Information
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Conducted on
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Performed by
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Location
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Description of Areas Inspected
Instructions
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Use this checklist to assess the following aspects of this site as Safe, At Risk or Not Applicable. Unsafe response indicate that attention is required to bring items to a satisfactory standard. Notes and photos should be attached where appropriate, and actions assigned, particularly to At Risk items.
Electrical Safety
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Do you wish to examine electrical safety on this safety walk?
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Ground fault circuit interrupters in use
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Extension Cords are not causing trip hazards or used inappropriately
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Power Tools are undamaged and being used fit for purpose
Excavations
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Do you wish to examine excavations on this safety walk?
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Access/Egress is safe and frequency of egress is acceptable
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Shoring/Shielding/Sloping is safe
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Barricades are in place as required
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Spoil Pile
Fall Protection Equipment
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Do you wish to examine fall protection equipment on this safety walk?
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Fall protection equipment inspected inspected regularly and before use
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Appropriate for task and used properly by crew where applicable
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Suitable Anchorage Points
Ladders
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Do you wish to examine ladders on this safety walk?
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Ladders are well maintained and in satisfactory condition
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Ladder base, footing and set up is to standard
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Proper Ladder for Task
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Fixed ladders are equipped with safety cage
Personal Protective Equipment (PPE)
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Do you wish to examine PPE on this safety walk?
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Hard Hats (available, worn by crew and in safe condition)
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Safety Glasses with Side Shields (available, worn by crew and in safe condition)
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Face Shield / Goggles (available, worn by crew and in safe condition)
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Respiratory Protection (available, worn by crew and in safe condition)
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Hearing Protection (available, worn by crew and in safe condition)
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Appropriate Clothing (in safe condition)
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Gloves (available, worn by crew and in safe condition)
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Foot Protection (fit for task, worn by crew and in safe condition)
Personnel
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Do you wish to check personnel and this safety walk?
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Behavior is orderly and professional
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Clear communication is possible without needing to shout
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Proper lifting technique demonstrated
Tools and Equipment
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Do you wish to examine tools and equipment on this safety walk?
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General condition of tools
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Tools and Equipment inspections take place and are recorded
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Right tools are being used for tasks
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Crew members are trained to be competent in the tools appropriate for their work tasks
Work Areas
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Do you wish to examine work areas on this safety walk?
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General Housekeeping (neat, tidy, dust free)
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Walkways (free of debris, obstructions, hazards, unguarded holes in floor)
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Fixed Stairs (free of debris, obstructions, hazards) (railings sturdy and in good repair) (equipped slip resistant treads)
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Work Surfaces (clear of clutter and dust)
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Sides or Holes (safety guards or covered)
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Impalement Hazards (none present, or adequately marked)
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Material Storage/Lay Down (neat and tidy)
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Mezzanine/Platforms labeled with load capacity and equipped with guard rails
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Loading Dock openings protected at > 4ft elevation
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Roof Areas have fall protection, approved anchor points, and/or leading edge warning perimeter
General Comments
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Any further comments or recommendations arising from this inspection?
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Add any additional relevant photos
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Have all required corrective actions been added as Actions to this inspection?
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Please add any corrective actions to the appropriate questions above before completing this report
Sign Off
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Signature