Information
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Conducted on
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Completed by
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Job Location
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Employee(s) Inspecting
Previous Inspection
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Has the last inspection been reviewed?
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Any outstanding open items?
A. VEHICLE HOUSEKEEPING AND ORDER
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1. Equipment secured as required to prevent movement within vehicle?<br>
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2. No oil leaks or oil on floor?<br>
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3. Box floor free from trip hazards?<br>
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4. Cab clean and free from unnecessary clutter?<br>
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5. Flammable liquids maintained in safety cans and stored only in designated compartment?<br>
B. SAFETY & EMERGENCY EQUIPMENT
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1. Safety glasses present and worn on job site?<br><br>
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2. Goggles/face shields present and worn when grinding/deburring?<br><br>
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3. Hard hat present and worn while working?<br><br>
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4. Rain gear in proper size present and in good condition?<br>
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5. Proper gloves available and used?<br>
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6. Hearing protectors available and used where required?
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7. Safety shoes worn while working?<br>
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8. Lanyards, harnesses, decelerators, and ‘D rings’ in good condition and worn when working unprotected above 6’ elevation?<br><br><br><br>
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9. Properly sized respirator available, clean, properly maintained and worn where required?<br><br>
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10. First aid kit fully stocked?<br>
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11. Clothing. Hi-viz, vests worn?
C. HY-GEN & ELECTRICALS
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1. Generator free from leaks?<br>
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2. Generator cords receptacles undamaged?<br>
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3. Hydraulic hoses and fittings in proper working order?<br>
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4. Generator exhaust system and muffler free from leaks and properly vented to outdoors?<br>
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5. Control panel (gauges, controls, fuses, and breaker panel) in good condition and functioning?<br>
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6. Extension cords equipped with GFIs & in good condition (i.e., void of defects; no cuts)?<br>
D. LIFT GATE
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1. Free from leaks?<br>
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2. Lubricated and maintained per schedule?<br>
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3. Abrasive coating on lift gate in good condition?<br>
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4. Functioning properly without undue effort (i.e., properly aligned)?<br>
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5. Rear cover plate present and secure (all required bolts present, tight, and in good condition?<br>
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6. Safety chains on both sides intact?<br>
E. STEP LADDERS
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1. Steps or rungs snug (can’t move), free from oil or slippery material and in good condition?<br>
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2. Uprights and rails defect free (no dents, slivers, etc.)?<br>
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3. Spreader/hinge in good condition?<br>
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4. Not used around exposed electricals?<br>
F. EXTENSION LADDERS
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1. Steps or rungs snug (can’t move), free from oil or slippery material and in good condition?<br>
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2. Ladders secured at the top and extends at least 3 feet above landing?<br><br>
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3. Positioned at an angle of 1 out to 4 up?<br><br>
G. SCAFFOLDING
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1. Scaffolding erected and inspected by responsible and competent person before use?<br><br><br>
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2. Fully planked with toe boards in place?<br><br>
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3. Ladder access provided?<br><br>
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4. Base plates used (no cinder blocks)?<br><br>
H. FIRE EXTINGUISHERS
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1. Clear access and secured in vehicle?<br>
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2. Charged?<br>
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3. Not damaged?<br>
I. EXCAVATION
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1. Shoring adequate for soil and depth?<br><br>
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2. Ladders provided?<br><br>
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3. Spoil bank and equipment sufficient distance from excavation? <br><br>
J. SAW CUTTING EQUIPMENT – WALL & SLAB
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1. Chains, clamps, and other devices needed to secure unit during travel in good condition?<br>
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2. Guards present and in good condition?<br>
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3. Controls labeled and working as required?<br>
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4. E-stop present and functioning on electric slab saw?<br>
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5. Exhaust system and muffler free from leaks or damage?<br>
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6. Power cords free from cuts or defects?<br>
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7. No fuel leaks?<br>
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8. No unacceptable hydraulic leaks?<br>
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9. No coolant leaks?<br>
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10. Belts tight and in good condition?<br>
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11. Wheels in good condition?<br>
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12. Unit serviced as required?<br>
K. HIGHWAY/WORK ZONE
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1. Proper lighting? <br>
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2. Work area isolated from live lane, cone spacing in place?<br>
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3. Adequate warning signs and markers?<br>
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4. Work Zone of Equipment protected from pedestrians and other traffic?<br>
L. LIFTING DEVICES (slings, hooks, etc.)
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1. No wear threads showing?<br>
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2. Properly tagged (number, capacity)?<br>
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3. No stretch, deformation, or serious fray?<br>
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4. Hook not deformed?<br>
M. HAND SAWS & PORTABLE GRINDERS
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1. Peripheral guard present that meets manufacturer’s requirements?<br>
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2. Power cord and plug in good condition?<br>
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3. Diamond or abrasive blade or bit properly matched to grinder speed?<br>
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4. Diamond or abrasive blade or bit in good condition?<br>
N. ERGONOMICS
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1. Material and work arranged to reduce need for bending or awkward positions?<br><br>
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2. Proper lifting procedures observed?<br>
O. PROCEDURES
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1. Fall protection devices (full-body harness, decelerator, and properly secured lanyard) used as required when working in aerial lift and/or when working unprotected above 6' elevation?<br><br><br>
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2. Employees do not enter confined spaces without a fully executed permit by GC or other party?<br>
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3. Employees inquire about ‘hidden utilities’ before beginning work?<br>
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4. Employees who operate forklifts and aerial lifts are qualified and licensed?<br><br>
General Comments
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