Information

  • Document No.

  • Site Location

  • Conducted on

  • Prepared by

  • What stage of construction is this house

1.0 - Contractors on Site

  • 1.1 - Weather Conditions

  • 1.2 - Contractor on Site?

  • 1.2 b - Company Name ? Employee Name?

  • 1.2 c- If you answer Yes, Do they have there Hazard Assessment?

  • 1.3 - Who is the First Aid designate on site?

  • 1.4 - Does the company representative have a Fire Extinguisher?<br>

  • 1.5 - Do they have a First aid Kit?

2.0 - Outside of house

  • 2.1 - Is the address signs clearly showing at this location?

  • 2.2 - Is an Averton Safety sign visibly posted?<br>

  • 2.3 - Are all hazards outside of the house being controlled?

  • 2.4 - Is the weather affecting work going on at this site?

  • 2.5 - Is there a proper waste disposal ?

  • 2.6 - Could overhead power lines affect construction?

  • 2.7 - Is rebar on site protected properly?

3.0 - Front Entrance

  • 3.1 - Is there suitable access and egress for the site?

  • 3.2 - Are doors able to be opened without any obstructions?

4.0 - Stairways

  • 4.1 - Do stairways have handrails on anything with 5 or more risers?

  • 4.2 - Are there guards in place for any openings?

5.0 - Housekeeping

  • 5.1 - Is the house kept tidy and clean?

  • 5.2 - Are all tripping hazards been eliminated?

  • 5.3 - Are all waste materials in the proper waste containers?

6.0 - Lighting

  • 6.1 - Is there adequate lighting ?

7.0 - Fall Protection / Planning

  • 7.1 - Is there a Fall protection plan on site?

8.0- Noise Exposure

  • 8.1 - Is there 85 dBa of noise going on at site?

  • 8.2 - Is hearing protection being worn?

9.0 - PPE

  • 9.1 - Is the proper PPE being worn for the tasks? <br>

  • 9.2 - Has it been inspected? Fall Protection harness? Hard hat?

10.0 - Scaffolds

  • 10.1 - Are there any scaffolding systems in use?

  • 10.2 - Does it have a tag to indicate its status and condition? Does it have a date?

11.0 - Bathroom Facilites

  • 11.1 - Are there Bathroom Facilities near by?

12.0 - Environmental Concerns

  • 12.1 -Environmental concerns on site?

13.0 - Protection of the Public

  • 13.1 - Is there safe guards in place to keep the public safe?<br>

14.0 - Safe Work Practices / Safe Job Procedures

  • 14.1 - Are all Safe Work Practices / Safe Job Procedures being followed?

15.0 - Comments

  • 15.1 - Comments

17.0 - Sign Off

  • Inspectors Signature

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