BCC Jobsite Hazard Analysis

• Jobsite Safety Inspection

• Site

• Conducted on

  Date

• Prepared by

1. OFFICE TRAILER

• 1.1. EMERGENCY NUMBERS AND MAP POSTED?

  Yes

  No

  N/A

• 1.2. FIRST AID KIT PRESENT AND STOCKED?

  Yes

  No

  N/A

• 1.3. POSTING REQUIREMENTS MET?

  Yes

  No

  N/A

• 1.4. SAFETY MANUAL

  Yes

  No

  N/A

• 1.5. MSDS SHEETS

  Yes

  No

  N/A

• 1.6. TOOLBOX TALKS (WEEKLY)

  Yes

  No

  N/A

• 1.7. FIRE EXTINGUISHERS

  Yes

  No

  N/A

• 1.8. SITE EMERGENCY PLANS

  Yes

  No

  N/A

• 1.9. HEATER IN TOILET

  Yes

  No

  N/A

• 1.10 PORTABLE WASH FACILITIES

  Yes

  No

  N/A

• 1.11. OTHER

  Yes

  No

  N/A

2. PUBLIC PROTECTION

• 2.1. BARRICADES & SIGNAGE

  Safe

  At Risk

  N/A

• 2.2. FENCING

  Safe

  At Risk

  N/A

• 2.3. VISITORS ESCORTED

  Safe

  At Risk

  N/A

• 2.4. OTHER

  Safe

  At Risk

  N/A

3. FIRE PROTECTION

• 3.1. FIRE PROTECTION PLAN

  Yes

  No

  N/A

• 3.2. GAS CYLINDER STORAGE/SECURED

  Yes

  No

  N/A

• 3.3. PROPANE TANKS BARRICADED

  Yes

  No

  N/A

• 3.4. FLAMMABLE LIQUIDS PROPERLY STORED

  Yes

  No

  N/A

• 3.5. SAFETY CANS

  Yes

  No

  N/A

• 3.5. OTHER

  Yes

  No

  N/A

4. HOUSEKEEPING

• 4.1. DAILY CLEAN-UP

  Yes

  No

  N/A

• 4.2. CLEAR ACCESS TO EXITS

  Yes

  No

  N/A

• 4.3. EXITS CLEARLY MARKED

  Yes

  No

  N/A

• 4.4. CORDS OUT OF WALKWAYS

  Yes

  No

  N/A

• 4.5. ADEQUATE LIGHTING/CAGED

  Yes

  No

  N/A

• 4.6. OTHER

  Yes

  No

  N/A

5. PERSONAL PROTECTIVE EQUIPMENT

• 5.1. EAR PROTECTION IN

  Yes

  No

  N/A

• 5.2. EYE PROTECTION ON

  Yes

  No

  N/A

• 5.3. PROPER FOOTWEAR

  Yes

  No

  N/A

• 5.4. GLOVES

  Yes

  No

  N/A

• 5.5. HARDHATS ON

  Yes

  No

  N/A

• 5.6. RESPIRATORS

  Yes

  No

  N/A

• 5.7. C.O. MONITORING

  Yes

  No

  N/A

• 5.8. OTHER

  Yes

  No

  N/A

6. ELECTRICAL

• 6.1. GFCI IN USE

  Yes

  No

  N/A

• 6.2. GROUNDING

  Safe

  At Risk

  N/A

• 6.3. NO EXPOSED LIVE PARTS

  Yes

  No

  N/A

• 6.4. ONLY 3-WIRE CORDS IN USE

  Yes

  No

  N/A

• 6.5. CORDS OUT OF PINCH POINTS

  Yes

  No

  N/A

• 6.6. OTHER

  Safe

  At Risk

  N/A

7. FALL PROTECTION

• 7.1. WRITTEN FALL PROTECTION PLANS FOR ALL TRADES

  Yes

  No

  N/A

• 7.2. FLOOR HOLES >2" COVERED AND MARKED

  Yes

  No

  N/A

• 7.3. WALL OPENINGS <39" OFF THE FLOOR PROTECTED

  Yes

  No

  N/A

• 7.4. GUARDRAILS ERECTED

  Yes

  No

  N/A

• 7.5. STAIR RAILS IN PLACE

  Yes

  No

  N/A

• 7.6. PERIMETER RAILS/CABLES

  Yes

  No

  N/A

• 7.7. HARNESSES/LANYARDS ETC.

  Yes

  No

  N/A

• 7.8. OTHER

  Yes

  No

  N/A

8. EXCAVATION/TRENCHES

• 8.1. COMPETENT PERSON ON SITE

  Yes

  No

  N/A

• 8.2. ACCESS/EGRESS EVERY 25'

  Yes

  No

  N/A

• 8.3. CAVE-IN PROTECTION (SLOPE/BOX)

  Yes

  No

  N/A

• 8.4. DAILY INSPECTIONS CONDUCTED

  Yes

  No

  N/A

• 8.5. SOIL TESTING

  Yes

  No

  N/A

• 8.6. SPOIL PILE 2' BACK FROM EDGE

  Yes

  No

  N/A

• 8.7. WORKING UNDER SUSPENDED LOADS

  Safe

  At Risk

  N/A

• 8.8. SITE-SPECIFIC RESCUE PLAN

  Safe

  At Risk

  N/A

• 8.9. OTHER

  Safe

  At Risk

  N/A

9. CRANES

• 9.1. CONDITION

  Safe

  At Risk

  N/A

• 9.2. LOAD CHARTS IN CRANE

  Yes

  No

  N/A

• 9.3. ANNUAL INSPECTION CURRENT

  Yes

  No

  N/A

• 9.4. CERTIFIED OPERATOR

  Yes

  No

  N/A

• 9.5. SWING RADIUS BARRICADED

  Yes

  No

  N/A

• 9.6. OTHER

  Yes

  No

  N/A

10. ACCESS LADDERS/STEP LADDERS

• 10.1. CONDITION

  Safe

  At Risk

  N/A

• 10.2. EXTENDS AT LEAST 3' ABOVE LANDING

  Yes

  No

  N/A

• 10.3. SECURED

  Yes

  No

  N/A

• 10.4. CONSTRUCTION GRADE LADDERS ONLY

  Yes

  No

  N/A

• 10.5. OTHER

  Safe

  At Risk

  N/A

11. HEAVY EQUIPMENT/TOOLS

• 11.1. FORKLIFT DAILY INSPECTIONS

  Yes

  No

  N/A

• 11.2. AERIAL LIFT DAILY INSPECTIONS

  Yes

  No

  N/A

• 11.3. MAN BASKET

  Safe

  At Risk

  N/A

• 11.4. SKIDSTEER - AUDIBLE ALARMS

  Yes

  No

  N/A

• 11.5. GENERATORS/COMPRESSORS

  Safe

  At Risk

  N/A

• 11.6. HEATERS

  Safe

  At Risk

  N/A

• 11.7. MACHINE GUARDS IN PLACE

  Yes

  No

  N/A

• 11.8. HAND TOOLS IN GOOD CONDITION

  Yes

  No

  N/A

• 11.9. CLASS II VESTS ON

  Yes

  No

  N/A

• 11.10. OTHER

  Yes

  No

  N/A

12. SCAFFOLDS

• 12.1. COMPETENT PERSON ON SITE

  Safe

  At Risk

  N/A

• 12.2. DAILY INSPECTIONS/RECORD

  Yes

  No

  N/A

• 12.3. WHEELS LOCKED (MOBILE SCAFFOLD)

  Yes

  No

  N/A

• 12.4. RAILINGS IN PLACE

  Yes

  No

  N/A

• 12.5. MUDSILLS/BASEPLATES SECURED

  Yes

  No

  N/A

• 12.6. OTHER

  Yes

  No

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign