Information
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W912DS-15-C-0024
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Document No.
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Constitution Island Educational Center
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Conducted on
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Stanley Southerland SSM
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Personnel
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45 Market Street Cold Springs NY 10516
General
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Weekly tool box talk available for review?
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Weekly safety inspection available for review?
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Daily AHA forms for each crew available for review?
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Drinking water and cups available?
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Adequate temporary lighting in work areas?
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First aid kit stocked?
Housekeeping
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Adequate number of toilets available and clean?
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Projecting nails or screws bent over or removed?
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Walkways and passages clear to walk?
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Rebar ends protected by caps or 2x4?
Personal Protective Equipment
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Employees wearing safety glasses at all times?
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Employees wearing hard hats?
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Employees wearing gloves when exposed to cut/chemical hazards?
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Hearing / Respiratory Protection worn by employees when required?
Electrical
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GFCI protection in use on all temporary power sources?
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Electrical panels and devices labeled and secured?
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Extension cords in good condition?
Hand and Power Tools
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Power Tools free from damage (switches, cords, and guards)?
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Hand tools free from damage ( shaft, head, splinters, etc.)?
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PAT operator have training card available for review.
Excavations
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Have utilities been located and protected?
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Adequately sloped or shored if below 5' in depth?
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Means of egress every 25 feet?
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Spoil pile and equipment back at least 2 feet from edge?
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Water being pumped out if present?
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Documented daily inspection available for review?
Fall Protection
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Employees using anchor capable of supporting 5,000 lbs?
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Elevated work levels have guardrails or cables at 21" and 42"?
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Employees working above 6 feet using fall protection?
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All holes covered and labeled?
Fire Protection
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Only NFPA approved containers used for fuel?
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Flammable materials removed from job site properly?
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Adequate number of fire extinguishers in place?
Ladders
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Do extension or job built ladders extend 36 inches above laning?
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Are spreader bars locked on step ladders?
Powered Industrial Equipment
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All equipment have ROPS installed?
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Back up alarm working on on equipment?
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Operator wearing seatbelt?
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Operator have training card available (forklift)?
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Employees wearing fall protection when using aerial lift?
Cranes
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Does crane have annual inspection available for review?
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Does operator have training card available for review?
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Does operator have daily/weekly inspection available for review?
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Is swing radius of crane barricaded?
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Are outriggers in use (if equipped and needed)?
Scaffolding
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Mudsill, base plate, and Screwjack in place?
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Guardrails, Midrails and Toeboards installed?
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Ladder access provided for employees on all working levels?
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Rolling scaffold wheels locked?
Hot Work
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Fire extinguisher available and inspected?
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Flashback arresters in place on torch heads?
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Gas cylinders separated when not in use?
Review
Comments
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Add media
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Superintendent signature
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Safety Manager Signature