CAE Site Inspection

• Active Job Sites

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• Address
  Address

• General Contractor

• Project Manager HVAC

• Project Manager Plumbing

• SM Foreman

• PP Foreman

• PL Foreman

• ITech Foreman

Today's Forecasted High Temperature

• Is today's Forecasted Temperature expected to reach or exceed 95 degrees?

  Yes

  No

• What is todays expected High Temperature?

• Personnel Trained in Heat Illness Prevention?

  Yes

  No

• Daily High Heat Plan Completed?

  Yes

  No

• Date

  Date

• Prepared by

General Safety:

• CPR/1st Aid Provider on site:

  Yes

  No

  N/A

• Adequate First Aid Kits available:

  Yes

  No

  N/A

• General cleanliness working/walkways surfaces free of trips/slips hazards:

  Yes

  No

• PPE: Hardhat/Safety Glasses/Face Shield/Hearing/Gloves (Cut lv 3 min)/Other Worn:

  Yes

  No

  N/A

• Training review "Take 5 Personal Protective Equipment"

  Completed

• Adequate Lighting:

  Yes

  No

  N/A

• Adequate Drinking Water:

  Yes

  No

  N/A

• Toilets Clean:

  Yes

  No

• Wash Stations with Soap, Water and Towels:

  Yes

  No

• Are Impalement Hazards covered:

  Yes

  No

  N/A

Dusts, Fumes, Mists, Vapors, and Gases:

• Are there known Asbestos Containing Materials (ACMs) on this project:

  Yes

  No

• Are ACMs contained/encapsulated?

  Yes

  No

• Are Personnel Asbestos Awareness Trained

  Yes

  No

Silica Dust Exposure:

• Are Employees engaged in activities that create or are exposed to silica dust created by other trades:

  Yes

  No

• HEPA Filtered Tools. Vacuums Used , Frequently Cleaned:

  Yes

  No

• Employees Trained in Silica Dust Exposure:

  Yes

  No

• Filter Face Piece Available for Voluntary use:

  Yes

  No

• Other Trades complying with Silica Dust Standard:

  Yes

  No

  N/A

Carbon Monoxide Exposure:

• Are Internal Combustion Engines being operated inside the building:

  Yes

  No

• Is there adequate ventilation:

  Yes

  No

• Is Carbon Monoxide Monitoring in Place:

  Yes

  No

Excavation & Trenching:

• Are Employees engaged in Excavation or Trenching Activities:

  Yes

  No

• Inspected By A Competent Person:

  Yes

  No

• All Personnel Inside Trench/Excavation Trained:

  Yes

  No

  N/A

• Ramp present or Ladder installed, 4ft or deeper, and extended 3ft above landing and within 25ft from all workers:

  Yes

  No

  N/A

• Bench, Sloped or Shored 5ft in depth or greater:

  Yes

  No

  N/A

• Trenches less than 5ft safe guarded against falls

  Yes

  No

  N/A

Traffic Control:

• Are Employees Engage in Traffic Control Activities:

  Yes

  No

• Employees wearing High visibility Clothing:

  Yes

  No

• Personnel Trained:

  Yes

  No

• Stop signs/Signaling Devices Used:

  Yes

  No

Cranes Operations:

• Are employees engaged in Crane Activities:

  Yes

  No

• Qualified Signalman:

  Yes

  No

• Qualified Riggers:

  Yes

  No

• Rigging Equipment inspected:

  Yes

  No

• Pre-lift Safety Brief Conducted (all personnel must be present):

  Yes

  No

Standard Railings:

• Are there Guarding, Rails, Nets, Toeboards to be Inspected:

  Yes

  No

• Are fall exposures 6ft or greater properly guarded (leading edges, shafts, etc.):

  Yes

  No

  N/A

• Are fall exposures less than 6ft made safe

  Yes

  No

  N/A

• Railings, Cables, extended 39-42in above the working surface no more than 3in of deflection in any direction:

  Yes

  No

  N/A

• Are toe-boards, netting or equivalent installed to prevent items from falling to the lower level:

  Yes

  No

  N/A

Ramps, Runways, Stairwells, and Stairs:

• Are there Ramps, Stairwells, and Stairs to be inspected:

  Yes

  No

• Personnel Ramps sturdy no deflection/spring, secured from displacement:

  Yes

  No

  N/A

• Stairwell Handrails Installed, Steps and Landings Filled in:

  Yes

  No

  N/A

• Stairs clear to provide clear access and egress? (if more than 1 at least one continuously cleared):

  Yes

  No

  N/A

Floor and Wall Openings:

• Floor openings/wall openings guarded to prevent personnel/items from falling to lower levels:

  Yes

  No

  N/A

Roof Openings and Skylights:

• Roof Openings/Skylights Guarded:

  Yes

  No

  N/A

Scaffolding:

• Are Personnel working on Scaffolding:

  Yes

  No

• Personnel Trained: Scaffold User Training:

  Yes

  No

• Scaffolding Inspected by Competent Person:

  Yes

  No

• Working Surface at least 20in wide:

  Yes

  No

Fall Protection:

• Personnel Wearing Personal Fall Arrest or Restraint Systems:

  Yes

  No

• Appropriate Fall Protection System Used?

  Yes

  No

• Appropriate Anchor point utilized (i.e. Rated 5klb, no pipe, no conduit, no Unistrut):

  Yes

  No

• Personnel Trained in the proper use, selection and inspection:

  Yes

  No

• Personal Fall Protection Gear Inspected:

  Yes

  No

Ladders:

• Ladders Inspected, Appropriate for Task and Used/Set up correctly

  Yes

  No

  N/A

• Training Review "Take 5 Ladders"

  Completed

Hand Tools:

• Tools Inspected and in good condition:

  Yes

  No

  N/A

• Guards, Handles Installed:

  Yes

  No

  N/A

Powder Actuated Tools:

• Powder Actuated Tools Used in safe manner/Secured

  Yes

  No

  N/A

• Training Review "Take 5 Powder Actuated Tools"

  Completed

Cords, GFCI:

• Cords/GFCI Inspected:

  Yes

  No

  N/A

• Cords free from trip hazards, not ran through/over sharp edges.

  Yes

  No

  N/A

Multi Elevated Work Platforms (Scissor and Boom Lifts):

• Multi Elevated Work Platforms Operated Safely: (i.e. Mid-rail chain, Inspected, not standing on rails, etc.)

  Yes

  No

  N/A

• Training Review "Take 5 MEPWs" (if previously trained)

  Completed

Powered Industrial Truck:

• Fork Lifts Operated Safely: (i.e. seatbelt worn, Inspected, load carried properly, etc.)

  Yes

  No

  N/A

• Training Review "Take 5 Forklifts" (if previously trained)

  Completed

Confined Space:

• Are Personnel engaged in Confined Space Activities:

  Yes

  No

• Are all personnel working in Confined Spaces Trained:

  Yes

  No

• has a Confined Space permit been completed and signed by the Supervisor:

  Yes

  No

• Air monitoring and ventilation present/Adequate:

  Yes

  No

  N/A

• Rescue Retrieval System Setup:

  Yes

  No

• Lock Out Tag Out in Place:

  Yes

  No

  N/A

HAZCOM:

• Are Hazardous Materials Being Used:

  Yes

  No

• Containers Labeled? (Primary and Secondary):

  Yes

  No

• Stored/Disposed Properly:

  Yes

  No

• SDS Available:

  Yes

  No

Welding/Hot Work:

• Are there current hot work activities? Any flame or spark producing tasks:

  Yes

  No

• Hot Work Permit Completed:

  Yes

  No

  N/A

• Combustibles Moved 25ft away:

  Yes

  No

• Welding blankets used to prevent slag/sparks from falling to lower levels:

  Yes

  No

  N/A

• Fire Extinguisher Present and Inspected (tag signed/dated)

  Yes

  No

  N/A

• Fire Watch Present (note: if slag/sparks are falling to lower levels a separate FW is required at each level to the lowest level where slag/sparks could land):

  Yes

  No

  N/A

Ventilation

• Is ventilation adequate for work space

  Yes

  No

  N/A

• is Installed Ventilation, smoke eaters or fans being used

  Yes

  No

• Are other trades complying

  Yes

  No

• Regulator, Hoses, Torch Inspected, Flashback Arrestors Installed

  Yes

  No

  N/A

Compressed Gas Cylinder Storage:

• Bottles Stored Properly: Secured from tipping, incompatible gases separated

  Yes

  No

  N/A

Tools, Ladders, Equipment Secured/locked up

• Are tools, ladders and equipment properly secured?

  Yes

  No

  N/A

Other Trades Using Company Tools, Equipment?

• Are Non-Company personnel, including Company Subcontractors, are using Company Tools or Equipment:

  Yes

  No

Safe Behavior Observation:

• Do you have a Safe Behavior Observation Report for this project:

  Yes

  No

• Who was Observed, Name and Trade:

• Who is the Supervisor:

• What Was The Safe Observation:

• Was a Gift card Issued for this event: Gift Cards are issued for those actions up and beyond normal compliance

  Yes

  No

Company Vehicle 1:

• Are there company vehicles on site to be inspected:

  Yes

  No

• Vehicle Number:

• Assigned Driver:

• Vehicle Exterior Clean:

  Yes

  No

• Truck Bed Neat and Organized:

  Yes

  No

  N/A

• Vehicle free of damage other than minor scratches and/or dents:

  Yes

  No

• Glass free of cracks, chips:

  Yes

  No

• Lights/lens free of cracks:

  Yes

  No

• Driver Compartment Neat and Organized:

  Yes

  No

• Tires in good condition:

  Yes

  No