Information
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Perimeter Site Photo
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Client
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Client Location
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Client Store Number
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Client Manager Name
Project Information
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Conducted on
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Assessor
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Project Name
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Project Quicksite Number
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Apex PM
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Subcontractor #1
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Subcontractor #1 Foreman
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Subcontractor #2
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Subcontractor #2 Foreman
Field Safety & Compliance Inspection
Job Postings
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Job Specific Emergency Numbers Posted/Available onsite?<br><br>1926.50(f)(1), 1926.50(f)(2)(ii) - In areas where 911 emergency<br>dispatch services are not available, or where communication<br>systems do not provide emergency dispatchers with<br>coordinates, the telephone numbers of the physicians,<br>hospitals, or ambulances shall be conspicuously posted with<br>the latitude and longitude or physical address of the worksite.
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OSHA/Labor Law (all-in-one) poster displayed on site?<br><br>1903.2(a)(1) Each employer shall post and keep posted a notice<br>or notices, to be furnished by the Occupational Safety and<br>Health Administration, U.S. Department of Labor, informing<br>employees of the protections and obligations provided for in<br>the Act, and that for assistance and information, including<br>copies of the Act and of specific safety and health standards,<br>employees should contact the employer or the nearest office<br>of the Department of Labor. Such notice or notices shall be<br>posted by the employer in each establishment in a<br>conspicuous place or places where notices to employees are<br>customarily posted. Each employer shall take steps to ensure<br>that such notices are not altered, defaced, or covered by other<br>material.
Safety Program
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Crew is familiar with Company Safety Program/Manual?<br><br>1926.20 (b) - Accident Prevention Responsibilities.<br>1926.20(b)(1) - It shall be the responsibility of the employer to initiate and maintain such programs as may be necessary to comply with this part.
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Emergency Action Plan has been developed for the project<br>and is available onsite?<br><br>1926.35(a) - The emergency action plan shall be in writing and<br>shall cover those designated actions employers and<br>employees must take to ensure employee safety from fire and other emergencies.
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Hazard Assessment (ex. JHA, JSA, AHA, or equivalent) has been<br>documented for the job tasks?<br><br>1910.132(d)(2) - The employer shall verify that the required<br>workplace hazard assessment has been performed through a<br>written certification that identifies the workplace evaluated;<br>the person certifying that the evaluation has been performed;<br>the date(s) of the hazard assessment; and, which identifies<br>the document as a certification of hazard assessment.
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Job-specific safety data sheets in a binder and with a current<br>index?<br><br>1910.1200(g)(8) - The employer shall maintain in the workplace<br>copies of the required safety data sheets for each hazardous<br>chemical, and shall ensure that they are readily accessible<br>during each work shift to employees when they are in their<br>work area(s).
Training Documents
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Safety Training Records/Certifications are documented and<br>available onsite?<br><br>1926.20 - Training. Standards in this part requiring training on<br>hazards and related matters, such as standards requiring that<br>employees receive training or that the employer train<br>employees, provide training to employees, or institute or<br>implement a training program, impose a separate compliance<br>duty with respect to each employee covered by the<br>requirement. The employer must train each affected<br>employee in the manner required by the standard, and each<br>failure to train an employee may be considered a separate violation.
Welfare & Medical Services 1926.50
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Potable drinking water available?<br><br>1926.51(a)(1) - An adequate supply of potable water shall be<br>provided in all places of employment.
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Certified CPR and First Aid representative onsite?<br><br>1926.50(c) - In the absence of an infirmary, clinic, hospital, or<br>physician, that is reasonably accessible in terms of time and<br>distance to the worksite, which is available for the treatment<br>of injured employees, a person who has a valid certificate in firstaid<br>training from the U.S. Bureau of Mines, the American<br>Red Cross, or equivalent training that can be verified by<br>documentary evidence, shall be available at the worksite to<br>render first aid.
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First aid kit accessible and properly identified?<br><br>1926.50(d)(1) - First aid supplies shall be easily accessible when<br>required.
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Suitable eyewash kit or station onsite?<br><br>1926.50(g) - Where the eyes or body of any person may be<br>exposed to injurious corrosive materials, suitable facilities for<br>quick drenching or flushing of the eyes and body shall be<br>provided within the work area for immediate emergency use.
Housekeeping 1926.25
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Garbage and debris regularly removed from site?<br><br>1926.25(a) - During the course of construction, alteration, or<br>repairs, form and scrap lumber with protruding nails, and all<br>other debris, shall be kept cleared from work areas,<br>passageways, and stairs, in and around buildings or other<br>structures.<br>1926.25(b) - Combustible scrap and debris shall be removed at<br>regular intervals during the course of construction. Safe<br>means shall be provided to facilitate such removal.
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Passageways &walkways clear?<br><br>1926.25(a) - During the course of construction, alteration, or<br>repairs, form and scrap lumber with protruding nails, and all<br>other debris, shall be kept cleared from work areas,<br>passageways, and stairs, in and around buildings or other<br>structures.<br>1926.25(b) - Combustible scrap and debris shall be removed at<br>regular intervals during the course of construction. Safe<br>means shall be provided to facilitate such removal.
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Waste containers provided, used, & emptied when full?<br><br>1926.25(c) - Containers shall be provided for the collection and<br>separation of waste, trash, oily and used rags, and other<br>refuse. Containers used for garbage and other oily,<br>flammable, or hazardous wastes, such as caustics, acids,<br>harmful dusts, etc. shall be equipped with covers. Garbage<br>and other waste shall be disposed of at frequent and regular<br>intervals.
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Projecting nails or screws bent over or removed?<br><br>1926.25(a) - During the course of construction, alteration, or<br>repairs, form and scrap lumber with protruding nails, and all<br>other debris, shall be kept cleared from work areas,<br>passageways, and stairs, in and around buildings or other<br>structures.<br>1926.25(b) - Combustible scrap and debris shall be removed at<br>regular intervals during the course of construction. Safe<br>means shall be provided to facilitate such removal.
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Cords & leads off the floor?<br><br>1926.416(b)(2) - Working spaces, walkways, and similar<br>locations shall be kept clear of cords so as not to create a<br>hazard to employees.
Material Handling 1926.250
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Materials properly stored or stacked?<br><br>1926.250(a)(1) - All materials stored in tiers shall be stacked,<br>racked, blocked, interlocked, or otherwise secured to prevent<br>sliding, falling or collapse.
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Chemicals are be used as directed by manufacture, stored<br>properly and labeled?<br><br>1910.1200(a)(2) - This occupational safety and health standard<br>is intended to address comprehensively the issue of<br>classifying the potential hazards of chemicals, and<br>communicating information concerning hazards and<br>appropriate protective measures to employees, and to<br>preempt any legislative or regulatory enactments of a state,<br>or political subdivision of a state, pertaining to this subject.<br>Classifying the potential hazards of chemicals and<br>communicating information concerning hazards and<br>appropriate protective measures to employees, may include,<br>for example, but is not limited to, provisions for: developing<br>and maintaining a written hazard communication program<br>for the workplace, including lists of hazardous chemicals<br>present; labeling of containers of chemicals in the workplace,<br>as well as of containers of chemicals being shipped to other<br>workplaces; preparation and distribution of safety data sheets<br>to employees and downstream employers; and development<br>and implementation of employee training programs regarding hazards of chemicals and protective measures.<br>Under section 18 of the Act, no state or political subdivision of<br>a state may adopt or enforce any requirement relating to the<br>issue addressed by this Federal standard, except pursuant to a<br>Federally-approved state plan.
Fire Prevention 1926.150
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Are fire extinguishers in place as required?<br><br>1926.150(c)(1)(i) - A fire extinguisher, rated not less than 2A, shall<br>be provided for each 3,000 square feet of the protected<br>building area, or major fraction thereof. Travel distance from<br>any point of the protected area to the nearest fire<br>extinguisher shall not exceed 100 feet.<br>1926.150(c)(1)(iv) -One or more fire extinguishers, rated not<br>less than 2A, shall be provided on each floor. In multistory<br>buildings, at least one fire extinguisher shall be located<br>adjacent to the stairway.
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Fire Extinguishers inspected as required and accessible?<br><br>1926.150(a)(4) - All firefighting equipment shall be periodically<br>inspected and maintained in operating condition. Defective<br>equipment shall be immediately replaced.
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Are fire sprinklers maintained?<br><br>1926.150(d)(1)(ii)<br>During demolition or alterations, existing automatic sprinkler installations shall be retained in service as long as reasonable. The operation of sprinkler control valves shall be permitted only by properly authorized persons. Modification of sprinkler systems to permit alterations or additional demolition should be expedited so that the automatic protection may be returned to service as quickly as possible. Sprinkler control valves shall be checked daily at close of work to ascertain that the protection is in service
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Fuels properly stored?<br><br>1926.152(a)(1)<br>Only approved containers and portable tanks shall be used for storage and handling of flammable liquids. Approved safety cans or Department of Transportation approved containers shall be used for the handling and use of flammable liquids in quantities of 5 gallons or less, except that this shall not apply to those flammable liquid materials which are highly viscid (extremely hard to pour), which may be used and handled in original shipping containers. For quantities of one gallon or less, the original container may be used, for storage, use and handling of flammable liquids.<br>1926.152(a)(2) - Flammable liquids shall not be stored in areas used for exits, stairways, or normally used for the safe passage of people.<br>1926.152(b)(1) - No more than 25 gallons of flammable liquids shall be stored in a room outside of an approved storage cabinet.<br>1926.152(b)(2)<br>Quantities of flammable liquid in excess of 25 gallons shall be stored in an acceptable or approved cabinet meeting the following requirements:<br>1926.152(b)(2)(i)<br>Acceptable wooden storage cabinets shall be constructed in the following manner, or equivalent: The bottom, sides, and top shall be constructed of an exterior grade of plywood at least 1 inch in thickness, which shall not break down or delaminate under standard fire test conditions. All joints shall be rabbeted and shall be fastened in two directions with flathead wood screws. When more than one door is used, there shall be a rabbeted overlap of not less than 1 inch. Steel hinges shall be mounted in such a manner as to not lose their holding capacity due to loosening or burning out of the screws when subjected to fire. Such cabinets shall be painted inside and out with fire retardant paint.<br>1926.152(b)(2)(ii)<br>Approved metal storage cabinets will be acceptable.<br>1926.152(b)(2)(iii)<br>Cabinets shall be labeled in conspicuous lettering, "Flammable-Keep Away from Open Flames."
Personal Protective Equipment 1926 Subpart E
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Are workers wearing proper work attire (pants, high visibilty shirts/vests, & boots)?
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Are workers wearing hearing protection?<br><br>1926.101(a)<br>Wherever it is not feasible to reduce the noise levels or duration of exposures to those specified in Table D-2, Permissible Noise Exposures, in § 1926.52, ear protective devices shall be provided and used.<br>1926.101(b)<br>Ear protective devices inserted in the ear shall be fitted or determined individually by competent persons.<br>1926.101(c)<br>Plain cotton is not an acceptable protective device.<br><br>Table D-2 - Permissible Noise Exposures<br>Duration per day, hours | Sound level dBA slow response<br>8 | 90<br>6 | 92<br>4 | 95<br>3 | 97<br>2 | 100<br>1½ | 102<br>1 | 105<br>½ | 110<br>¼ or less | 115
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Do workers have hearing protection available on site?
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Do workers have hearing protection available on site?
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Are workers wearing dust masks?
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Do workers have dust masks available on site?
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Do workers have dust masks available on site?
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Are workers wearing proper hand protection?<br><br>1910.138(a) - General requirements. Employers shall select and<br>require employees to use appropriate hand protection when<br>employees' hands are exposed to hazards such as those from<br>skin absorption of harmful substances; severe cuts or<br>lacerations; severe abrasions; punctures; chemical burns;<br>thermal burns; and harmful temperature extremes.
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Do workers have proper hand protection available on site?
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Do workers have proper hand protection available on site?
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Are workers wearing proper eye protection?<br><br>1926.102(a)(1) - Employees shall be provided with eye and face<br>protection equipment when machines or operations present<br>potential eye or face injury from physical, chemical, or<br>radiation agents.<br>1926.102(b)(1) - Protective eye and face<br>protection devices must comply with any of the ANSI Z87.1<br>impact rating standards and be marked accordingly.
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Do the workers have proper eye protection available on site?
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Do the workers have proper eye protection available on site?
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Are workers wearing hard hats?<br><br>1926.100(a) - Employees working in areas where there is a<br>possible danger of head injury from impact, or from falling or<br>flying objects, or from electrical shock and burns, shall be<br>protected by protective helmets.
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Do the workers have hard hats available on site?
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Do the workers have hard hats available on site?
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Are other PPE required for job?
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Which type of PPE is also required?
Barricades & Warnings Signs 1926.200
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Warning signs and barricades are erected based on the type of hazard?<br><br>1926.200(b)(1) - Danger signs shall be used only where an immediate hazard exists.<br>1926.200(c)(1) - Caution signs shall be used only to warn against potential hazards or to caution against unsafe practices.<br>1926.200(g)(1) - At points of hazard, construction areas shall be posted with legible traffic control signs and protected by traffic control devices.<br>1926.1424(a)(2)(ii) - Erect and maintain control lines, warning lines, railings or similar barriers to mark the boundaries of the hazard areas. Exception: When the employer can demonstrate that it is neither feasible to erect such barriers on the ground nor on the equipment, the hazard areas must be clearly marked by a combination of warning signs (such as "Danger--Swing/Crush Zone") and high visibility markings on the equipment that identify the hazard areas. In addition, the employer must train each employee to understand what these markings signify.<br>1926.502(g)(1) - When used to control access to areas where leading edge and other operations are taking place the controlled access zone shall be defined by a control line or by any other means that restricts access.<br>1910.335(b)(2) - Barricades. Barricades shall be used in conjunction with safety signs where it is necessary to prevent or limit employee access to work areas exposing employees to uninsulated energized conductors or circuit parts. Conductive barricades may not be used where they might cause an electrical contact hazard.
Fall Protection 1926.500
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Fall protection required?
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Is fall protection available if needed?
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Is the individual wearing fall protection?
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Is the individual trained in fall protection?
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Is the individual certified in fall protection?
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Does the employer have proper documentation of the certified individual upon request?
Hand, Power, Pneumatic, & Powder Actuated Tools 1926.300
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Correct tool being used for job at hand?
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Guards and handles in place on machines and tools?<br><br>1926.300(b)(1) - When power-operated tools are designed to accommodate guards, they shall be equipped with such guards when in use.
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Hand and Power tools inspected regularly and free of damage?
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Power tools properly grounded?<br><br>1926.302(a)(1) - Electric power operated tools shall either be of the approved double-insulated type or grounded in accordance with Subpart K of this part.
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Are pneumatic power tools used?
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Are the pneumatic power tools properly secured and have safety devices applied on the muzzle to prevent the tool from ejecting fasteners, unless the muzzle is in contact with the work surface?
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Are powder actuated tools used?
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Operators of powder actuated tools trained?<br><br>1926.302(e)(1) - Only employees who have been trained in the operation of the particular tool in use shall be allowed to operate a powder-actuated tool.<br>1926.302(e)(11)<br>All tools shall be used with the correct shield, guard, or attachment recommended by the manufacturer.
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Powder actuated tools stored properly when not in use?<br><br>1926.302(e)(5)<br>Tools shall not be loaded until just prior to the intended firing time. Neither loaded nor empty tools are to be pointed at any employees. Hands shall be kept clear of the open barrel end.<br>1926.302(e)(6) - Loaded tools shall not be left unattended.
Ladders 1926.1050
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Are ladders being used on site?
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Which type of ladder is being used?
- A-Frame
- Extension
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Has the ladder been inspected?
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Are the appropriate ladders being used per task?
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Are the ladders properly secured?
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Are ladders free free of defects?
Scaffolds 1926.450
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Is scaffolding used on site?
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Are the scaffold erectors trained?
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Is the scaffold inspected by a competent person?
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Are scaffold users trained?
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Are guardrails adequately installed?
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Is the scaffold stable?
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Is the scaffold free of debris, trip, and fall hazards?
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Is the access to the scaffold adequate?
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Are tools and/or materials properly hoisted?
Mobile Powered Scaffolds (Scissor Lifts) 1926.452(W)
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Scissor lifts being operated on site?
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Was the scissor lift inspected by a competent person?
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Does the employer have proper documentation of the individual that inspected the scissor lift?
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Was the individual operating the scissor lift trained to operate the scissor lift?
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Was the individual operating the scissor lift authorized to operate the scissor lift?
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Does the employer have proper training/certification documents of the individual operating the scissor lift?
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Is the scissor lift stabilized?
Ariel Lifts 1926.453
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Are ariel lifts being used on site?
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Which type of ariel lift's are being used?
- Scissor Lift
- Articulate Man Lift
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Is the individual trained to operate the ariel lift?
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Is the individual authorized to operate the ariel lift?
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Is fall protection donned?
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Is the individual compliant with the manufacturer tie-off point?
Powered Industrial Trucks (Forklifts) 1910.178
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Forklifts being operated on site?
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Is the individual trained to operate the forklift?
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Was the individual authorized to operate the forklift?
Electrical 1926.400
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Is there a LOTO system in place?<br><br>1926.417(a)<br>Controls. Controls that are to be deactivated during the course of work on energized or deenergized equipment or circuits shall be tagged.<br>1926.417(b)<br>Equipment and circuits. Equipment or circuits that are deenergized shall be rendered inoperative and shall have tags attached at all points where such equipment or circuits can be energized.<br>1926.417(c)<br>Tags. Tags shall be placed to identify plainly the equipment or circuits being worked on.
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Are electrical cords being used?
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Are electrical cords damaged or frade?<br><br>1926.416(e)(1) - Worn or frayed electric cords or cables shall not be used.
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Have they been red tagged and removed from service?
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Are extension cords compliant with ground assurance?
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Are workers using GFCI's?<br><br>1926.404(b)(1)(ii) - Ground-fault circuit interrupters. All 120-volt, single-phase 15- and 20-ampere receptacle outlets on construction sites, which are not a part of the permanent wiring of the building or structure and which are in use by employees, shall have approved ground-fault circuit interrupters for personnel protection.
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Are panels sealed?
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Are panels and breakers labeled?
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Are lead lines and extension chords protected?
Trenching & Excavation 1926.650
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Are there any trenching and/or excavations on site?<br><br>Competent person - means one who is capable of identifying existing and predictable hazards in the surroundings, or working conditions which are unsanitary, hazardous, or dangerous to employees, and who has authorization to take prompt corrective measures to eliminate them.<br>Excavation - means any man-made cut, cavity, trench, or depression in an earth surface, formed by earth removal.<br>Trench (Trench excavation) - means a narrow excavation (in relation to its length) made below the surface of the ground. In general, the depth is greater than the width, but the width of a trench (measured at the bottom) is not greater than 15 feet (4.6 m). If forms or other structures are installed or constructed in an excavation so as to reduce the dimension measured from the forms or structure to the side of the excavation to 15 feet (4.6 m) or less (measured at the bottom of the excavation), the excavation is also considered to be a trench.
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Was th etrech and/or excavation inspected by a competant peron?
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Is the trench and/or excavation adequately protected?
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Is the trench and/or excavation considered to be a confinced space??
Confined Space Entry 1910.146
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Do work activities involve confined space entry?<br><br>Confined space means a space that:<br>(1) Is large enough and so configured that an employee can bodily enter and perform assigned work; and<br>(2) Has limited or restricted means for entry or exit (for example, tanks, vessels, silos, storage bins, hoppers, vaults, and pits are spaces that may have limited means of entry.); and<br>(3) Is not designed for continuous employee occupancy.
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Is there proper documentation for the confined space entry?
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Is the confined space entry properly barricaded and posted with non-entry signs?<br><br>1910.146(c)(2) - If the workplace contains permit spaces, the employer shall inform exposed employees, by posting danger signs or by any other equally effective means, of the existence and location of and the danger posed by the permit spaces.<br>Note: A sign reading "DANGER - PERMIT-REQUIRED CONFINED SPACE, DO NOT ENTER" or using other similar language would satisfy the requirement for a sign.
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Are all individuals that are authorized to enter the confined space, properly trained?<br><br>1910.146(g)(1) - The employer shall provide training so that all employees whose work is regulated by this section acquire the understanding, knowledge, and skills necessary for the safe performance of the duties assigned under this section.
Welding & Burning 1926.350
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Do work activities involve welding, soldering, or cutting?
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Were the individuals involved properly trained?
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Were the individuals who were not trained, authorized to perform these activites (welding, burning, soldering, or cutting)?
Concrete & Masonry 1926.700
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Concrete related activities being performed on site?
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Is the rebar adequately protected?
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Are workers using proper PPE?
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Are concrete washout stations being used?
Public
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Is the public protected?
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Notes:
Signature
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Assessor
