Airco Job Site Inspection Checklist

DAILY SITE SAFETY INSPECTION CHECKLIST

• Document No.

• Conducted on

  Date

• Job Name and Number

  Select 14-0465 Kaiser Flats AHU-12 14-0482 Monsanto Building 12 14-0481 Kaiser Flats OR Lights 13-0297 942 Mission

  • 14-0465 Kaiser Flats AHU-12
  • 14-0482 Monsanto Building 12
  • 14-0481 Kaiser Flats OR Lights
  • 13-0297 942 Mission

• Completed by:

  Select Rick Axel Perron Bryan O'Mara Mike Rikel Steve Bacci

  • Rick
  • Axel Perron
  • Bryan O'Mara
  • Mike Rikel
  • Steve Bacci
• Location
  Address

• Add signature

  Sign

1 - Site Documentation, Assessment & Permits:

• 1.1 - Are Emergency Procedures posted and up to date?

  Yes

  No

  N/A

• 1.2 - Are all JSA's posted

  Yes

  No

  N/A

• 1.3 - Are proper permits obtained and in place? (hot work, fall protection plan)

  Yes

  No

  N/A

• 1.4 - Is Fire Protection Equipment inspected and in place?

  Yes

  No

  N/A

• 1.5 - Is First Aid / Emergency Equipment in place?

  Yes

  No

  N/A

2 - The Site Workers:

• 2.1 - Is PPE in good order and being worn by workers?

  Yes

  No

  N/A

• Are all workers wearing hard hats?

  Yes

  No

  N/A

• Are all workers wearing gloves and sleeves as required?

  Yes

  No

  N/A

• Are all workers wearing safety toe shoes

  Yes

  No

  N/A

• Are all workers using proper hearing protection

  Yes

  No

  N/A

• 2.2 - Are orientation stickers visible on workers hardhats?

  Yes

  No

  N/A

• 2.3 - Are all workers wearing issued visible badges?

  Yes

  No

  N/A

3 - Site Appearance:

• 3.1 - Is the job site kept neat and free of housekeeping issues?

  Yes

  No

  N/A

• 3.2 - Are identified exits and aisles kept clear?

  Yes

  No

  N/A

• 3.3 - Is the site free of Slip/Trip/Fall issues?

  Yes

  No

  N/A

• 3.4 - Is there proper signage and barricades in place?

  Yes

  No

  N/A

• 3.5 - Are required hand rails secured and in place?

  Yes

  No

  N/A

• 3.6 - Is there sufficient lighting to conduct tasks?

  Yes

  No

  N/A

• 3.7 - Is there proper ventilation for heaters, etc?

  Yes

  No

  N/A

4 - Site Materials:

• 4.1 - Is product MSDS documentation available on site?

  Yes

  No

  N/A

• 4.2 - Are material storage areas identified and in place?

  Yes

  No

  N/A

• 4.3 - Are hazardous materials stored properly?

  Yes

  No

  N/A

• 4.4 - Are issues regarding spill potential identified?

  Yes

  No

  N/A

• 4.5 - Are compressed gas cylinders secured and stored properly?

  Yes

  No

  N/A

• 4.6 - Are flammable items handled properly?

  Yes

  No

  N/A

• 4.7 - Are all containers properly labeled

  Yes

  No

  N/A

5 - Site Tools:

• 5.1 - Are hand/power tools inspected and used properly?

  Yes

  No

  N/A

• 5.2 - Are tool and equipment guards in place?

  Yes

  No

  N/A

• 5.3 - Do live electrical panels consist of GFCI's and are they used properly?

  Yes

  No

  N/A

• 5.4 - Do all ladders have current inspection stickers

  Yes

  No

  N/A

6 - Site Equipment:

• 6.1 - Have machines been inspected as per company policy?

  Yes

  No

  N/A
Scissor lift inspection

• Lift number

• Lift model

• Are controls working properly

  Yes

  No

  N/A

• Is the equipment in good mechanical condition

  Yes

  No

  N/A

• 6. 2 - Are safety issues regarding cranes/heavy equipment dealt with?

  Yes

  No

  N/A

7 - Elevated Work Environments:

• 7.1 - Are overhead hazards identified and controlled?

  Yes

  No

  N/A

• 7.2 - Are proper hoisting techniques and rigging followed?

  Yes

  No

  N/A

• 7.3 - Are workers following working-at-heights protocols and procedures?

  Yes

  No

  N/A

• 7.4 - Are All employees properly trained in fall protection?

  Yes

  No

  N/A

• 7.5 - Is the scaffolding on site properly assembled? (including pins, bracing, decking, sill plates and tags)

  Yes

  No

  N/A

• 7.6 - Are ladders on site braced and rated properly for construction use? (type 1 or 1A)

  Yes

  No

  N/A

• 7.7 - Are all tasks being done under APPROVED JSA?

  Yes

  No

  N/A

8 - Below Grade Work Environments:

• 8.1 - Are openings marked and securely protected?

  Yes

  No

  N/A

• 8.2 - Are trenches/excavations protected, sloped and have proper access/egress?

  Yes

  No

  N/A

• 8.3 - Are underground hazards marked and have a valid first call in place? (valid for 14 days)

  Yes

  No

  N/A

• 8.4 - Is Confined Space protocols followed?

  Yes

  No

  N/A

• 8.5 - Are excavation areas properly protected for other site personnel? (i.e warning tape, guard rails, etc.)

  Yes

  No

  N/A

Corrective Actions Required:

• Are there any action items that are developed from this inspection?

Action items

• Describe the action required:

• Who is responsible for this action?

• What is the due date for this item?

Comments:

• Inspection Member #1

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