Information
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Client / Site
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Conducted on
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Prepared by
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Location
General Work Environment
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Are all work area clean and dry?
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Trash removed daily?
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Are aisles, walkways, doorways, and exit routes kept clear and unobstructed?
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Are toilets and washing facilities provide, kept clean, and safe?
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Are all MSDS on site in an area that is readily accessible to all employees?
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Are measures in place to protect the public from exposure to work activities and equipment?
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Are required postings readily available to all employees in the workplace?
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Are monthly and weekly "tool box" safety meetings held and documented with sign in sheets? Was a copy forwarded to the safety department?
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Was a SWMP audit done? BMP's are adequate and are in place?
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Is material piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, rolling, or spreading?
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Comments:
First Aid and Emergency Equipment
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Are emergency telephone numbers and Muster point posted on the job site?
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Are first aid kits easily accessible, inspected, and stocked at least monthly?
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Are there any exit doors that open into streets or other high traffic areas? Are adequate warnings provided to alert employees of the hazard?
Fire Protection and Prevention
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Is there at lease one ABC fire extinguisher for every 3000 sq ft of work area?
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Are fire extinguishers clearly visible and unobstructed at all times?
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Are fire extinguishers inspected monthly for proper tags, pins, hoses not cracked or plugged, fully charged, and tags up to date?
Fall Protection
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Are holes and other floor openings guarded by a grate, cover, guardrail, or equivalent on all sides (except at entrances to stairways or ladders)?
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Are there stairrails or handrails on all stairways having four or more steps?
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Are railings provided on ramps?
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Do all elevated surfaces have guardrails at least 42 inches high?
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Are all elevated surfaces equipped with a safe means of access?
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Are fall protection harnesses and lanyards used by every employee working 6 feet or higher above the ground or on steeply pitched roofs, 6/12 or greater?
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Are fall protection harnesses and lanyards a minimum of 1/2 inch nylon or equivalent, and short enough to prevent employees from falling more than 6 ft?
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Are lifelines (lanyards) secure above the point of operation to an anchor point that will withstand 5,000 pounds of force for each attached worker?
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Are harness, lanyards, and other fall protection equipment inspected prior to use?
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Where a job site has protruding steel rebar below the work level, are the steel rebar protected by covers to prevent impaled injuries?
Portable Ladders
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Are all ladders maintained in good condition and inspected before each use? Are broken and defective ladders taken out of service immediately?
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Are ladders being used for their designed purpose only? (Step ladders/Extension ladders)
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Are ladders being used beyond their maximum intended load?
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Are ladder rungs/steps slip-resistant and free of dirt, grease, oil, ice, snow, etc?
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Are employees facing the ladder when climbing up and down?
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Are employees standing below the top 2 steps when using step ladders?
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When ladders are used to gain access to elevated platforms, does the ladder always extend at least 3 feet above the elevated surface, and secured properly?
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Are ladders placed on dry, stable footing, and properly secured?
Materials - Handling, Storage, Use, and Disposal
Scaffolding
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Are scaffolds set up on level, stable ground with dry footings?
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Has the scaffold been assembled and inspected by a competent person?
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Was the scaffold inspected prior to use and scaffold tag properly filled out?
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Do all scaffolds higher than 4 feet have 42 inch high guardrails and mid rails halfway between the top and platform?
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Are scaffolds in good working condition with no damage or missing parts?
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Do all planks on scaffolds fit tightly with no open spaces between boards?
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Where planks are overlapped are they lapped over the supports?
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Do all scaffold planks extend 6-18" beyond the end of the scaffold frame?
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Are all ladders or stairs used to access scaffolds either tied or welded to the scaffolds for safe access? Are ladders positioned to provide direct access?
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Are materials being stockpiled on scaffold? Are all materials removed from scaffold at the end of the day?
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Are open sides of scaffold less than 14 inches from the face of the work?
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Are platforms of 10 feet or less extending over their end supports no more than 12 inches?
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Are guardrails in place at the open ends of the scaffold?
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Has the movement of occupied scaffold been prohibited (unless designed by a registered professional engineer)?
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Have toeboards been installed to prevent falling objects?
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Is "X" bracing installed on the ends of the scaffold and every third set of post horizontally and every forth runner vertical?
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Are all pins installed where required and locked?
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Are castors locked during use?
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Are castors pinned into the frames or adjustment screws?
Electrical
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Are all cord-connected, electrically-operated tools and equipment double insulated or effectively grounded?
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Are ground-fault circuit interrupters provided on all temporary electrical circuits?
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Are all electrical rooms/panels secured and have proper signage?
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Do all extension cords have 3-prong plugs and all 3 prongs intact?
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Are all electrical cords inspected and in good working condition (i.e. no splices, frays, or the ground prong is removed)?
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Are extension cords a No. 12 or larger gauge and properly marked?
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Where electrical cords must cross roads, driveways, or walkways, are they protected by solid, weather-resistant bridges to prevent damage to the cords?
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Are multiple plug adapters (octopus plugs) prohibited?
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Are electrical circuits and equipment shut off, de-energized, and locked out before equipment installation, repairs, maintenance, or servicing?
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Are unused switches, receptacles, and junction boxes covered with tight-fitting covers or plates
Power-Actuated Tools / Hand and Power Tools
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Are employees who operate power actuated tools properly trained and carry a valid operator's card?
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Are power actuated tools inspected for obstructions or defects before use?
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Are all tools maintained in safe condition?
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Are damaged and defected tools removed from service and repaired or replaced as soon as the damage or defect is found?
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Are grinders, saws, and other tools with moving parts, equipped with appropriate safety guards to prevent physical contact with moving parts?