Information
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Jobsite
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Prepared by
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Location
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Conducted on
Administration
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OSHA, state and federal Posters (Eng/Sp) / OSHA 300 Log
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Safety manual
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Documented Safety meetings (tool box talks, JHA/JSA daily brief)
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Visitor PPE available
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Disciplinary actions taken (documented)
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Accident investigation documentation on site
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Freq/reg formal safety inspections
Confined Space
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Atmospheric conditions
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Comm / secure area / signage
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Electrical / fire prevention
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Entry super/monitor/entrant
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Harness / extraction equip
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Is permit required – Completed permits if applicable
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Regular insp / air monitor
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Rescue plan/emerg #'s/map
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Ventilation
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Equipment storage practice
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Respiratory equipment
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Training documentation
Cranes And Hoisting Equipment
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Annual inspection current
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Anti Two Block device
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Boom angle indicator
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Cert or verify training
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Crane supported and level
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Daily inspections current
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Dist power lines/de-ener
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Fire extinguisher in crane
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Flagman identified
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Lift plan on file
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Load chart posted
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Loads properly secured
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Weight of load verified
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Means of communication
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Operator appears competent
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Operator manual in crane
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Outrig extend/cribbing
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Rig insp/rated/rated
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Safety latches used
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Swing radius barricaded
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Tag lines used
Electrical
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Cords in good condition
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Cords protected from traffic
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Elect Hot Work Procedures
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Arch Flash PPE available and current
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Electrical room protected
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Energized parts protected
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GFCI's used
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LO/TO procedures
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Proper use temp pwr bxs
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Signage present
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Documented training
Environmental
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Asbestos/lead/mold/silica
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Concrete cut wet & vacuumed
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Containers labeled
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Haz material properly stored with signage
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Spill containment adequate
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Training documented and current
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Nuisance dust
Excavations
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Access with 25'
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Ladder secured and in good repair
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Competent person present
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Daily inspections doc
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Daily JSA completed and documented
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Excav > 20' engineered
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One Call system used
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Perimeter prot/barricade
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Sloped, benched, or shored
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Spoil 2' from edge
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Surface encumbrances
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Surface traffic exposure
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Water entering excavation
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Trench box in good repair
Fall Protection
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Ext/int guardrails
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Fall protection at 6'
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Fall protection plan
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Floor/wall opening protected
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Flr covrs adeq,secure,label
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Impalement protection
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Proper anchorage points
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Roof edge protected
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Safety harness and lanyard formally inspected
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Safety harness and lanyard properly stored
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Stair/ramp/walkway prot
Fire Protection
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Emergency vehicle access
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Ext charged and inspected
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Fire suppression equip avail
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Fire watch when applicable
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Prop signs in storage areas
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Proper fuel containers used and labeled
Hand And Power Tools
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Cord in good condition
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Ground prong in place
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Guards in place
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Information label on tool
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Proper tool for the job
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Strain relief functioning
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Tool in good condition
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Storage practices acceptable
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Tool inspection program
Hazard Communication
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Copy of program
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Inventory list
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MSDS' (site specific)
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Proper labels on containers
Housekeeping
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Debris removed from site on regualr basis
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Proper material storage
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Proper use of "CAZ" id
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Slip, trip, fall hazards
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Trash in protected cont
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Walkways clear
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Job box well organized
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Work areas clean and well organized
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Clear access to bldg/site
Ladders / Stairs
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Formal ladder inspection progran
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3' above landing
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Access break >19"
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Clear of debris/materials
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Extension ladder 4:1 pitch
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Inspected for defects - formally
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Job-blt ldrs const properly
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Job-built ladders secured
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Landings and treads filled
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Proper use of ladder
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Rails at stairs/landings
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Safe work dist from hazd
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Stairs illuminated
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Slip trip exposure elim
Medical / Emergency
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1st aid kit
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1st Aid/CPR on site
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AED on site
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Emergency action plan
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Emergency numbers posted
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Emergency procs supplies
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Eye wash
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Map to medical facility
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Team contact numbers
Motorized Equipment
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Back up alarm functioning
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Lights functioning
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Flagman/spotter used if applicable
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Communication means
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Glass free of obstructions
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Horn functioning
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Operator appears competent
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Seat belts used
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Training docs available
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PM records
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Daily inspections completed
P.P.E.
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Glasses / face shields
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Gloves
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Hard Hats
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Hearing protection
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Metatarsal protection
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Rebar caps
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Respirators
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Work Boots
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Proper Clothing
Scaffolds
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Bracing and pins in place
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Compatible components used
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Competent person present
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Gaurdrails in place @ 6'
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Inspected daily - formal
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Properly secured to structure
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Proper access to platforms
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Proper loading of materials
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Safe work distances
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Sills,plates,jacks installed
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Surface in safe condition
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Surfaces properly secured
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Space between planks
Scissor / Arial Lifts
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Anchorage points meet req
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CDZ training / utilized
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EE above 30' protected
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EE btwn 15-30' fall prot pres
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Erector notif of modification
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Fall pro training provided
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Falling object protection
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Mult lift proced utilized
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Mult lift/rig/con training
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Proper anch of colmns/beam
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Site layout / sequence plan
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Struct flooring requirements
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Written approv conc strength
Welding / Cutting
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Bottles upright/cap/secured
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Extra bottles properly stored
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Fire ext present
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Flash arrest on torches
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Flash protection available
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Gauges working properly
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Leads in good condition
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Prop PPE in use
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Wedling curtains available and used
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Torch hoses good cond
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Weld machine ventilated
