Clark Builders Group Georgia Ave

• Job Site

• Conducted on

  Date

• Prepared by:

  Sign

Office Set up

• Clark Safety & Hazcom Manual

  Yes

  No

  N/A

• OSHA Poster/ EEO , Evacuation , Fire Extinguisher

  Yes

  No

  N/A

• First Aid box has been inspected and supplies ordered

  Yes

  No

  N/A

• Proper access- steps & hand rail

  Yes

  No

  N/A

Safety on Job Sites

• Off

  On

• Fall protection equipment

  Safe

  At Risk

  N/A

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  Media

• Location - Subcontractor

• Fall Protection

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• Location - Subcontractor

• Response / Correction

Fall Protection

• Guard rails

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  Media

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• Response / Correction

Fall Protection

• Scaffolding

  Off

  On

• Scaffolding

• Location - Subcontractor

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• Response / Correction

• Scaffolding

Scaffold

• Rigging equipment

  Off

  On

• Unsafe or damage lifting equipment, including ropes, slings, chairs and hooks?

  Safe

  At Risk

  N/A

• Location - Subcontractor

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• Response / Correction

Rigging Equipment

• Proper lighting, secured / with cage

  Safe

  At Risk

  N/A

• Location - Subcontractor

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• Response / Correction

• Ladders

  Safe

  At Risk

  N/A

• Location - Subcontractor

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• Response / Correction

• Housekeeping

  Safe

  At Risk

  N/A

• Location - Subcontractor

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• Response / Correction

• Personnel Protective Equipment

  Safe

  At Risk

  N/A

• Location - Subcontractor

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  Media

• Response / Correction

• Fire Extinguishers

  Safe

  At Risk

  N/A

• Location - Subcontractor

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  Media

• Response / Correction

• Off

  On

• Electrical Equipment

  Safe

  At Risk

  N/A

• Location - Subcontractor

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  Media

• Response / Correction

• Off

  On

• Personnel Protective Equipment

  Safe

  At Risk

  N/A

• Location - Subcontractor

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  Media

• Response / Correction

• Off

  On

• Miscellaneous

  Safe

  At Risk

  N/A

• Location - Subcontractor

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  Media

• Response / Correction

• Off

  On

• Trenching

  Safe

  At Risk

  N/A

• Location - Subcontractor

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  Media

• Response / Correction