Title Page
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Site conducted
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Company Name
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Job No./PM
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Superintendent
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Date & Time of Inspection
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Inspected by
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Location
ITEMS TO BE CHECKED
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1. Fall Exposure
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2. Electrical Exposure
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3. Struck By Risk
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4. Crushed By Risk
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5. Concrete Construction
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6. Covid-19 Protocol
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6a. Are we prescreening all LCC employees daily
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6b. Are subcontractors prescreening employees daily
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6c. Are employees safe distancing whenever possible
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6d. Are employees wearing face covering when necessary
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7. Cranes & Elevators
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8. Demolition
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9. Electrical
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10. Excavation / Site Work
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11. Fire Protection
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12. First Aid
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13. Flammable Materials
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14. Floor & Wall Openings
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15. Gases / Fumes / Dust
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16. General Safety
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17. Hazard Communications
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18. Heavy Equipment Safety
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19. Housekeeping
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20. Illumination
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21. Ladder Safety
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22. Lockout / Tag Out
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23. Material Handling
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24. Material Storage
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25. Miss Utility
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26. Motor Vehicles
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27. Noise Exposure
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28. Personal Protection
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29. Safety Training
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30. Sanitation
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31. Scaffold Safety
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32. Signs & Barricades
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33. Swing Radius
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34. Tools
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35. Trench Boxes
SIGN OFF
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Inspector's Name & Signature
