B&G Piping

• Jobsite / Client Name:

• Conducted on

  Date

• Prepared by

• Location
  Address

• Foreman Name:

• Total Number of Company Employees Onsite

• Select date

  Date

Administration

• Weekly safety toolbox talk being performed by crew

  Yes

  No

  N/A

• Hazard communication Program including required SDS available?

  Yes

  No

  N/A

• First Aid Kit Available

  Yes

  No

  N/A

Housekeeping

• Clear access to building site, work areas clean.

  Yes

  No

  N/A

• Slip/trip hazards removed

  Yes

  No

  N/A

• Adequate supply of portable water / including disposable drinking cups and waste container

  Yes

  No

  N/A

• Proper material storage

  Yes

  No

  N/A

Fall Protection

• Are Fall Hazards Greater than 6 Feet Controlled?

  Yes

  No

  N/A

• Procedures in place to eliminate fall hazards

  Yes

  No

  N/A

• Describe the procedures in place to eliminate fall hazards

• Personal Fall Arrest System (harness/lanyard/anchors) installed, worn, and used properly?

  Yes

  No

  N/A

• Guardrail systems properly installed and maintained (39" above walking surface minimum with 200lbs force applied, proper strength with mid rail and toe board where necessary)

  Yes

  No

  N/A

• Holes 2" and greater in smallest dimension properly protected to prevent employee fall into or through as well as provide falling object protection. (Covers secured from accidental displacement and marked hole or cover)

  Yes

  No

  N/A

Fire protection

• Proper number of abc Fire extinguishers, charged, inspected visible (within 100' of each worker and 50' of any flammable liquids or hot works)

  Yes

  No

  N/A

• Proper fuel containers used

  Yes

  No

  N/A

• Hot works procedures adhered with? (Combustibles moved away from hot works or covered with fire blanket, all sparks controlled, fire watch procedures in place)

  Yes

  No

  N/A

• Compressed gas cylinders secured upright, and used properly

  Yes

  No

  N/A

• No smoking near flammables

  Yes

  No

  N/A

• Welding shields used to protect surrounding persons

  Yes

  No

  N/A

Extension / A frame Ladders

• Inspected for defects

  Yes

  No

  N/A

• Secured properly with two man procedure

  Yes

  No

  N/A

• Proper angle 4:1 pitch and 3' above landing

  Yes

  No

  N/A

• No carrying materials up ladder. Procedures in place (backpack, rope and tie off, mechanical equipment) to get material to roof safely.

  Yes

  No

  N/A

• Not using the top two steps of A frame ladder

  Yes

  No

  N/A

• Properly utilized in locked position

  Yes

  No

  N/A

• Used for its intended purpose and inspected for structural defects

  Yes

  No

  N/A

Electrical

• GFCI tested and documented

  Yes

  No

  N/A

• Electrical systems have proper covers and no exposed wiring

  Yes

  No

  N/A

• Electrical cords in good condition

  Yes

  No

  N/A

• All ladders, scaffolding, and equipment kept a minimum of 10' from overhead power lines

  Yes

  No

  N/A

• Equipment properly locked out and de-energized

  Yes

  No

  N/A

Tools & Equipment

• Tools and equipment inspected and in good condition?

  Yes

  No

  N/A

• Guards in place and properly used

  Yes

  No

  N/A

• Utility knives sharp and employees cutting away from the body

  Yes

  No

  N/A

• Powder tools used properly by trained employees

  Yes

  No

  N/A

Personal Protective Equipment

• Proper clothing and work boots worn

  Yes

  No

  N/A

• Hard hats and safety glasses worn when required

  Yes

  No

  N/A

• Proper traffic vests worn when exposed to vehicular traffic

  Yes

  No

  N/A

• Gloves worn when required and necessary

  Yes

  No

  N/A

• Face shields worn when using abrasive wheel tools

  Yes

  No

  N/A

Other

• Provide description of any additional hazards, observations or positive performance:

• Add media

  Media

• Inspector Signature:

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• Foreman Signature:

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