Protective Equipment

  • Head protection (brim to front)

  • Eye Protection (proper type)

  • Hearing Protection

  • Minimum 6 inch Leather Work Shoes

  • Fall Protection, On/From/To/6ft

  • Material Handling Gloves

  • Reflective Vests

General Workplace

  • General Housekeeping

  • Spill Kit / Pads at Site

  • Secondary Containments

  • Bulk Fuel Storage

  • Barricades/Fencing/Bales

  • Sanitation

Excavations

  • Shoring/Sloping

  • Access/Egress Provided

  • Access/Egress Provided

  • Barricades as Required

  • Daily Inspections Foreman

  • Spoils / Rocks Min 2 ft back

  • Encumbrances Supported

  • Personnel Clear of Equipment

Electrical / Hand Tools

  • Cords Inspect/Safe Condition

  • GFCI's Inspected and In Use

  • Grinders, Guarding, Covers

  • Hammer Handles

Rigging

  • Chokers / Slings / Chains

  • Proper Technique Used

  • Chain Falls / Com-a-longs

  • Hooks and Safety Latches

  • Inspections / Proper Lifting

Ladders / Stairs and Rails

  • Proper Used and Secured

  • General Condition

  • Proper Angle and 3 ft above

  • Inspections Completed

Materials

  • Stacking / Storage of Materials

  • Proper Signage

  • Lifting / Hauling

  • Equipment / Tool Storage

  • Fuels / Propane / Storage

  • Proper Handling / Carrying

Equipment / Vehicle

  • Inspections Completed

  • Safe Operation

  • Seat Belts in use

  • Fire Extinguishers

  • Load Secured

  • Spotters When Required

Miscellaneous / Training

  • Orientations

  • Confined Space

  • Excavation

  • Safety Meetings

  • Rock Truck

  • Flaggers Controlling Traffic

  • MSHA / Respirators

Hazard Controls

  • Welding / Cutting / Guages

  • Compressed Gases

  • SDS Books / Labels

  • Traffic Signs Barricades

  • Chemical Exposure Control

  • Environmental Issues

  • Fire Extinguisher Available

Corrections

    Corrections
  • Item Description

  • Person Responsible

  • Time And Date

Comments

  • Comments

Signatures

  • Person Performing Inspection

  • Signature

  • Date and Time

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