Information
-
Job # & Site Name
-
Conducted on
-
Prepared by
-
Location
-
Personnel
1.0 - Emergency Procedures
-
1.1 - Is the site ERP, First Aiders list and EVAC plan current and posted for workers to see?
-
1.2 - Are emergency supplies and systems ready and levels correct? (First aid kits/extinguishers/horn/eye wash)
2.0 - Site Signage
-
2.1 - Is the appropriate company signage in place? (Rules, PPE, Sign In, Muster Point)
-
2.2 - Are danger zones identified with the proper barricades in place?
3.0 - Site Chemicals
-
3.1 - Are Material Safety Data Sheets available for all chemicals?
-
3.2 - Are all containers labeled and stored correctly? (suppliers label / workplace label)
-
3.3 - Is the appropriate safety items in place should an issue arise? (spill kit, absorbent booms or materials)
5.0 Site Documentation: Task Hazards Assessments, Inspections, Toolbox Talks, Permits and SITR's
-
4.1 - Have appropriate task hazard assessments been written and posted?
-
4.2 - Has the sites previous Site Inspection and Toolbox posted for workers to review?
-
4.3 - Are required Hot Work permits in place?
-
4.4 - Is the SITR reporting system being promoted and followed on site?
5.0 - Site Personnel
-
5.1 - Have workers signed in at the start of their shift?
-
5.2 - Are workers conducting their tasks safely?
-
5.3 - Is the correct PPE worn and is it effective for the tasks at hand?
6.0 - The Work Area
-
6.1 - Is the job site neat and organized? (Slip / Trips / Falls)
-
6.2 - Are issues concerning Noise / Dust / Mist / Fumes / Ventilation dealt with properly on site?
-
6.3 - Is there adequate amount of lighting for the work being conducted.
-
6.4 - Is rebar protection correct for its application?
-
6.5 - Are electrical panels properly placed, labeled and secured for lock out purposes?
-
6.6 - Do circuits include a GFI breakers?
-
6.7 - Are extension cords correct for the application, run neatly, with the ends kept away from water hazards?
-
6.8 - Are all tool safe guards in place when used?
-
6.9 - Are tools being used and stored properly?
-
6.10 - Is the appropriate Lock Out / Tag out system in place and followed?
7.0 - Equipment
-
7.1 - Has heavy equipment inspections been documented and meeting set guidelines?
-
7.2 - Do other workers conduct there task in conjunction with equipment in the area properly?
-
7.3 - Has a documented crane, rigging inspection and lift plan been filed prior to any lift being started?
-
7.4 - Is the area below an overhead hazard marked out and a control zone established?
8.0 - Working at Heights
-
8.1 - Have aerial platforms inspections been documented and meeting set guidelines?
-
8.2 - Are all safety mechanisms in place for proper use? (safety chain/fall protection/equipment operation)
-
8.3 - Are adequate fall protection plans in place for all workers conducting their task in an aerial situation?
-
8.4 - Are scaffolding systems used correctly and properly tagged?
-
8.5 - All components are being use? (base, braces, pins, brackets, toe boards, midrail, guardrail, ladder, anchors)
-
8.6 - Are ladders rated for construction use, properly braced, anchored and extend 1 meter past point of exit?
-
8.7 - Are workers using ladders properly on site?
9.0 - Trenches / Excavation / Confined Space
-
9.1 - A valid First Call is in place prior to any digging taking place.
-
9.2 - Proper excavation techniques followed when digging around any underground line. (hand expose / hydrovac)
-
9.3 - Are proper controls for cut back(slope), shoring, ventilation and established access/egress in place?
-
9.4 - Are adequate barricades in place to identify location of open trenches?
-
9.5 - Is the proper monitoring system and rescue plan in place?
-
9.6 - Are certified workers conducting tasks in this space?
-
9.7 - Is the site secured from the public and other workers?
Inspection Comments:
-
Corrective actions to be completed:
-
Select date
-
Add signature
-
Add signature
-
Add signature
