Information
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Job Site
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Conducted on
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Conducted By
Aerial Lifts (Scissor & Boom)
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Chains latched, Employees wearing Fall Protection & are Lift being kept away from floor holes & deviations?
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Other?
Compressed Gas Cylinders
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Are fuels and Oxygen cylinders kept 20' apart or separated by a 5' half hour firewall or equivalent & do storage ares have proper signage (No Smoking or Open Flame)?
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Are B-Tanks in holders an the key in place?
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Flashback arresstors in place, regulators have covers on, & are hoses in good condition?
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Other?
Confined Spaces
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Was the Pre-Entry Checklist completed, the air monitor calibrated, other equipment in place, employees trained & is the permit completed and posted?
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Other?
Cranes
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Is the crane inspected and is the inspection in the cab, 10' clearance from electrical lines, qualified signal person, outriggers extended & swing radius protected?
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Other
Electrical
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Is all temporary electrical installed properly and inspected (panels closed, off the ground, etc.)?
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Are GFCI's being used, tested before each use, cords free from defects & are workers staying away from overhead power<br>Iines?
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Other?
Fire Prevention
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Is there a fire extinguisher at the hot work being performed, inspected annually & monthly, fire extinguishers placed every 100' & are combustibles & flammables 35' away or covered with a FR Blanket?
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Other?
First Aid
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Are there first aid kits readily available to employees, are they stocked appropriately & is someone first aid/CPR trained?
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Other?
Floor Hole, Wall Openings & Rooftops
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Are Holes > 2" covered, marked with "hole", handrails in place (200 lbs), floor deviation protected & on rooftops is there a means of fall prevention?
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Other?
Hazard Communication
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Are Safety Data Sheets (SDS's) available or accessible & are all substances labeled?
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Other?
Housekeeping & General Conditions
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Are there adequate trash containers available, exits/stairs clear & walkways free of slips & trips?
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Other?
Job Site Documentation
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Are SPA's/Tool Box Talks/Safety Audits being completed, a Safety Manual on site?
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Other?
Ladders
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Are ladders free from defects & being used properly?
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Other?
Lighting
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Is there adequate lighting & are bulbs fully protected?
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Other?
Lockout/Tagout
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Are employees trained in the application & removal of locks & tags?
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Are locks and tags being applied correctly?
Overhead Hoisting Equipment
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Does the equipment have the annual inspection completed & in good working order?
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Other?
Rigging & Rigging Equipment
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Is the manufacturer name and capacity clearly marked on the rigging?
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Are tag lines being used & are softeners being used on sharp edges?
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Other?
Personal Protective Equipment
Hard hats
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Are employees wearing hard hats?
Eye Protection & Face Protection
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Are employees wearing safety glasses with side shields?
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Are employees wearing face shields and safety glasses while grinding or chipping?
Hand Protection
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Are employees wearing the proper hand protection?
Fall Protection
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Has the fall protection equipment been inspected by a competent person?
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Is the equipment installed properly to prevent employees from free-falling more than 6 feet or hitting the level below?
Respirators
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Are employees medically qualified to wear the respirator?
Postings
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Is the OSHA 300A Log posted (February 1 to April 30)?
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Are the federal, state & local postings & emergency #'s posted?
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Dr. Panel Posted?
Powered Industrial Trucks
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Are operators certified, seat belts being worn, the back up alarm working & pre-inspections being performed?
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Other?
Scaffolding
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Was the scaffolding built by a Competent Person & inspected daily?
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Other?
Stairs
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Are handrails provide at stairs with 4 or more steps & are steps provided at access points > 19"?
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Other?
Sub Contractors
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Was the Sub Contractor Orientation Done for all new Subs?
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Are Sub Contractors working safely?
Tools & Equipment
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Are tools in proper working order?
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Do grinders have guards and handles on?
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Other?
Trenches/Excations
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Has the Competent Person classified the soil?
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Is there proper protection in place at excavations > 5'(i.e. shoring/sloping/benching)?
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Is there proper egress in out of excavations > 4' (ladders every 25')?
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Are spoils kept at least 2' back from the edge of the excavation?
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Are daily inspections being completed by the Competent Person?
Vehicles
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Does the vehicle have an inspected fire extinguisher, emergency triangles, camera & accident reporting kit?
Welding Activities
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Are weld leads and gas hoses free from defects, boot covers in place and are weld screens being used?
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Other?