Information
Construction Management Weekly Safety Report
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Document No.
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Job Name and Number
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Conducted on
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Prepared by
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Location
Site Conditions & Emergency Routes
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Firm; graded; emergency routes; fencing; etc?
Erosion Control
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Periodic inspection reports; effective BMP's; updated erosion control plan; etc?
Traffic Control
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Barricades; signage; high visibility clothing; traffic control personnel as applicable; etc?
Signs & Posters
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Company sign; safety signage; OSHA & Labor Law posters; emergency action plan; etc?
First-Aid
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Fully stocked first-aid kit; qualified first aid personnel on site; emergency contacts posted; etc?
SDS
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Chemical list and SDS in properly indexed binder, received from each sub or vendor and kept in designated location?
Sanitation
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Trash containers and toilets of sufficient quantity, conveniently located and adequately maintained; etc?
Heat Emphasis
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Posters; cool drinking water; shade or cool place for frequent breaks; periodic reminders; etc?
Drinking Water
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Cool drinking water provided in sealed water jug with cups and trash receptacle, or single- use bottles?
Material Storage
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Safe location; safely piled, stacked, or bundled; proper handling; labels & hazard warnings; etc?
Housekeeping
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Clear walkways and work areas; trash picked up daily and as otherwise required; trash chutes; etc?
Impalement Hazards
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Vertical rebar; conduit; form stakes; etc?
Cranes & Hoists
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Current inspections; qualified operator, rigger, & signal persons; hook latch; etc?
Material Handling
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Approved slings with permanently attached tags; slings & hardware in good condition; etc?
Mobile Equipment
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General condition; guards & safety devices; backup alarms; dedicated spotter; etc?
Forklifts
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General condition; qualified operators; approved attachments; no free-rigging; etc?
Excavation
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Competent person; access/egress; cave-in protection; spoils minimum 2' from edge; barricades; etc?
Aerial & Scissor Lifts
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General condition; access gates or chains secured; etc?
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Proper fall protection?
Fire Protection
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Fire extinguisher where required & inspected monthly; hot work permit & fire watch where required; etc?
Stairs & Ramps
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Stair treads; guardrails; handrails; ramp surfaces; minimum 18" ramp wide; etc?
Ladders
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General condition; proper use; proper size; type and height; labels; access/egress; secured; etc?
Scaffolds
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Guys, ties, or braces; cross braces; base plates or castors; mud sills; planks; access; toeboards; rails; etc?
Fall protection
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Guardrails; warning lines; falling object protection; hole covers; CDZ's; PPE; anchorage; etc?
Temporary Power & Lighting
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General condition; grounds; GFCI's tested monthly; strain relief; LOTO; etc?
Temporary Heat
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Ventilation; proper storage; safety switches; not pointed toward propane bottles, etc?
Power Tools
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General condition; guards; cords; grounds; etc?
Welding & Cutting
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Welding leads; torch hoses; flashback arrestors; lug boots; eye protection; ventilation; etc?
Crystalline Silica
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Is wet cutting done to the extent feasible and if not feasible are other engineering and/or work practice controls in place in addition to required PPE?<br>
Confined Space
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Survey; signage; hazard assessment; permit if/as required; access/egress; safety team notified; etc?
Personal Protective Equipment
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Head, foot, eye, face, hearing, respirator, high-vis clothing; etc?
Toolbox Talks
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Has a job-wide toolbox talk, attended by all on-site personnel, been conducted this week?
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List safety topics discussed.
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Are the topics discussed and sign-in sheet on file and accessible in your job trailer?
Weekly Sub Meeting
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Has a subcontractor meeting been conducted this week?
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List safety topics discussed.
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Are the topics discussed and sign-in sheet on file and accessible in your job trailer?
Name of Preparer
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I hereby acknowledge that the information furnished above is true and accurate to the best of my knowledge.
