CES Weekly Safety Inspection Report Shop

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Housekeeping

• Project work area are clean and free of excess trash and debris

  Yes

  No

  N/A

• Walkways and passageways clear

  Yes

  No

  N/A

• Materials and equipment properly stored

  Yes

  No

  N/A

• Electrical cords, hoses, welding leads, etc. elevated to prevent trip hazards

  Yes

  No

  N/A

• Scrap metal free of protruding nails or other puncture hazards

  Yes

  No

  N/A

• Trash receptacles are provided for work areas and water kegs

  Yes

  No

  N/A

• Sufficient sanitary facilities located near all work areas

  Yes

  No

  N/A

• Barricades installed, tagged, and maintained

  Yes

  No

  N/A

• Other:

  Yes

  N/A

• Deduct point?

  Yes

  No

Personal Protective Equipment

• Clothing in good condition and suitable for task being performed

  Yes

  No

  N/A

• Hard hats worn and maintained as required

  Yes

  No

  N/A

• Hearing protection worn as required

  Yes

  No

  N/A

• Eye protection worn as required, in proper manner

  Yes

  No

  N/A

• Proper foot protection worn for job performed

  Yes

  No

  N/A

• Work gloves worn as required

  Yes

  No

  N/A

• Face shield and googles worn as required

  Yes

  No

  N/A

• Fire retardant clothing, if required, in good condition

  Yes

  No

  N/A

• 6' height exposure rule being observed

  Yes

  No

  N/A

• Respirators, gloves, chemical, resistant garments

  Yes

  No

  N/A

• Other

  Yes

  N/A

• Deduct point?

  Yes

  No

Fall Protection

• Perimeter guarding installed properly and identified

  Yes

  No

  N/A

• Fall protection properly maintained

  Yes

  No

  N/A

• Full body harness worn in a proper manner

  Yes

  No

  N/A

• Lanyards are adequately secured

  Yes

  No

  N/A

• Tie off points are capable of supporting 5,000 lbs

  Yes

  No

  N/A

• Fall protection equipment is used only for fall protection

  Yes

  No

  N/A

• Horizontal / Static / Rat lines installed and capable of supporting 5,000 lbs

  Yes

  No

  N/A

• Proper use of self-retracting lifelines (yo-yo)?

  Yes

  No

  N/A

• Other

  Yes

  N/A

• Deduct point?

  Yes

  No

Scaffolds and Ladders

• Scaffolds: Built per specification

  Yes

  No

  N/A

• Scaffolds: Rigid, plumb, and square

  Yes

  No

  N/A

• Scaffolds: Proper access and egress provided

  Yes

  No

  N/A

• Scaffolds: Tagged correctly (Red, Yellow, Green)

  Yes

  No

  N/A

• Scaffolds: Good housekeeping practices

  Yes

  No

  N/A

• Ladders: Proper ladder for the job performed

  Yes

  No

  N/A

• Ladders: Proper angle and secured to prevent slipping

  Yes

  No

  N/A

• Ladders: Proper fall protection where required

  Yes

  No

  N/A

• Ladders: In good mechanical condition, free from mud, grease, etc

  Yes

  No

  N/A

• Other

  Yes

  N/A

• Deduct point?

  Yes

  No

Hoisting and Lifting Equipment

• Chain falls, come-a-longs, and chokers in good physical condition

  Yes

  No

  N/A

• All equipment in apparent good mechanical condition

  Yes

  No

  N/A

• Softeners used as required

  Yes

  No

  N/A

• Proper rigging techniques used

  Yes

  No

  N/A

• Rigging is protected from cutting, burning, and welding operations

  Yes

  No

  N/A

• Rigging is protected from chemical exposure

  Yes

  No

  N/A

• Other

  Yes

  N/A

• Deduct point?

  Yes

  No

Vehicles and Mobile Equipment

• Daily document equipment inspections have been performed

  Yes

  No

  N/A

• Lights, brakes, horns, and alarms working properly

  Yes

  No

  N/A

• Seat belts provided and used

  Yes

  No

  N/A

• Properly maintained; no leaks, drips, or smoke

  Yes

  No

  N/A

• Proper equipment for the job being performed

  Yes

  No

  N/A

• Operators license or certifications as required

  Yes

  No

  N/A

• Fire extinguishers on forklifts

  Yes

  No

  N/A

• Other

  Yes

  N/A

• Deduct point?

  Yes

  No

Tools and Equipment

• Electrical cords and plugs in good condition

  Yes

  No

  N/A

• Tools are maintained In a safe condition

  Yes

  No

  N/A

• Tools have guards as supplied by the manufacturer

  Yes

  No

  N/A

• Tools are properly carried and stored

  Yes

  No

  N/A

• Pneumatic / hydraulic hose connections properly stored

  Yes

  No

  N/A

• Proper tools used for the job performed

  Yes

  No

  N/A

• Bench grinder: work rest properly adjusted and wheels dressed

  Yes

  No

  N/A

• Broken / defective tools are secured to prevent use

  Yes

  No

  N/A

• Other

  Yes

  N/A

• Deduct point?

  Yes

  No

Fire Protection

• Flammables stored properly

  Yes

  No

  N/A

• Oxygen and combustibles separated

  Yes

  No

  N/A

• Containers labeled

  Yes

  No

  N/A

• Fire extinguisher properly located and inspected

  Yes

  No

  N/A

• Flash arresters installed

  Yes

  No

  N/A

• Compressed gas cylinders properly stored and maintained

  Yes

  No

  N/A

• Containment of hot work and welding screens as required

  Yes

  No

  N/A

• Regulator gauges properly attached and maintained

  Yes

  No

  N/A

• Other

  Yes

  N/A

• Deduct point?

  Yes

  No

Project - Facility / Safety & Legal Documentation

• Materials safety data sheet (MSDS) Book available and current

  Yes

  No

  N/A

• Project safety policy manual available and current

  Yes

  No

  N/A

• Federal posters are in an accessible area and current

  Yes

  No

  N/A

• State posters are in a accessible area and current

  Yes

  No

  N/A

• "Posted Panel of Physician" or other WC poster is accessible and current

  Yes

  No

  N/A

• Other

  Yes

  N/A

• Deduct point?

  Yes

  No

Job & Safety Task Permits

• Applicable permits posted

  Yes

  No

  N/A

• JSA completed and correct

  Yes

  No

  N/A

• JSA and Permit procedures being followed

  Yes

  No

  N/A

• Crew members are knowledgeable about permits and JSAs

  Yes

  No

  N/A

• Other

  Yes

  N/A

• Deduct point?

  Yes

  No

IDLH ( Imminently Dangerous to Life or Health )

• IDLH violations?

  Yes

  N/A

• Deduct point?

  Yes

  No

Shop Check List

• Fire Extinguishers Checked

  All OK

  Out of Service

• Extension Cords Checked

  All OK

  Out of Service

• Power Hand Tools Checked (Drills,Screw Guns,Circular Saws,Grinders,Miter Saws,Fans,Sawzalls,ect.)

  All OK

  Out of Service

• Bathrooms and Breakrooms clean and tidy.

  Yes

  No

  N/A

• Front office bathrooms and Breakrooms clean and tidy.

  Yes

  No

  N/A

• Microwaves and Refrigerators clean.

  Yes

  No

  N/A

• Trash bins in shop area empty

  Yes

  No

  N/A

• Shipping area clean, material stacked in an orderly manner.

  Yes

  No

  N/A

• Flammable Cabinet (Gas cans,Alcohol,MEK,ect.)

  Full

  3/4 full

  1/2 full

  1/4 full

  Empty

• Yard clean, neat and orderly.

  Yes

  No

  N/A

• All employees were wearing appropriate levels of PPE.

  Yes

  No

  N/A

Pictures of Facility

• Add media

  Media

• Description of Picture(s).