BCI Safety Inspection

• Job Number

• Job Name

• Conducted on

  Date

• Completed by

• Location
  Address

• Personnel

Jobsite Documentation

• Safety Manual- site specific?

  Yes

  No

  N/A

• JHA/JSA complete and followed?

  Yes

  No

  N/A

• Are safety signs, Emergency Numbers, and Evacuation Plans posted?

  Yes

  No

  N/A

• Are SDS and Chemical Inventory current?

  Yes

  No

  N/A

• Site specific safety forms also used (GC or owner required)?

  Yes

  No

  N/A

• Other? Extra Credit?

  Yes

  No

  N/A

Jobsite Conditions

• Housekeeping acceptable?

  Safe

  At Risk

  N/A

• Are materials stored properly, i.e. rolling stock, flammables?

  Safe

  At Risk

  N/A

• Adequate facilities? (water, washing, toilets, trash receptacles)

  Safe

  At Risk

  N/A

• Are fire extinguishers properly placed and inspected?

  Safe

  At Risk

  N/A

• Are first aid kits available and fully stocked?

  Safe

  At Risk

  N/A

• Other? Extra Credit?

  Yes

  No

  N/A

PPE

• Hard Hats?

  Safe

  At Risk

  N/A

• Eye Protection?

  Safe

  At Risk

  N/A

• Hand Protection?

  Safe

  At Risk

  N/A

• High Visibility attire?

  Safe

  At Risk

  N/A

• Respirator use? (Medical, Fit-test, Selection, cartridge change, etc.)

  Safe

  At Risk

  N/A

• Other? Extra Credit?

  Yes

  No

  N/A

Tools and Equipment

• Hand and power tools in good condition?

  Safe

  At Risk

  N/A

• Are tools being used properly?

  Safe

  At Risk

  N/A

• Are workers trained? (i.e. Powder Actuated Tool certification)

  Safe

  At Risk

  N/A

• Ladders, proper type and condition?

  Safe

  At Risk

  N/A

• Are ladders being used correctly?

  Safe

  At Risk

  N/A

• Other? Extra Credit?

  Yes

  No

  N/A

Electrical

• Are GFCIs being used with hand tools and cords?

  Safe

  At Risk

  N/A

• Are extension cords in good condition?

  Safe

  At Risk

  N/A

• Is all temporary power and lighting proper?

  Safe

  At Risk

  N/A

• Are all employees trained on LOTO procedures?

  Yes

  No

  N/A

• Are proper LOTO procedures being followed?

  Yes

  No

  N/A

• Other? Extra Credit?

  Yes

  No

  N/A

Energized Electrical Work

• Has the work been justified and documented?

  Yes

  No

  N/A

• Energized Electrical Work permits issued?

  Yes

  No

  N/A

• Voltage rated gloves, tools, and Arc Flash PPE (available and current)?

  Safe

  At Risk

  N/A

• Are energized parts of electrical equipment properly sealed? Panel covers, K/Os in place?

  Safe

  At Risk

  N/A

• Are all employees doing energized work properly trained?

  Yes

  No

  N/A

• Other? Extra Credit?

  Yes

  No

  N/A

Fall Protection

• Have Fall Hazard exposures been eliminated or controlled via PFA equipment or other methods?

  Safe

  At Risk

  N/A

• Are employees trained in fall protection methods?

  Yes

  No

  N/A

• Are required guardrail systems in place?

  Safe

  At Risk

  N/A

• Are holes or floor openings covered and properly identified?

  Safe

  At Risk

  N/A

• Is fall protection equipment in good condition and inspected?

  Yes

  No

  N/A

• Other? Extra Credit?

  Yes

  No

  N/A

Scaffolds, Aerial/Scissor Lifts

• Are daily inspections being performed and documented?

  Yes

  No

  N/A

• Are personnel properly trained?

  Yes

  No

  N/A

• Are proper fall protection and guardrails in place?

  Safe

  At Risk

  N/A

• Is equipment used on flat stable surfaces to prevent tip-over?

  Safe

  At Risk

  N/A

• Working platform in good condition and clear of any hazards?

  Safe

  At Risk

  N/A

• Other? Extra Credit?

  Yes

  No

  N/A

Other