Allen Roofing & Siding

• Audit Title

• Development / Subdivision

• Lot Number(s)

• Conducted on

  Date

• Prepared by

• Builder

• Subcontractor

ROSSI Partnership Items

• Housekeeping & Sanitation

  Yes

  No

  N/A

• Walking & Working Surfaces/Slips/ Trips/Falls

  Yes

  No

  N/A

• Materials Handling, Storage, & Disposal

  Yes

  No

  N/A

• Hand, Power & Powder Actuated Tools

  Yes

  No

  N/A

• Electrical, Wiring/Cords, Temporary Power

  Yes

  No

  N/A

• Scaffolding

  Yes

  No

  N/A

• Fall Protection & Prevention

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

Allen Roofing Specific

Siding

• Safety glasses worn?

  Yes

  No

  N/A

• Hard hat worn?

  Yes

  No

  N/A

• Jack stands properly installed?

  Yes

  No

  N/A

• Walk boards secure?

  Yes

  No

  N/A

• Harness used above 10'?

  Yes

  No

  N/A

• Clear access to walk boards?

  Yes

  No

  N/A

• Ladder used properly?

  Yes

  No

  N/A

• Straight ladder equipped with feet?

  Yes

  No

  N/A

• Ladder tied off when in use?

  Yes

  No

  N/A

• Guards in place on power tools?

  Yes

  No

  N/A

• GFCI protection in use?

  Yes

  No

  N/A

• Approved gas cans used?

  Yes

  No

  N/A

Roofing

• Safety glass with side shields?

  Yes

  No

  N/A

• Hard hat worn when on the ground?

  Yes

  No

  N/A

• Toe boards in place (optional)?

  Yes

  No

  N/A

• Fall protection system in use?

  Yes

  No

  N/A

• Fall protection system used properly?

  Yes

  No

  N/A

• Fall protections system inspected and in good working order?

  Yes

  No

  N/A

• Guarded openings and edges?

  Yes

  No

  N/A

• Stored materials properly stacked?

  Yes

  No

  N/A

• Spills, ice, snow cleaned up promptly?

  Yes

  No

  N/A

• Clear access to all work areas?

  Yes

  No

  N/A

• GFCI protection in use?

  Yes

  No

  N/A

• Ladders used properly?

  Yes

  No

  N/A

• Ladders are not defective?

  Yes

  No

  N/A

• Ladder 36" above roof line?

  Yes

  No

  N/A

• Straight ladder equipped with safety feet?

  Yes

  No

  N/A

• Straight ladders tied off when in use?

  Yes

  No

  N/A

• General/Additional Comments:

• Workers Present

• Inspector's Signature:

  Sign

• Superintendent/Foreman Signature:

  Sign