posted?

  Yes

  No

  N/A

• Job Safety Analysis Completed Daily?

  Yes

  No

  N/A

• Work areas properly signed and barricaded?

  Yes

  No

  N/A

ELECTRICAL

• Extension wires with bare wires or missing ground prongs taken out of service?

  Yes

  No

  N/A

• Ground fault interrupters being used?

  Yes

  No

  N/A

• Terminal boxes equipped with required covers?

  Yes

  No

  N/A

FALL PROTECTION

• Are employee(s) using fall Protection?

  Select

• Have employees inspected their fall protection before use?

  Yes

  No

  N/A

• Safety rails and cables secured properly?

  Yes

  No

  N/A

• Safety harnesses worn properly?

  Yes

  No

  N/A

• Employees exposed to fall hazards tied off?

  Yes

  No

  N/A

• Employees below protected from falling objects?

  Yes

  No

  N/A

FIRE PREVENTION

• Adequate fire extinguishers, checked and accessible?

  Yes

  No

  N/A

• Phone no. of Fire Department posted?

  Yes

  No

  N/A

• "No Smoking" posted and enforced near flammables?

  Yes

  No

  N/A

FLOOR & WALL OPENINGS

• All floor openings planked over or barricaded?

  Yes

  No

  N/A

• Perimeter protection in place?

  Yes

  No

  N/A

• Deck planks secure?

  Yes

  No

  N/A

• Materials stored away from edge?

  Yes

  No

  N/A

HAND and POWER TOOLS

• Are Hand and Power Tools in use?

  Yes

  No

  N/A

• Hand tools inspected regularly?

  Yes

  No

  N/A

• Guards in place on machines?

  Yes

  No

  N/A

• Correct tool being used for job at hand?

  Yes

  No

  N/A

HOUSEKEEPING

• Work areas neat?

  Yes

  No

  N/A

• Projecting nails or screws bent over or removed?

  Yes

  No

  N/A

• Waste containers provided and used?

  Yes

  No

  N/A

• Are passageways and walkways clear of slip, trip, and fall hazards?

  Yes

  No

  N/A

• Cords and leads off the floor?

  Yes

  No

  N/A

LADDERS

• Are ladder(s) in use?

  Select

• Are Ladders inspected before use?

  Yes

  No

  N/A

• Ladders extended at least 36" above landing?

  Yes

  No

  N/A

• Ladders are secure to prevent slipping, sliding or falling?

  Yes

  No

  N/A

• Ladders with split or missing rungs taken out of service?

  Yes

  No

  N/A

• Stepladders used in fully open position?

  Yes

  No

  N/A

• No step at top two rungs of stepladder?

  Yes

  No

  N/A

MATERIAL HANDLING

• Materials properly stored or stacked?

  Yes

  No

  N/A

• Employees using proper lifting techniques?

  Yes

  No

  N/A

• Tag lines used to guide loads?

  Yes

  No

  N/A

• Proper number of workers for each operation?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Hard hats being worn?

  Yes

  No

  N/A

• Safety glasses being worn?

  Yes

  No

  N/A

• Respirators used when required? Proper respirator documentation available?

  Yes

  No

  N/A

• Hearing protection being worn when required?

  Yes

  No

  N/A

• Traffic vests or high visibility clothing material being worn?

  Yes

  No

  N/A

SCAFFOLDING

• Is Scaffolding in use?

  Select

• All scaffolding inspected daily?

  Yes

  No

  N/A

• Erected on sound rigid footing?

  Yes

  No

  N/A

• Tied to structure as required?

  Yes

  No

  N/A

• Guardrails, intermediate rails, toe boards and screens in place?

  Yes

  No

  N/A

• Planking is sound and sturdy?

  Yes

  No

  N/A

• Proper access provided?

  Yes

  No

  N/A

• Employees below protected from falling objects?

  Yes

  No

  N/A

WELDING AND BURNING

• Is welding and burning occurring on the project?

  Select

• Hot Work Permit Completed?

  Yes

  No

  N/A

• Fire Watch has been assigned? Shall be on site for a minimum of 30 minutes after completion. Confirm with client if additional time is required.

  Yes

  No

  N/A

• Fire extinguishers readily available?

  Yes

  No

  N/A

• Gas cylinders stored upright?

  Yes

  No

  N/A

• Proper separating distances between fuels & oxygen?

  Yes

  No

  N/A

• Goggles or shields used?

  Yes

  No

  N/A

• Hoses in good condition?

  Yes

  No

  N/A

• Superintendent/Supervisor

  Sign