Information
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Document No.
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Audit Title
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Contractor Conducting Inspection
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Conducted on
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Prepared by
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Location
Pre-Work
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Adequate exclusion zones established with signage for public protection?<br>
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All required training completed for work to be performed including site orientation?
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MSDS Sheets obtained and available?
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Pre Task Plan communicated, understood and signed by each crew member?
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All required permits obtained?
Personal Protective Equipment
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Dust masks
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Welding hood
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High visibility vests
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Hearing protection
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Safety glasses/side shields
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Gloves
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Work Boots
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Hard hat bills foward
Fall Prevention
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Material and debris secured from falling off parameter edge
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Tools tethered off
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Workers properly tied off
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CAZ areas established with signs
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Netting for exterior work in place
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100% Fall Protection for work above 6'
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Floor opening protected and marked
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Exclusion zones established below for exterior work
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Parameter protection with max deflection of 3" maintained at 42" 21" with toe board and netting in place
Ladders and Scaffolding
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Scaffold inspected and properly tagged
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Components not damaged or modified and level
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Sections properly pinned
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Wheels locked on rolling scaffolds
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Toe boards in place
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Handrails in place
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Extension ladders extend 36" above and secured
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Platform ladders in use
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Platform ladders in open position on level surface
Housekeeping
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Materials stacked orderly and minimum of 10' from edge
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Access/Egress to stairs, hoist, and through corridor maintained
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Trash and debris removed from work area
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Cords and hoses off floor
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No trip hazards present
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Area looks orderly
Hoisting and Rigging Equipment
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Crane inspections complete
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No overhead lifting
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Lift signal used
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Qualified rigger used
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Rigging inspected and tagged
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Tag line used
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Swing radius barricaded
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Safety latch on hook checked
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Lift zone designated
Mobile Equipment and Aerial Lifts
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Seatbelts used
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Workers trained and certified
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Equipment inspected
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Backup alarms working
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10' separation from equipment
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Exclusion zones established
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Spotters used when needed
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Workers tied off to anchor point
Excavations
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Competent person named
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Proper protective system
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Excavation checked daily
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Proper access/egress
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Spoil pile 2' away from edge
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Workers trained
Fencing and Barricades
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Fencing closed, secured, and guarded
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All sides of work area barricaded
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Barricade properly placed and not creating hazard to public
Electrical
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Electrical panels secured and LOTO systems used
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All cords inspected and current color on cords
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GFCI's used
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Contractor Conducting Inspection
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Inspected Contractor
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Other