CAP EX FY '16

• Job Site

• Conducted on

  Date

• Prepared by:

  Sign

Safety on Job Sites

• Demolition

  Safe

  At Risk

  N/A

• Fire Extinguishers

  Yes

  No

  N/A

• Smoking in the Building

  Safe

  At Risk

  N/A

• Housekeeping

  Safe

  At Risk

  N/A

• Balcony warning signs

  Safe

  At Risk

  N/A

• Balcony guardrails

  Yes

  No

  N/A

Roofs

• Safe Access to roof

  Safe

  At Risk

  N/A

• Access ladders tied off

  Yes

  No

  N/A

• Ladder access clear of debris

  Yes

  No

  N/A

• Fall protection 100% tie off

  Safe

  At Risk

  N/A

• Full body harness worn correctly. D-ring between shoulder blades?

  Yes

  No

  N/A

• Material secured from falling<br><br>

  Safe

  At Risk

  N/A

Person protective equipment

• Hardhats

  Yes

  No

  N/A

• Safety vests or company logo shirts<br>

  Yes

  No

  N/A

• Safety glasses

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

Electrical

• Electrical - extension cords -GFCI-ground pin

  Safe

  At Risk

  N/A

• Cords protected from traffic and out of walkways

  Yes

  No

  N/A

• Frayed or damaged cords

  Safe

  At Risk

  N/A

• Power tools-guards in place-PPE

  Safe

  At Risk

  N/A

• Lock out/tag out for appropriate tasks

  Safe

  At Risk

  N/A

Scaffolds

• Ladder access

  Yes

  No

  N/A

• Secured to scaffold

  Yes

  No

  N/A

• Clear from debris and materials

  Yes

  No

  N/A

• Inspected green/red tags

  Safe

  At Risk

  N/A

• Mudsills nailed in and bent over

  Safe

  At Risk

  N/A

• Fully braced and secured to structure

  Safe

  At Risk

  N/A

Violations

• Violation

Violation

• Photos

  Media

• Subcontractor

• Location

• Infraction

• Correction

• Select date

  Date

General comments

• Photos

  Media

• Superintendent sign off. Date corrected

  Sign