ARTIC Safety Inspection Report

• Audit Title

• Conducted on

  Date

• Prepared by

• Additional Personnel at Time of Inspection:

Observation 1

• Description of Observation

• Contractor

  Select Ace Fence AJ Asplundh Beck Steel Blue Iron Bragg Clark Construction Cal Comfort Comsa Emte Conco Fuscoe G.B. Cooke Group Delta Harris Rebar Hayward Baker Helix HPS ISEC Matrix Mckinley Rutherford SoCal Grading Stanley USDemo Valley Crest Vector Foiltec Western Paving Woodbridge Glass XL Fire Other/Listed Above Unknown N/A

  • Ace Fence
  • AJ
  • Asplundh
  • Beck Steel
  • Blue Iron
  • Bragg
  • Clark Construction
  • Cal Comfort
  • Comsa Emte
  • Conco
  • Fuscoe
  • G.B. Cooke
  • Group Delta
  • Harris Rebar
  • Hayward Baker
  • Helix
  • HPS
  • ISEC
  • Matrix
  • Mckinley
  • Rutherford
  • SoCal Grading
  • Stanley
  • USDemo
  • Valley Crest
  • Vector Foiltec
  • Western Paving
  • Woodbridge Glass
  • XL Fire
  • Other/Listed Above
  • Unknown
  • N/A

• Add media

  Media

• Action Taken (if any)

• Further action needed?

  Yes

  No

  N/A

• Leading Indicator Catagory

  Select 1- Procedural Compliance 2- Electrical 3- Personal Fall Protection 4- Fire Prevention & Protection 5- Equipment and Tool Use 6- Equipment and Tool Condition 7- Struck By / Impalement 8- Housekeeping / Safe Environment 9- Elevated Work Devices 10- P.P.E 11- Fall Prevention Systems 12- Warnings, Signs, Barricades 13 - Excavations 14 - Floor Openings/ Penetrations 15 - Lighting 16- Cranes and Rigging 17 - Site Security N/A

  • 1- Procedural Compliance
  • 2- Electrical
  • 3- Personal Fall Protection
  • 4- Fire Prevention & Protection
  • 5- Equipment and Tool Use
  • 6- Equipment and Tool Condition
  • 7- Struck By / Impalement
  • 8- Housekeeping / Safe Environment
  • 9- Elevated Work Devices
  • 10- P.P.E
  • 11- Fall Prevention Systems
  • 12- Warnings, Signs, Barricades
  • 13 - Excavations
  • 14 - Floor Openings/ Penetrations
  • 15 - Lighting
  • 16- Cranes and Rigging
  • 17 - Site Security
  • N/A

Observation 2

• Description of Observation

• Contractor

  Select Ace Fence AJ Asplundh Beck Steel Blue Iron Bragg Clark Construction Cal Comfort Comsa Emte Conco Fuscoe G.B. Cooke Group Delta Harris Rebar Hayward Baker Helix HPS ISEC Matrix Mckinley Rutherford SoCal Grading Stanley USDemo Valley Crest Vector Foiltec Western Paving Woodbridge Glass XL Fire Other/Listed Above Unknown N/A

  • Ace Fence
  • AJ
  • Asplundh
  • Beck Steel
  • Blue Iron
  • Bragg
  • Clark Construction
  • Cal Comfort
  • Comsa Emte
  • Conco
  • Fuscoe
  • G.B. Cooke
  • Group Delta
  • Harris Rebar
  • Hayward Baker
  • Helix
  • HPS
  • ISEC
  • Matrix
  • Mckinley
  • Rutherford
  • SoCal Grading
  • Stanley
  • USDemo
  • Valley Crest
  • Vector Foiltec
  • Western Paving
  • Woodbridge Glass
  • XL Fire
  • Other/Listed Above
  • Unknown
  • N/A

• Add media

  Media

• Action Taken (if any)

• Further action needed?

  Yes

  No

  N/A

• Leading Indicator Catagory

  Select 1- Procedural Compliance 2- Electrical 3- Personal Fall Protection 4- Fire Prevention & Protection 5- Equipment and Tool Use 6- Equipment and Tool Condition 7- Struck By / Impalement 8- Housekeeping / Safe Environment 9- Elevated Work Devices 10- P.P.E 11- Fall Prevention Systems 12- Warnings, Signs, Barricades 13 - Excavations 14 - Floor Openings/ Penetrations 15 - Lighting 16- Cranes and Rigging 17 - Site Security N/A

  • 1- Procedural Compliance
  • 2- Electrical
  • 3- Personal Fall Protection
  • 4- Fire Prevention & Protection
  • 5- Equipment and Tool Use
  • 6- Equipment and Tool Condition
  • 7- Struck By / Impalement
  • 8- Housekeeping / Safe Environment
  • 9- Elevated Work Devices
  • 10- P.P.E
  • 11- Fall Prevention Systems
  • 12- Warnings, Signs, Barricades
  • 13 - Excavations
  • 14 - Floor Openings/ Penetrations
  • 15 - Lighting
  • 16- Cranes and Rigging
  • 17 - Site Security
  • N/A

Observation 3

• Description of Observation

• Contractor

  Select Ace Fence AJ Asplundh Beck Steel Blue Iron Bragg Clark Construction Cal Comfort Comsa Emte Conco Fuscoe G.B. Cooke Group Delta Harris Rebar Hayward Baker Helix HPS ISEC Matrix Mckinley Rutherford SoCal Grading Stanley USDemo Valley Crest Vector Foiltec Western Paving Woodbridge Glass XL Fire Other/Listed Above Unknown N/A

  • Ace Fence
  • AJ
  • Asplundh
  • Beck Steel
  • Blue Iron
  • Bragg
  • Clark Construction
  • Cal Comfort
  • Comsa Emte
  • Conco
  • Fuscoe
  • G.B. Cooke
  • Group Delta
  • Harris Rebar
  • Hayward Baker
  • Helix
  • HPS
  • ISEC
  • Matrix
  • Mckinley
  • Rutherford
  • SoCal Grading
  • Stanley
  • USDemo
  • Valley Crest
  • Vector Foiltec
  • Western Paving
  • Woodbridge Glass
  • XL Fire
  • Other/Listed Above
  • Unknown
  • N/A

• Add media

  Media

• Action Taken (if any)

• Further action needed?

  Yes

  No

  N/A

• Leading Indicator Catagory

  Select 1- Procedural Compliance 2- Electrical 3- Personal Fall Protection 4- Fire Prevention & Protection 5- Equipment and Tool Use 6- Equipment and Tool Condition 7- Struck By / Impalement 8- Housekeeping / Safe Environment 9- Elevated Work Devices 10- P.P.E 11- Fall Prevention Systems 12- Warnings, Signs, Barricades 13 - Excavations 14 - Floor Openings/ Penetrations 15 - Lighting 16- Cranes and Rigging 17 - Site Security N/A

  • 1- Procedural Compliance
  • 2- Electrical
  • 3- Personal Fall Protection
  • 4- Fire Prevention & Protection
  • 5- Equipment and Tool Use
  • 6- Equipment and Tool Condition
  • 7- Struck By / Impalement
  • 8- Housekeeping / Safe Environment
  • 9- Elevated Work Devices
  • 10- P.P.E
  • 11- Fall Prevention Systems
  • 12- Warnings, Signs, Barricades
  • 13 - Excavations
  • 14 - Floor Openings/ Penetrations
  • 15 - Lighting
  • 16- Cranes and Rigging
  • 17 - Site Security
  • N/A

Observation 4

• Description of Observation

• Contractor

  Select Ace Fence AJ Asplundh Beck Steel Blue Iron Bragg Clark Construction Cal Comfort Comsa Emte Conco Fuscoe G.B. Cooke Group Delta Harris Rebar Hayward Baker Helix HPS ISEC Matrix Mckinley Rutherford SoCal Grading Stanley USDemo Valley Crest Vector Foiltec Western Paving Woodbridge Glass XL Fire Other/Listed Above Unknown N/A

  • Ace Fence
  • AJ
  • Asplundh
  • Beck Steel
  • Blue Iron
  • Bragg
  • Clark Construction
  • Cal Comfort
  • Comsa Emte
  • Conco
  • Fuscoe
  • G.B. Cooke
  • Group Delta
  • Harris Rebar
  • Hayward Baker
  • Helix
  • HPS
  • ISEC
  • Matrix
  • Mckinley
  • Rutherford
  • SoCal Grading
  • Stanley
  • USDemo
  • Valley Crest
  • Vector Foiltec
  • Western Paving
  • Woodbridge Glass
  • XL Fire
  • Other/Listed Above
  • Unknown
  • N/A

• Add media

  Media

• Action Taken (if any)

• Further action needed?

  Yes

  No

  N/A

• Leading Indicator Catagory

  Select 1- Procedural Compliance 2- Electrical 3- Personal Fall Protection 4- Fire Prevention & Protection 5- Equipment and Tool Use 6- Equipment and Tool Condition 7- Struck By / Impalement 8- Housekeeping / Safe Environment 9- Elevated Work Devices 10- P.P.E 11- Fall Prevention Systems 12- Warnings, Signs, Barricades 13 - Excavations 14 - Floor Openings/ Penetrations 15 - Lighting 16- Cranes and Rigging 17 - Site Security N/A

  • 1- Procedural Compliance
  • 2- Electrical
  • 3- Personal Fall Protection
  • 4- Fire Prevention & Protection
  • 5- Equipment and Tool Use
  • 6- Equipment and Tool Condition
  • 7- Struck By / Impalement
  • 8- Housekeeping / Safe Environment
  • 9- Elevated Work Devices
  • 10- P.P.E
  • 11- Fall Prevention Systems
  • 12- Warnings, Signs, Barricades
  • 13 - Excavations
  • 14 - Floor Openings/ Penetrations
  • 15 - Lighting
  • 16- Cranes and Rigging
  • 17 - Site Security
  • N/A

Observation 5

• Description of Observation

• Contractor

  Select Ace Fence AJ Asplundh Beck Steel Blue Iron Bragg Clark Construction Cal Comfort Comsa Emte Conco Fuscoe G.B. Cooke Group Delta Harris Rebar Hayward Baker Helix HPS ISEC Matrix Mckinley Rutherford SoCal Grading Stanley USDemo Valley Crest Vector Foiltec Western Paving Woodbridge Glass XL Fire Other/Listed Above Unknown N/A

  • Ace Fence
  • AJ
  • Asplundh
  • Beck Steel
  • Blue Iron
  • Bragg
  • Clark Construction
  • Cal Comfort
  • Comsa Emte
  • Conco
  • Fuscoe
  • G.B. Cooke
  • Group Delta
  • Harris Rebar
  • Hayward Baker
  • Helix
  • HPS
  • ISEC
  • Matrix
  • Mckinley
  • Rutherford
  • SoCal Grading
  • Stanley
  • USDemo
  • Valley Crest
  • Vector Foiltec
  • Western Paving
  • Woodbridge Glass
  • XL Fire
  • Other/Listed Above
  • Unknown
  • N/A

• Add media

  Media

• Action Taken (if any)

• Further action needed?

  Yes

  No

  N/A

• Leading Indicator Catagory

  Select 1- Procedural Compliance 2- Electrical 3- Personal Fall Protection 4- Fire Prevention & Protection 5- Equipment and Tool Use 6- Equipment and Tool Condition 7- Struck By / Impalement 8- Housekeeping / Safe Environment 9- Elevated Work Devices 10- P.P.E 11- Fall Prevention Systems 12- Warnings, Signs, Barricades 13 - Excavations 14 - Floor Openings/ Penetrations 15 - Lighting 16- Cranes and Rigging 17 - Site Security N/A

  • 1- Procedural Compliance
  • 2- Electrical
  • 3- Personal Fall Protection
  • 4- Fire Prevention & Protection
  • 5- Equipment and Tool Use
  • 6- Equipment and Tool Condition
  • 7- Struck By / Impalement
  • 8- Housekeeping / Safe Environment
  • 9- Elevated Work Devices
  • 10- P.P.E
  • 11- Fall Prevention Systems
  • 12- Warnings, Signs, Barricades
  • 13 - Excavations
  • 14 - Floor Openings/ Penetrations
  • 15 - Lighting
  • 16- Cranes and Rigging
  • 17 - Site Security
  • N/A

Observation 6

• Description of Observation

• Contractor

  Select Ace Fence AJ Asplundh Beck Steel Blue Iron Bragg Clark Construction Cal Comfort Comsa Emte Conco Fuscoe G.B. Cooke Group Delta Harris Rebar Hayward Baker Helix HPS ISEC Matrix Mckinley Rutherford SoCal Grading Stanley USDemo Valley Crest Vector Foiltec Western Paving Woodbridge Glass XL Fire Other/Listed Above Unknown N/A

  • Ace Fence
  • AJ
  • Asplundh
  • Beck Steel
  • Blue Iron
  • Bragg
  • Clark Construction
  • Cal Comfort
  • Comsa Emte
  • Conco
  • Fuscoe
  • G.B. Cooke
  • Group Delta
  • Harris Rebar
  • Hayward Baker
  • Helix
  • HPS
  • ISEC
  • Matrix
  • Mckinley
  • Rutherford
  • SoCal Grading
  • Stanley
  • USDemo
  • Valley Crest
  • Vector Foiltec
  • Western Paving
  • Woodbridge Glass
  • XL Fire
  • Other/Listed Above
  • Unknown
  • N/A

• Add media

  Media

• Action Taken (if any)

• Further action needed?

  Yes

  No

  N/A

• Leading Indicator Catagory

  Select 1- Procedural Compliance 2- Electrical 3- Personal Fall Protection 4- Fire Prevention & Protection 5- Equipment and Tool Use 6- Equipment and Tool Condition 7- Struck By / Impalement 8- Housekeeping / Safe Environment 9- Elevated Work Devices 10- P.P.E 11- Fall Prevention Systems 12- Warnings, Signs, Barricades 13 - Excavations 14 - Floor Openings/ Penetrations 15 - Lighting 16- Cranes and Rigging 17 - Site Security N/A

  • 1- Procedural Compliance
  • 2- Electrical
  • 3- Personal Fall Protection
  • 4- Fire Prevention & Protection
  • 5- Equipment and Tool Use
  • 6- Equipment and Tool Condition
  • 7- Struck By / Impalement
  • 8- Housekeeping / Safe Environment
  • 9- Elevated Work Devices
  • 10- P.P.E
  • 11- Fall Prevention Systems
  • 12- Warnings, Signs, Barricades
  • 13 - Excavations
  • 14 - Floor Openings/ Penetrations
  • 15 - Lighting
  • 16- Cranes and Rigging
  • 17 - Site Security
  • N/A

Observation 7

• Description of Observation

• Contractor

  Select Ace Fence AJ Asplundh Beck Steel Blue Iron Bragg Clark Construction Cal Comfort Comsa Emte Conco Fuscoe G.B. Cooke Group Delta Harris Rebar Hayward Baker Helix HPS ISEC Matrix Mckinley Rutherford SoCal Grading Stanley USDemo Valley Crest Vector Foiltec Western Paving Woodbridge Glass XL Fire Other/Listed Above Unknown N/A

  • Ace Fence
  • AJ
  • Asplundh
  • Beck Steel
  • Blue Iron
  • Bragg
  • Clark Construction
  • Cal Comfort
  • Comsa Emte
  • Conco
  • Fuscoe
  • G.B. Cooke
  • Group Delta
  • Harris Rebar
  • Hayward Baker
  • Helix
  • HPS
  • ISEC
  • Matrix
  • Mckinley
  • Rutherford
  • SoCal Grading
  • Stanley
  • USDemo
  • Valley Crest
  • Vector Foiltec
  • Western Paving
  • Woodbridge Glass
  • XL Fire
  • Other/Listed Above
  • Unknown
  • N/A

• Add media

  Media

• Action Taken (if any)

• Further action needed?

  Yes

  No

  N/A

• Leading Indicator Catagory

  Select 1- Procedural Compliance 2- Electrical 3- Personal Fall Protection 4- Fire Prevention & Protection 5- Equipment and Tool Use 6- Equipment and Tool Condition 7- Struck By / Impalement 8- Housekeeping / Safe Environment 9- Elevated Work Devices 10- P.P.E 11- Fall Prevention Systems 12- Warnings, Signs, Barricades 13 - Excavations 14 - Floor Openings/ Penetrations 15 - Lighting 16- Cranes and Rigging 17 - Site Security N/A

  • 1- Procedural Compliance
  • 2- Electrical
  • 3- Personal Fall Protection
  • 4- Fire Prevention & Protection
  • 5- Equipment and Tool Use
  • 6- Equipment and Tool Condition
  • 7- Struck By / Impalement
  • 8- Housekeeping / Safe Environment
  • 9- Elevated Work Devices
  • 10- P.P.E
  • 11- Fall Prevention Systems
  • 12- Warnings, Signs, Barricades
  • 13 - Excavations
  • 14 - Floor Openings/ Penetrations
  • 15 - Lighting
  • 16- Cranes and Rigging
  • 17 - Site Security
  • N/A

Observation 8

• Description of Observation

• Contractor

  Select Ace Fence AJ Asplundh Beck Steel Blue Iron Bragg Clark Construction Cal Comfort Comsa Emte Conco Fuscoe G.B. Cooke Group Delta Harris Rebar Hayward Baker Helix HPS ISEC Matrix Mckinley Rutherford SoCal Grading Stanley USDemo Valley Crest Vector Foiltec Western Paving Woodbridge Glass XL Fire Other/Listed Above Unknown N/A

  • Ace Fence
  • AJ
  • Asplundh
  • Beck Steel
  • Blue Iron
  • Bragg
  • Clark Construction
  • Cal Comfort
  • Comsa Emte
  • Conco
  • Fuscoe
  • G.B. Cooke
  • Group Delta
  • Harris Rebar
  • Hayward Baker
  • Helix
  • HPS
  • ISEC
  • Matrix
  • Mckinley
  • Rutherford
  • SoCal Grading
  • Stanley
  • USDemo
  • Valley Crest
  • Vector Foiltec
  • Western Paving
  • Woodbridge Glass
  • XL Fire
  • Other/Listed Above
  • Unknown
  • N/A

• Add media

  Media

• Action Taken (if any)

• Further action needed?

  Yes

  No

  N/A

• Leading Indicator Catagory

  Select 1- Procedural Compliance 2- Electrical 3- Personal Fall Protection 4- Fire Prevention & Protection 5- Equipment and Tool Use 6- Equipment and Tool Condition 7- Struck By / Impalement 8- Housekeeping / Safe Environment 9- Elevated Work Devices 10- P.P.E 11- Fall Prevention Systems 12- Warnings, Signs, Barricades 13 - Excavations 14 - Floor Openings/ Penetrations 15 - Lighting 16- Cranes and Rigging 17 - Site Security N/A

  • 1- Procedural Compliance
  • 2- Electrical
  • 3- Personal Fall Protection
  • 4- Fire Prevention & Protection
  • 5- Equipment and Tool Use
  • 6- Equipment and Tool Condition
  • 7- Struck By / Impalement
  • 8- Housekeeping / Safe Environment
  • 9- Elevated Work Devices
  • 10- P.P.E
  • 11- Fall Prevention Systems
  • 12- Warnings, Signs, Barricades
  • 13 - Excavations
  • 14 - Floor Openings/ Penetrations
  • 15 - Lighting
  • 16- Cranes and Rigging
  • 17 - Site Security
  • N/A

Observation 9

• Description of Observation

• Contractor

  Select Ace Fence AJ Asplundh Beck Steel Blue Iron Bragg Clark Construction Cal Comfort Comsa Emte Conco Fuscoe G.B. Cooke Group Delta Harris Rebar Hayward Baker Helix HPS ISEC Matrix Mckinley Rutherford SoCal Grading Stanley USDemo Valley Crest Vector Foiltec Western Paving Woodbridge Glass XL Fire Other/Listed Above Unknown N/A

  • Ace Fence
  • AJ
  • Asplundh
  • Beck Steel
  • Blue Iron
  • Bragg
  • Clark Construction
  • Cal Comfort
  • Comsa Emte
  • Conco
  • Fuscoe
  • G.B. Cooke
  • Group Delta
  • Harris Rebar
  • Hayward Baker
  • Helix
  • HPS
  • ISEC
  • Matrix
  • Mckinley
  • Rutherford
  • SoCal Grading
  • Stanley
  • USDemo
  • Valley Crest
  • Vector Foiltec
  • Western Paving
  • Woodbridge Glass
  • XL Fire
  • Other/Listed Above
  • Unknown
  • N/A

• Add media

  Media

• Action Taken (if any)

• Further action needed?

  Yes

  No

  N/A

• Leading Indicator Catagory

  Select 1- Procedural Compliance 2- Electrical 3- Personal Fall Protection 4- Fire Prevention & Protection 5- Equipment and Tool Use 6- Equipment and Tool Condition 7- Struck By / Impalement 8- Housekeeping / Safe Environment 9- Elevated Work Devices 10- P.P.E 11- Fall Prevention Systems 12- Warnings, Signs, Barricades 13 - Excavations 14 - Floor Openings/ Penetrations 15 - Lighting 16- Cranes and Rigging 17 - Site Security N/A

  • 1- Procedural Compliance
  • 2- Electrical
  • 3- Personal Fall Protection
  • 4- Fire Prevention & Protection
  • 5- Equipment and Tool Use
  • 6- Equipment and Tool Condition
  • 7- Struck By / Impalement
  • 8- Housekeeping / Safe Environment
  • 9- Elevated Work Devices
  • 10- P.P.E
  • 11- Fall Prevention Systems
  • 12- Warnings, Signs, Barricades
  • 13 - Excavations
  • 14 - Floor Openings/ Penetrations
  • 15 - Lighting
  • 16- Cranes and Rigging
  • 17 - Site Security
  • N/A

Observation 10

• Description of Observation

• Contractor

  Select Ace Fence AJ Asplundh Beck Steel Blue Iron Bragg Clark Construction Cal Comfort Comsa Emte Conco Fuscoe G.B. Cooke Group Delta Harris Rebar Hayward Baker Helix HPS ISEC Matrix Mckinley Rutherford SoCal Grading Stanley USDemo Valley Crest Vector Foiltec Western Paving Woodbridge Glass XL Fire Other/Listed Above Unknown N/A

  • Ace Fence
  • AJ
  • Asplundh
  • Beck Steel
  • Blue Iron
  • Bragg
  • Clark Construction
  • Cal Comfort
  • Comsa Emte
  • Conco
  • Fuscoe
  • G.B. Cooke
  • Group Delta
  • Harris Rebar
  • Hayward Baker
  • Helix
  • HPS
  • ISEC
  • Matrix
  • Mckinley
  • Rutherford
  • SoCal Grading
  • Stanley
  • USDemo
  • Valley Crest
  • Vector Foiltec
  • Western Paving
  • Woodbridge Glass
  • XL Fire
  • Other/Listed Above
  • Unknown
  • N/A

• Add media

  Media

• Action Taken (if any)

• Further action needed?

  Yes

  No

  N/A

• Leading Indicator Catagory

  Select 1- Procedural Compliance 2- Electrical 3- Personal Fall Protection 4- Fire Prevention & Protection 5- Equipment and Tool Use 6- Equipment and Tool Condition 7- Struck By / Impalement 8- Housekeeping / Safe Environment 9- Elevated Work Devices 10- P.P.E 11- Fall Prevention Systems 12- Warnings, Signs, Barricades 13 - Excavations 14 - Floor Openings/ Penetrations 15 - Lighting 16- Cranes and Rigging 17 - Site Security N/A

  • 1- Procedural Compliance
  • 2- Electrical
  • 3- Personal Fall Protection
  • 4- Fire Prevention & Protection
  • 5- Equipment and Tool Use
  • 6- Equipment and Tool Condition
  • 7- Struck By / Impalement
  • 8- Housekeeping / Safe Environment
  • 9- Elevated Work Devices
  • 10- P.P.E
  • 11- Fall Prevention Systems
  • 12- Warnings, Signs, Barricades
  • 13 - Excavations
  • 14 - Floor Openings/ Penetrations
  • 15 - Lighting
  • 16- Cranes and Rigging
  • 17 - Site Security
  • N/A

Additional Comments (If Needed)

• Comments

• Add media

  Media

Inspectors Signature

• Sign Here

  Sign