Ccc secondary inspection form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Pre-task planning

• Pre-task plan completed?

  Yes

  No

  N/A

Administration

• MSDS manual

  Yes

  No

  N/A

• Orientation videos

  Yes

  No

  N/A

• OSHA posters

  Yes

  No

  N/A

• Safety manual

  Yes

  No

  N/A

• Safety meetings

  Yes

  No

  N/A

• State / Fed posters

  Yes

  No

  N/A

• Visitor PPE available

  Yes

  No

  N/A

• Visitor sign in form

  Yes

  No

  N/A

Cranes and hoisting equipment

• Annual inspection current

  Yes

  No

  N/A

• Anti two block device

  Safe

  At Risk

  N/A

• Boom angle indicator

  Safe

  At Risk

  N/A

• Cert or verify training

  Yes

  No

  N/A

• Crane supported and level

  Yes

  No

  N/A

• Daily inspections current

  Yes

  No

  N/A

• Dist power lines / de-ener

  Yes

  No

  N/A

• Fire extinguisher in crane

  Yes

  No

  N/A

• Flagman identified

  Yes

  No

  N/A

• Lift plan on file

  Yes

  No

  N/A

• Load chart posted

  Yes

  No

  N/A

• Loads properly secured

  Yes

  No

  N/A

• Means of communication

  Yes

  No

  N/A

• Operator appears competent

  Yes

  No

  N/A

• Operator manual in crane

  Yes

  No

  N/A

• Outrig extend / cribbing

  Yes

  No

  N/A

• Rig insp / rated

  Yes

  No

  N/A

• Safety latches used

  Yes

  No

  N/A

• Swing radius barricaded

  Yes

  No

  N/A

• Tag lines used

  Yes

  No

  N/A

• Weight load verified

  Yes

  No

  N/A

Electrical

Cords

• Cord in good condition

  Yes

  No

  N/A

• Cord protected from traffic

  Yes

  No

  N/A

• Electrical room protected

  Yes

  No

  N/A

• Energized parts protected

  Yes

  No

  N/A

• GFCI

GFCI

• GFCI used

  Yes

  No

  N/A

• LOTO used

  Yes

  No

  N/A
Temp power boxes

• Proper use temp pwr box

  Yes

  No

  N/A

• Signage present

  Yes

  No

  N/A

Environmental

• Asbestos / lead / mold / silica

  Yes

  No

  N/A

• Concrete cut wet or vacuumed

  Yes

  No

  N/A

• Containers labeled

  Yes

  No

  N/A

• Haz material properly stored

  Yes

  No

  N/A

• Nuisance dust

  Yes

  No

  N/A

• Spill containment adequate

  Yes

  No

  N/A

Excavations

Excavations

• Access with 25'

  Yes

  No

  N/A

• Excavation > 20' engineered

  Yes

  No

  N/A

• Perimeter protected barricaded

  Yes

  No

  N/A

• Sloped / benched / shored

  Yes

  No

  N/A

• Spoils 2' from edge

  Yes

  No

  N/A

• Surface encumbrances

  Yes

  No

  N/A

• Surface traffic exposure

  Yes

  No

  N/A

• Water entering excavation

  Yes

  No

  N/A

• Competent person present

  Yes

  No

  N/A

• Daily inspections doc

  Yes

  No

  N/A

• One call system used

  Yes

  No

  N/A

Fall protection

• Stair / ramp / walkway

Walkway

• Stair / ramp / walkway protected

  Yes

  No

  N/A

• Ext/int guard rails

Guard rails

• Ext/int guard rails

  Yes

  No

  N/A
Fall protection above 6'

• Fall protection above 6'

  Yes

  No

  N/A

• Safety harness and lanyard

  Yes

  No

  N/A

• Fall protection plan

  Yes

  No

  N/A

• Floor / wall opening

Openings

• Floor / wall opening protected

  Yes

  No

  N/A

• Flr covers adequate, secure, labeled

  Yes

  No

  N/A

• Anchorage points

Anchorage

• Proper anchorage points

  Yes

  No

  N/A

• Proper use of "CAZ" I'd

  Yes

  No

  N/A

• Roof edge protected

  Yes

  No

  N/A

Fire protection

Extinguisher

• Charged and inspected

  Yes

  No

  N/A

• Emergency vehicle access

  Yes

  No

  N/A

• Fire watch as needed

  Yes

  No

  N/A

• Prop signs in store areas

  Yes

  No

  N/A

• Proper fuel containers used

Fuel containers

• Fuel container in good condition

  Yes

  No

  N/A

Hand and power tools

• Tools

Tool

• Cord in good condition

  Yes

  No

  N/A

• Ground prong in place

  Yes

  No

  N/A

• Guards in place

  Yes

  No

  N/A

• Proper tool for the job

  Yes

  No

  N/A

• Strain relief functioning

  Yes

  No

  N/A

• Tool in good condition

  Yes

  No

  N/A

Hazard communications

• Inventory list

  Yes

  No

  N/A

• Proper labels on containers

  Yes

  No

  N/A

• MSDS (site specific)

  Yes

  No

  N/A

Housekeeping

• Clear access to bldg / site

  Yes

  No

  N/A

• Designated employee parking

  Yes

  No

  N/A

• Impalement protection

  Yes

  No

  N/A

• Proper material storage

  Yes

  No

  N/A

• Roadway around project clear

  Yes

  No

  N/A

• Slip, trip, fall hazards

  Yes

  No

  N/A

• Trash in protected containers

  Yes

  No

  N/A

Ladders / stairs

Ladders / stairs

• 3' above landing

  Yes

  No

  N/A

• Access break > 19"

  Yes

  No

  N/A

• Clear of debris / materials

  Yes

  No

  N/A

• Extension ladder 4:1 pitch

  Yes

  No

  N/A

• Inspected for defects

  Yes

  No

  N/A

• Job built ladder constructed properly

  Yes

  No

  N/A

• Ladder secured

  Yes

  No

  N/A

• Landings and treads filled

  Yes

  No

  N/A

• Proper use of ladder

  Yes

  No

  N/A

• Rails at stairs / landings

  Yes

  No

  N/A

• Safe distance from hazard

  Yes

  No

  N/A

• Slip, trip exposure eliminated

  Yes

  No

  N/A

• Stairs illuminated

  Yes

  No

  N/A

Medical / emergency

• 1st aid kit

  Yes

  No

  N/A

• Emergency action plan

  Yes

  No

  N/A

• Emergency numbers posted

  Yes

  No

  N/A

• Team contact numbers

  Yes

  No

  N/A

Motorized equipment

• Motorized equipment

Equipment

• Back up alarm functioning

  Yes

  No

  N/A

• Flag man used if applicable

  Yes

  No

  N/A

• Horn functioning

  Yes

  No

  N/A

• Operator appears competent

  Yes

  No

  N/A

• Certification / training verified

  Yes

  No

  N/A

• Seat belts used

  Yes

  No

  N/A

PPE

• Glasses / face shields

Eye protection

• Glasses / face shield used

  Yes

  No

  N/A
Gloves

• Gloves used when needed

  Yes

  No

  N/A

• Hard hats

Hardhat

• Hardhat worn

  Yes

  No

  N/A
Hearing protection

• Hearing protected

  Yes

  No

  N/A

• Proper clothing

Clothing

• Proper clothing worn

  Yes

  No

  N/A

• Rebar caps

  Yes

  No

  N/A
Respirators

• Respirator used

  Yes

  No

  N/A

Scaffolds

• Scaffolds

Scaffold

• Bracing and pins in place

  Yes

  No

  N/A

• Compatible components used

  Yes

  No

  N/A

• Competent person present

  Yes

  No

  N/A

• Guard rails in place at 10'

  Yes

  No

  N/A

• Inspected daily

  Yes

  No

  N/A

• Prop secured to structure 4/1

  Yes

  No

  N/A

• Proper access to platform

  Yes

  No

  N/A

• Proper loading of materials

  Yes

  No

  N/A

• Safe work distances (14")

  Yes

  No

  N/A

• Sills, plates, jacks installed

  Yes

  No

  N/A

• Surface in safe condition

  Yes

  No

  N/A

Scissor / aerial lifts

• Scissor / aerial lift

Lift

• Equipment loaded properly

  Yes

  No

  N/A

• Gate or chain secured

  Yes

  No

  N/A

• Harness in lift

  Yes

  No

  N/A

• Nothing to increase height

  Yes

  No

  N/A

• Operating on a flat surface

  Yes

  No

  N/A

• Cert / training verified

  Yes

  No

  N/A

• Operator appears competent

  Yes

  No

  N/A

• Safe work distances

  Yes

  No

  N/A

• Surface free of holes

  Yes

  No

  N/A

Site / public protection

• Adequate lighting

  Yes

  No

  N/A

• Barricades installed properly

  Yes

  No

  N/A

• Company rep present

  Yes

  No

  N/A

• Excavations protected

  Yes

  No

  N/A

• Falling object protection

  Yes

  No

  N/A

• Perimeter fences

  Yes

  No

  N/A

• Public protection signage

  Yes

  No

  N/A

• Security system in place

  Yes

  No

  N/A

• Street closure identified

  Yes

  No

  N/A

• Traffic control plan

  Yes

  No

  N/A

Steel erection

• 75% concrete letter

  Yes

  No

  N/A

• CDZ established at 15'

  Yes

  No

  N/A

• Connect below 30' wear harness

  Yes

  No

  N/A

• Connecting 30' 100% fall pro

  Yes

  No

  N/A

• Erector notif of modification

  Yes

  No

  N/A

• Fall protection @ 20' (decking)

  Yes

  No

  N/A

• Steel erection activates fall pro 15'

  Yes

  No

  N/A

SWPPP

• SWPPP plan

  Yes

  No

  N/A

• No track out

  Yes

  No

  N/A

• Weekly inspection done

  Yes

  No

  N/A

• Silt fence up or in good repair

  Yes

  No

  N/A

• Entry sign

  Yes

  No

  N/A

• BMP in place

  Yes

  No

  N/A

Welding / cutting

Welding / cutting

• Bottles upright / secured

  Yes

  No

  N/A

• Fire ext present

  Yes

  No

  N/A

• Flash arrest on torches

  Yes

  No

  N/A

• Flash protection available

  Yes

  No

  N/A

• Gauges working properly

  Yes

  No

  N/A

• Leads in good condition

  Yes

  No

  N/A

• Prop PPE in use

  Yes

  No

  N/A

• Torch hoses good condition

  Yes

  No

  N/A

• Weld machine ventilated

  Yes

  No

  N/A