Title Page
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Conducted on
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Prepared by
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Location
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Job #
Personal Protective Equipment
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Hard Hats Worn At All Times
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Safety Glasses With Sideshield
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Face Shields When there Is Potential For Flying Debris
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Hearing Protection Where Required
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Full Body Harness With Lanyard Where Needed
Hot Work
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Fire Protection (Extinguisher / Tarpaulins)
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Fire Extinguisher Inspected and Tagged
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Welding Shields In Use
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Cylinders Secured And Capped When Not In USe
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Leads And Hoses In Good Condition
Walking/Working Surfaces
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All Floor Openings And Holes Greater Than 2” Cvered
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Aisle ways Are Clear Of Hazards Such As: Ext Cords, Welding Leads And Stored Material
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All Leading Edges With Falls. Greater Than 6’ Protected
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Welding Rod/All Thread Stubs Are Placed In A Bucket/Trash Container
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Work Is Properly Illuminated
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Roof Top Work Has Proper Fall Protection System
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How Often Is Clean-Up Being Done Per Day
Material fitting/Handling
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Emmplooyee’s Are Using Proper Lifting Techniques, Etc
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Slings Are In Good Condition
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Rigging Is Being Inspected Before Each Use
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Shackles Are Used On All Multi-Leg Piks
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Cranes, Chains Falls, Come-Along And Air Tuggers Are Properly Sized And Used In A Safe Manner
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Porta Powers Are Properly Sized And Used In A Safe Manner
Scaffolds And Manlifts
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Number Of Scaffolds Your Crew Is Using
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Handrails And Toe Boards Are In In Place
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Scaffolds Have Proper Access And Are Tagged , Dated And Inspected By A Competent Person
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Fall Protection Used In Boomlifts
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Fall. Protection Requirements For Scissor Lifts Are eying Met
Excavations
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Excavation Depth Is ____________Feet
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Designated Competent Person Is
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5’ Or More In Depth - Shored Or Benched
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Spoil Is A Minimum of 2’ From Edge Of Excavation
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Excavation Are Inspected Daily For Any Changed In Working Conditions
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Entry Permits Are Filled Out And Posted For Excavations Greater Than 5’
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Protective Systems For Excavation Over 20’ In Depth Have Been Designed By A Professtional Engineer
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Proper Access/Egress Is Provided
Ladders
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All Ladders Free Of Defects
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Step Ladders Used In Only The Open Position
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Straight Ladders Are Being Used At Proper Angle
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Straight Ladders Are Equipped With Safety Feet And Are Secured to Avoid Displacement
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Access To Ladders Free Of Debris And/Or Obstructions
Power Tools
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Power Cords In Good Conditon
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Guards In Place
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Ground Fault Interruption Protection Is Being Used
Questions For Foreman
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I Am Working With PM To Resolve Any Of The Above Issues
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Was A Project Saafety Analysis Performed On this Project
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Current Safe Behavior By Craftsman
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Daily Job Hazard Analysis
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Are We General Contractor or Subcontractor
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Comments Or Complaints (Explain If Any No’s Aboe)
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Take A Photo Of Concerns
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Name Of Safety Committee Mamber Doing Inspection
