Information
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Job Name
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Conducted on
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On-Site Superintendent(s)
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Prepared by
MEDICAL AND FIRST AID
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Are First-Aid Kits accessible and identified?
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Are Bloodborne Pathogen kits available?
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Are daily logs for First-Aid present and up to date?
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Are First-Aid kits inspected weekly?
HAZARD COMMUNICATION
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Are SDS books on-site and available?
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Do all employees know where the SDS books are located?
SITE SAFETY PLAN
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Is a site map available?
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Site plan is posted?
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Are emergency phone numbers posted?
FEDERAL POSTERS
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Are posters located in a conspicuous location?
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Minimum wage
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OSHA Health and Safety
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Equal Employment Opportunity
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OSHA 300 Summary ( February 1st - April 30th only)
EMERGENCY PLAN
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Have muster points be established?
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Do all employees know the location of muster points?
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Has an emergency signal been established?
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Are proper exit signs and routes available and posted?
PERSONAL PROTECTIVE EQUIPMENT
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Have levels of personal protective equipment been established?
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Do all employees know their level of protection?
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Do employees wear proper PPE for task being performed?
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Are there sufficient quantities of PPE on-site?
TASK HAZARD ANALYSIS
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Has a THA be filled out?
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Has the THA been filled out properly?
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Has a THA been filled out with thought in each step of the task?
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Does the THA cover all task to be performed?
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Has the THA been reviewed and signed by each employee?
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Is the THA reviewed and modified when necessary changes are made?
FIRE PREVENTION
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Smoking prohibited in restricted areas?
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Flammable storage containers available?
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Fire extinguisher located near flammable storage?
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Is flammable storage properly marked?
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Is an adequate fire watch in place during hot work operations?
FIRE PROTECTION
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Are sufficient fire extinguishers available?
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Do all employees know the location of fire extinguishers?
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Are fire extinguishers inspected and in proper working order?
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Are flammable and combustable materials segregated from ignition sources?
WELDING AND CUTTING
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Are fire extinguishers present at welding and cutting operations?
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Has a hot work permit been obtained?
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Are proper helmets, glasses, and gloves being used for welding and cutting?
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Are welding machines properly grounded?
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Are leads in good condition?
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Is there adequate ventilation?
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Are only trained employees permitted to operate welding and cutting equipment?
HAND AND POWER TOOLS
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Are tools inspected before each use?
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Are tools being used properly?
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Are all required guards and covers in place?
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Is proper PPE being used for the tool?
MATERIALS HANDLING
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Are materials stacked and stored as to prevent sliding or collapsing?
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Are all containers labeled as to their contents?
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Are all chemicals, flammables, and combustibles stored in approved containers?
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Are all flammables and combustibles stored in non-smoking areas?
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Are mechanical means utilized to move material when necessary?<br>
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Are tripping and puncture hazards identified and labeled?
ELECTRICAL
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Are warning signs exhibited on high voltage equipment?
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Is electrical equipment and wiring properly guarded?
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Are extension cords and cables guarded and maintained in good condition?
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Are extension cords and temporary power cords kept out of wet areas?
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Are cords protected from traffic?
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Are proper lockout/tagout procedures in place?
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Are GFCI's being used properly?
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Are energized electrical parts protected?
WALKING AND WORKING SURFACES
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Are access-ways, stairs, ramps, and ladders clean of ice, mud, snow, or debris?
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Do all employees properly sign in and out on roof and penthouse access log?
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Are stairways and floor openings properly guarded?
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Do all guardrails meet OSHA standards?
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Are barricades put in place with proper signage during work activity?
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Are ladders inspected and properly secured?
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Is housekeeping in good order and up to site standards?
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Are ladders being used correctly?
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Are restrooms adequately clean and supplied?
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Is lighting adequate?
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Is drinking water adequate?
FALL PROTECTION
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Are leading edges protected?
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Are tie off points adequate?
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Is fall protection equipment in good condition?
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Do employees wear harnesses correctly?
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Are employees tying off when exposed to a fall hazard of 6' or more?
SCAFFOLDING
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Is scaffolding placed on a flat, firm surface?
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Are scaffold planks free of mud, ice, grease, etc?
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Is scaffolding inspected before each use (brandt competent person)?
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Is scaffold planking in place properly or overlap a minimum of 12 inches for wood planking?
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Are all pins in place and wheels locked?
EXCAVATIONS
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Has a dig permit been obtained?
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Has the soil been scanned and approved?
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Has soil been properly classified?
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Are ladders used in trenches over 4 feet deep?
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Are guardrails or fences placed around trenches/excavations near pedestrian or vehicle thoroughfares?
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Are trenches/excavations deeper than 5 feet properly sloped, benched, or shored?
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Are spoil piles placed, at a minimum, 24 inches from the trench/excavation?
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Has the operator received competent person excavation training?
HEAVY EQUIPMENT
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Is equipment being operated only by trained operators?
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Has a daily inspection been performed?
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Are back-up alarms installed and working properly?
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Is equipment being operated in a safe manner?
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Is equipment shut down before fueling or maintenance?
CONFINED SPACE ENTRY
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Has the space been properly classified?
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Are only trained personnel working as a supervisor, entrant, or attendent?
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Has all equipment been inspected prior to use?
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If permit required, is a safety representative on-site?
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Have all air monitors been calibrated and have a certificate of calibration?
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Are spaces ventilated and checked for atmospheric hazards prior to entry?
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If permit required, is the permit filled out properly and authorized?
RIGGING AND FLAGGING
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Have all employees involved been trained and have a Rigging and Flagging certification card?
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Has a lift plan been prepared, including THA and BIPP?
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Has the lift plan been reviewed with all involved employees?
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Have yearly/daily crane inspections and operators certification been verified with copies made and retained?
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Has all rigging material been inspected prior to use?
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Are slings padded or protected from sharp edges?
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Do employees keep clear of suspended loads?
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Is a tag line used on each load?
COMPRESSED GAS CYLINDERS
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Are cylinders stored in well-ventilated areas?
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Are no smoking signs posted in the cylinder storage areas?
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Are all cylinders stored and secured in an upright position?
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Are cylinders protected from damage?
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Are all cylinder caps in place when stored?
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Are regulators removed and replaced with the cap if not used in a 24 hour period?
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Are fuel gas and o2 cylinders stored a minimum of 20 feet apart or by other approved methods?
EQUIPMENT INSPECTION
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Has all equipment( scissor lift, boom lift, fork lift) been inspected prior to use?
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Is equipment clean, and in good working order?
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Has the operator been trained and has a current certification card?
ADDITIONAL INFORMATION
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What is the current phase of the job?
- Underground
- Slab Rough-In
- Wall/Overhead Rough-In
- Finish Out
- Service
- Fab Shop
- Demolition
- Shutdown
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Employees are working how many hours per week?
- 40 or less
- 40 to 50
- 50 to 60
- more than 60
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How many Brandt employees are on this job?
- 1-20
- 21-40
- 41-60
- 61-80
- 81-100
- more than 100
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How many sub contract employees are on this job?
- 1-5
- 6-10
- 11-15
- 16-20
- 21-25
- More than 25
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Additional Comments:
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Superintendent Signiture