Blue Mountain Electric Safety Inspection

• Conducted for Blue Mountain Electric

• Location
  Address

• Conducted on

  Date

• Prepared by Paul Kellogg

• Document No.

• Personnel On Site

  Select Joe Jhon

  • Joe
  • Jhon

• Select date

  Date

Administrative

• Are the emergency phone numbers and map posted?

  Safe

  At Risk

  N/A

• Are the State and Federal posters posted?

  Safe

  At Risk

  N/A

• Is an MSDS on site?

  Safe

  At Risk

  N/A

• Is a Safety Manual on site?

  Safe

  At Risk

  N/A

• Is a First Aid Kit available?

  Safe

  At Risk

  N/A

• Is a First Aid trained person on site?

  Safe

  At Risk

  N/A

• Are fire Extinguishers available on site?

  Safe

  At Risk

  N/A

• Has the Fire Extinguisher had its monthly inspection?

  Safe

  At Risk

  N/A

• Has the weekly toolbox talk been held?

  Safe

  At Risk

  N/A

• Have the AHA's been read and signed?

  Safe

  At Risk

  N/A

• Are all Job hazards identified on the AHA?

  Safe

  At Risk

  N/A

• Is the named competent person on site?

  Safe

  At Risk

  N/A

House Keeping

• Is there safe access/ Egress to the jobsite?

  Safe

  At Risk

  N/A

• Is material storage neat?

  Safe

  At Risk

  N/A

• Is the jobsite clean and picked up?<br>Trash containers available and used?

  Safe

  At Risk

  N/A

• How is cord management/ protection?

  Safe

  At Risk

  N/A

• Any tripping hazards?

  Safe

  At Risk

  N/A

• Toilet & Water available?

  Safe

  At Risk

  N/A

PPE

• Are the employees wearing Z87 safety glasses?

  Safe

  At Risk

  N/A

• Are the employees wearing a hard hat?

  Safe

  At Risk

  N/A

• Are the employees wearing a Hi-Vis vest?

  Safe

  At Risk

  N/A

• Are the employees wear the right glove for the job?

  Safe

  At Risk

  N/A

• Other PPE being used as needed?

  Safe

  At Risk

  N/A

Electrical

• GFI's being used?

  Safe

  At Risk

  N/A

• GFI's have been tested?

  Safe

  At Risk

  N/A

• Cords Inspected?

  Safe

  At Risk

  N/A

• Only lights plugged into the temp lighting circuit?

  Safe

  At Risk

  N/A

• Proper lighting provided?

  Safe

  At Risk

  N/A

• Open panels are covered?

  Safe

  At Risk

  N/A

• No work on energized circuits?

  Safe

  At Risk

  N/A

• Proper electrical PPE being used when needed?

  Safe

  At Risk

  N/A

Hand and Power Tools

• Is the right tool for the right job being used?

  Safe

  At Risk

  N/A

• Have they been inspected for damage, frayed cord, missing guard ?

  Safe

  At Risk

  N/A

• Is the tool being used properly?

  Safe

  At Risk

  N/A

Fall Protection

• Are floor holes covered and clearly marked?

  Safe

  At Risk

  N/A

• Working at heights?

• Is fall protection being used at heights of 6' and greater?

  Safe

  At Risk

  N/A

• Has the fall protection been inspected?

  Safe

  At Risk

  N/A

• Harness properly worn?

  Safe

  At Risk

  N/A

• Proper anchor point used?

  Safe

  At Risk

  N/A

Ladders

• Are ladders being used?

• Have the ladders been inspected and maintained?

  Safe

  At Risk

  N/A

• Are the ladders being used properly?

  Safe

  At Risk

  N/A

• Is the extension ladder secure 3' above the working surface?

  Safe

  At Risk

  N/A

• Are tools being stored on top of the ladder?

  Safe

  At Risk

  N/A

• Is the set up of the ladder on a stable surface and clear of debris underneath?

  Safe

  At Risk

  N/A

Lock Out Tag Out

• Lock out Tag out needed?

• Has the employee been trained to perform LOTO?

  Safe

  At Risk

  N/A

• Has the LOTO Tag and or log been filled out and correspond with the lock that is installed?

  Safe

  At Risk

  N/A

• Have the locks and locking devices been properly installed?

  Safe

  At Risk

  N/A

• If the lead Has LOTO responsibility, has this been communicated to all workers on site?

  Safe

  At Risk

  N/A

Personnel Lifts (Scissors and Boom)

• Personnel lift being used?

• Has the employee been trained to operate a lift and have a training card on their person?

  Safe

  At Risk

  N/A

• Has a daily lift inspection checklist been filled out?

  Safe

  At Risk

  N/A

• Is the area safe to be operating a lift? (uneven surfaces, leading edges, debris)

  Safe

  At Risk

  N/A

• Are pedestrian kept out of the work area?

  Safe

  At Risk

  N/A

• Fall Protection being properly used?

  Safe

  At Risk

  N/A

Fork Lift

• Forklift being used?

• Is the operator trained and have a training card on their person?

  Safe

  At Risk

  N/A

• Is the operator using the seatbelt?

  Safe

  At Risk

  N/A

• Is the operator keeping people out of the "kill zone"?

  Safe

  At Risk

  N/A

• Traveling with the forks low?

  Safe

  At Risk

  N/A

• Is the operator using a safe travel path and obeying speed limits?

  Safe

  At Risk

  N/A

Excavations and Trenching

• Any Excavation work being performed?

• Locates called in?

  Safe

  At Risk

  N/A

• Is the trench or excavation red barricaded off and maintained?

  Safe

  At Risk

  N/A

• Is there surface traffic exposure?

  Safe

  At Risk

  N/A

• Less than 5' deep or shoring being used

  Safe

  At Risk

  N/A

• Spoils 2' from edge of trench?

  Safe

  At Risk

  N/A

• Is there egress within 25' of employees?

  Safe

  At Risk

  N/A

• Any unsafe surface conditions? (water, fissures, ect)

  Safe

  At Risk

  N/A

Confined Space

• Working in confined spaces?

• All personnel are trained?

  Safe

  At Risk

  N/A

• Permit filled out properly?

  Safe

  At Risk

  N/A

• Air samples taken & recorded?

  Safe

  At Risk

  N/A

• Rescue plan in place if needed?

  Safe

  At Risk

  N/A

• Have the hazards been abated?

  Safe

  At Risk

  N/A

Powder / Gas Actuated Tools

• Are Powder actuated tools in use?

• Is the employee trained and have a training card on their person?

  Safe

  At Risk

  N/A

• Hearing & eye protection used?

  Safe

  At Risk

  N/A

• Are the used shots being disposed in a bucket

  Safe

  At Risk

  N/A

• Are any shots used or unused on the ground?

  Safe

  At Risk

  N/A

Other

• Any hazards created by another contractor ?

  Safe

  At Risk

  N/A

• Optional Site photos

  Media

Comments:

• Job Site Lead Signature Acknowledgment of Audit Findings

  Sign