Builders Bloc - ROSSI Safety Inspection

• Audit Title

• Development / Subdivision

• Lot Number(s)

• Conducted on

  Date

• Prepared by

• Builder

• Subcontractor

ROSSI Partnership Items

• Housekeeping & Sanitation

  Yes

  No

  N/A

• Personal Protective Equipment

  Yes

  No

  N/A

• Respiratory Protection

  Yes

  No

  N/A

• Fire Protection & Flammable Liquids/Materials

  Yes

  No

  N/A

• Signs, Signals & Barricades

  Yes

  No

  N/A

• Walking & Working Surfaces/Slips/ Trips/Falls

  Yes

  No

  N/A

• Materials Handling, Storage, & Disposal

  Yes

  No

  N/A

• Hand, Power & Powder Actuated Tools

  Yes

  No

  N/A

• Welding, Cutting, Grinding, & Burning

  Yes

  No

  N/A

• Electrical, Wiring/Cords, Temporary Power

  Yes

  No

  N/A

• Ground Fault Circuit Interrupters (GFCI)

  Yes

  No

  N/A

• Control of Hazardous Energy (Lockout/Tagout)

  Yes

  No

  N/A

• Scaffolding

  Yes

  No

  N/A

• Aerial, Scissor & Boom Lifts

  Yes

  No

  N/A

• Ladders, Stairways, & Ramps

  Yes

  No

  N/A

• Fall Protection & Prevention

  Yes

  No

  N/A

• Fall Protection Plan

  Yes

  No

  N/A

• Cranes, Derricks & Hoists / Rigging

  Yes

  No

  N/A

• Motor Vehicles / Seat Belts

  Yes

  No

  N/A

• Heavy Equipment & Mechanized Equipment

  Yes

  No

  N/A

• Excavations, Trenching & Shoring

  Yes

  No

  N/A

• Confined Space Entry

  Yes

  No

  N/A

• Concrete & Masonry Construction

  Yes

  No

  N/A

• Steel Erection & Decking

  Yes

  No

  N/A

• Underground Construction/Tunneling

  Yes

  No

  N/A

• Demolition

  Yes

  No

  N/A

• Floor & Wall Openings

  Yes

  No

  N/A

• Traffic Controls & Flagging, High Visibility PPE

  Yes

  No

  N/A

• Hazard Communication/Safety Data Sheets (SDS)

  Yes

  No

  N/A

• Safety Plan/Job Hazard Analysis

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

Builders Bloc Specific

Carpentry (Builders Bloc Specific)

• Is the binder with daily log of JSA – stretching, all hazards abated, fire extinguishers, etc. available?

  Yes

  No

  N/A

• Are ladders in good condition?

  Yes

  No

  N/A

• Review fall protection plan with crew – setting trusses from ladders, what the tie off plan on the roof is, etc. (The goal is to make sure everyone is thinking about what they are doing related to fall protection – approximately 5 minutes of training review).

  Yes

  No

  N/A

• Are all ramps are 20” wide into home and Controlled Access Zone (CAZ) lines marked no matter what height sub-floor is off ground?

  Yes

  No

  N/A

• Are all windows installed, or are rails installed prior to standing wall? Cattle guard over rear doors installed during framing?

  Yes

  No

  N/A

Foundations (Builders Bloc Specific)

• Are all form baskets in good order with safety chains working?

  Yes

  No

  N/A

• Are all whaler brackets bent over for no sharp edges?

  Yes

  No

  N/A

• Are form baskets slot and basket on perimeter on walls?

  Yes

  No

  N/A

• Ladder in use to enter or exit the hole?

  Yes

  No

  N/A

Flatwork (Builders Bloc Specific)

• Is inspection completed on truck/trailer – mirrors, lug nuts, tires, lights, etc?

  Yes

  No

  N/A

• Is there a fire extinguisher on truck?

  Yes

  No

  N/A

• Is the backup alarm/horn for the skid steer/bobcat in working order?

  Yes

  No

  N/A

Drywall (Builders Bloc Specific)

• Are all holes from HVAC openings covered?

  Yes

  No

  N/A

• Are guard rails at foyer/great room 3 rails tall when guys are on stilts?

  Yes

  No

  N/A

• Are all electrical equipment in good working order? (Homemade items/stuff is prohibited)

  Yes

  No

  N/A

• General/Additional Comments:

• Workers Present

• Inspector's Signature:

  Sign

• Superintendent/Foreman Signature:

  Sign