Condensed Site Checklist

• Project

• Walker Construction, Inc.

• Conducted on

  Date

• Prepared by

• Location
  Address

General Conditions & Exterior

• Project signage posted?<br>Perimeter fence in good condition?<br>Traffic control maintained?<br>Danger and caution tape maintained?<br>Adequate toilet facilities?<br>Hand wash station or hand sanitizer provided near toilet facilities?<br>Drinking water and cups provided?<br>

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

Resident Safety

• Are all work areas taped off or secured?<br>Are all appliances, hot water tanks, or other large items secured?<br>Are all areas below work areas closed off?<br>Are all power tools secured to prevent use by residents or children?<br>Is signage in place to warn of hazards?<br>Are all trip hazards minimized and/or well- marked?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

Emergency Preparedness, Including COVID Preparedness

• Health Check Station in place?<br>Sanitation supplies onsite?<br>COVID 19 Signs in place?<br>First aid kits well stocked and easily available?<br>Are all entrances and emergency exit routes clear?<br>Emergency exit routes signed and well lit?<br>Heat illness kits easily available?<br>Emergency notification system in place?<br>All workers trained on emergency procedures?<br>Emergency phone numbers posted?<br>MSDS Online poster easily viewable and all workers aware of how to use system?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

Fire Prevention and Protection

• Fire extinguishers in place for general conditions?<br>Monthly and annual inspections completed?<br>Has fire extinguisher training been conducted with all employees required to use extinguisher?<br>Use of approved fuel/gasoline containers?<br>Flammable materials stored away from combustible items?<br>Are all flammable materials properly signed?

  Yes

  Corrected

  No

  N/A

Welding and Cutting

• Any welding or compressed gas powered cutting on site?

  Yes

  No

  N/A

• Fire extinguisher at site of welding/cutting?<br>All cylinders stored in designated area and secured?<br>Housekeeping in welding & cutting area acceptable?<br>Is adequate ventilation in place?<br>Proper PPE being worn?<br>Hot work Permit completed when welding or cutting in areas with combustible materials, inside confined spaces or other hazards?<br>All cylinders in used secured?<br>Valves turned off on compressed gas tanks when not in use?<br>

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

Housekeeping

• How's overall job-site housekeeping?

  Select

• Passageways and walkways clear?<br>Trash cans and dumpsters emptied regularly?<br>Are all workers protected from projecting nails, or sharp objects in demolition areas?<br>Debris piles consolidated providing safe access and egress?<br>Is there adequate lighting in work areas?<br>All materials secured on roofs, scaffolds, work decks, and storage areas secured to prevent blowing in wind?<br>All storage and staging areas clean and well organized?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

Steps and Stairways

• Are there stairways on- site?

  Yes

  No

  N/A

• Treads and landings acceptable?<br>Handrails/ stair-rails installed?<br>Stairs free of debris or other trip, slip, or fall hazards?<br>Proper lighting?<br>Do any access areas containing an elevation change greater than 19" have a step in-place? <br>Steps to job trailers in good condition with proper railing?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

PPE

• High visibility clothing worn by all personnel?<br>Hard hats worn by all personnel?<br>Safety glasses worn by all personnel?<br>Face Masks being worn by all personnel?<br>Proper footwear being worn by all personnel?<br>Proper hand protection (gloves) being worn?<br>Face shields and safety glasses work during cutting and grinding activities as necessary?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

• Any high noise hazards?

  Yes

  No

  N/A

• Proper hearing protection used by workers? <br>Ear plugs and/or muffs available?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

• Are there respiratory hazards on site?

  Yes

  No

  N/A

• Proper respiratory protection being used?

  Yes

  Corrected

  No

  N/A

Fall Protection

• Guardrails installed and maintained in good condition?<br>Toe boards maintained on guardrail above potential work areas?<br>All impalement hazards capped?<br>All door and window openings guarded correctly?<br>Fall protection signage in place if necessary?<br>Floor holes that open to lower levels over 1" covered or filled?<br>Floor openings over 12" covered and secured?<br>Personal fall arrest equipment in good condition?<br>Has fall protection training been conducted with employees using fall protection?<br>Fall protection equipment inspected?<br>All workers using fall protection correctly?<br>All warning lines flagged every 6 feet?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

Ladders

• Ladders used are in good condition?<br>Ladders inspected?<br>Ladders used properly?<br>Extension ladders used for access extend at least 3 foot above landing or have sufficient hand ?<br>Ladders secured at top and bottom against movement while working from extension ladders?<br>Ladders have rating tags and ratings being observed?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

Scaffolding

• Any scaffolding on site?

  Yes

  No

  N/A

• Have employees received scaffold safety training?<br>Scaffolds erected under supervision of a competent person?

  Yes

  No

  N/A

• Select Fabricated Framed Baker Forms Scaffold Pump Jack Ladder Jack

  • Fabricated Framed
  • Baker
  • Forms Scaffold
  • Pump Jack
  • Ladder Jack

• Scaffold built square and stable?<br>All scaffold legs using mud-sills or equivalent weight dispersion methods?<br>Cross bracing in place?<br>Guardrail system installed properly?<br>Toe-boards in place?<br>Scaffold grade lumber used and planks have proper overlap?<br>Guys, ties and braces in place at 4:1 rule?<br>Safe access to scaffold provided?<br>Are all areas below scaffold protected from falling objects?<br>Access ladders in place?<br>Debris net in good condition and anchored properly?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

• Scaffold built square and stable?<br>Guardrail system installed properly?<br>Safe access to scaffold provided?<br>Moved without "surfing"?<br>Wheels locked while in-use?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

• Guardrail system installed properly?<br>Toe-boards in place?<br>Scaffold grade lumber used and planks have proper overlap?<br>Safe access to scaffold provided?<br>Are all areas below scaffold protected from falling objects?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

• Scaffold built square and stable?<br>Tie-backs in-place and towers plumb?<br>Guardrail system installed properly?<br>End-gates in place?<br>Safe access to scaffold provided?<br>Debris net in good condition and anchored properly?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

• Ladder jack scaffolds erected correctly?<br>Fall protection used over 10'?<br>Are all areas below scaffold protected from falling objects?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

• Are all gaps large enough to create a fall hazard protected?<br>Scaffold inspections completed each shift?<br>Steps provided at access points if more than 19" step?

  Yes

  Corrected

  No

  N/A

Power and Hand Tools

• Are guards in place on all power tools?<br>Are handles installed on applicable tools?<br>Power tools and cords in good condition?<br>Cordless tool batteries charged in a safe manner?<br>All hand tools appear in good condition?<br>Right tools used for the job at hand?<br>PPE appropriate for the tools used?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

Material Handling

• Material stacked, racked, stored safely?<br>Materials stored proper distance from floor openings?<br>Are hand trucks, pallet jacks, or other equipment available to assist with lifting?<br>Are all loads secured and placed on forklift safely to prevent shifting?<br>Rigging attachments being used on forklifts for rigging? (No free rigging)

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

Equipment

• Any mobile equipment in use on site?

  Yes

  No

  N/A

• Are flaggers or spotters being used when necessary?<br>Backup alarms in place or signal person used?<br>Is equipment being operated at a safe speed for conditions?<br>Seatbelts used in all mobile equipment?<br>ROPS in good condition (Roll Over Protection)?<br>Operators trained and authorized?<br>All equipment parked properly with implements or attachments down?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

Aerial Lifts

• Any scissor or boom lifts in use on site?

  Yes

  No

  N/A

• Equipment in good condition?<br>Daily inspection completed?<br>Operators trained and authorized?<br>Lifts used properly?<br>Gates, chains, and guardrails in use?<br>All workers standing flat in basket or tied off while in use?<br>Areas below boom lifts taped off with proper signage?<br>Fall protection used in boom lifts

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

Excavation and Trenching

• Are there any open excavations 4 feet deep on site?

  Yes

  No

  N/A

• Is the cut sloped or shielded properly?<br>Is there an excavation plan prepared?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

• Is there anyone working in a trench?

  Yes

  No

  N/A

• Is box, shoring, or proper sloping in place?<br>Is a ladder in place at least every 25 feet?<br>Are spoil piles set back at least 2 feet?<br>Is person in trench trained?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

Rigging and suspended loads

• Any rigging in use or suspended loads on site?

  Yes

  No

  N/A

• Are loads rigged and secured from shifting properly?<br>Are areas below suspended loads protected?<br>Slings, hooks, shackles etc... in good condition?<br>Are personnel rigging loads competent and trained?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

• Are personnel rigging loads competent and trained?

  Yes

  No

  N/A

Cranes

• Are there any cranes on site?

  Yes

  No

  N/A

• Has a Crane Responsibilities form been completed?<br>Is a certified crane operator on site?<br>Are qualified riggers and signal persons being used?<br>Have necessary signage and barriers been posted?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

Electrical

• GFCI's used and tested on all 110 outlets?<br>All spider boxes in good condition with functional GFCI?<br>All extension cords 3 wire type, in good condition with ground pins?<br>Are all cords protected from damage?<br>All cords, spider boxes, and electrical connections kept out of water?<br>Electrical control room doors provided with locks as required?<br>All power panels labeled?<br>All panels have fronts and covers remain closed?<br>All operational outlets and junction boxes covered?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

Environmental

• Dust control in place for all dust generating operations?<br>Are all stormwater BMPs in place and maintained properly if applicable?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

• Are there any areas of the project with unabated or not fully abated asbestos, pcbs. lead based paint, or other hazardous building materials?

  Yes

  No

  N/A

• If there are any asbestos, lead, or silica hazards have all workers received awareness level training?<br>Are all asbestos or lead containing materials or PCB light ballasts and bulbs being protected from damage?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

• Abatement operations currently in action?

  Yes

  No

  N/A

• Are abatement areas contained and proper signage in place?<br>Do abatement operations appear to be in compliance?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

• Are there any job tasks producing potential silica exposure?

  Yes

  No

  N/A

• Have workers received Silica training?<br>Are Table 1 methods being used?<br>Are workers wearing dust masks where exposure monitoring has shown applicable?

  Good

  Fair

  Needs Improvement

  Needs Immediate Attention

  N/A

Administration

• Daily workplace inspections being completed and submitted to safety department weekly?<br>Weekly toolbox meetings completed using assigned topics (when applicable)?<br>Site Specific Safety Orientations being completed for all workers on site?<br>Daily equipment inspections being completed and submitted to safety department weekly?<br>All required employment posters posted?<br>All safety programs easily available for review?

  Yes

  No

  N/A

• Safety conversations or verbal warnings.

Safety Conversations and Safety Warnings

• Contractor Description

  Select Electrician (low voltage, controls, etc.) Plumber (including Fire Sprinkler) Steel Erector HVAC Techniciam Insulator Flooring worker Framer Drywall hanger Taper Painter Landscaper Excavator Finish carpenter (ceiling grid, trim, cabinets, doors, etc.) Concrete worker Walker Employee Other

  • Electrician (low voltage, controls, etc.)
  • Plumber (including Fire Sprinkler)
  • Steel Erector
  • HVAC Techniciam
  • Insulator
  • Flooring worker
  • Framer
  • Drywall hanger
  • Taper
  • Painter
  • Landscaper
  • Excavator
  • Finish carpenter (ceiling grid, trim, cabinets, doors, etc.)
  • Concrete worker
  • Walker Employee
  • Other

• Unsafe act

• Improper or Failure to wear PPE

• Improper housekeeping

• Failure to follow safety procedures

• Failure to intervene or address an unsafe act of another

• Other:

• Unsafe act

• Improper or Failure to wear PPE

• Improper housekeeping

• Failure to follow safety procedures

• Failure to intervene or address an unsafe act of another

• Other:

• Unsafe act

• Improper or Failure to wear PPE

• Improper housekeeping

• Failure to follow safety procedures

• Failure to intervene or address an unsafe act of another

• Other:

• Unsafe act

• Improper or Failure to wear PPE

• Improper housekeeping

• Failure to follow safety procedures

• Failure to intervene or address an unsafe act of another

• Other:

• Unsafe act

• Improper or Failure to wear PPE

• Improper housekeeping

• Failure to follow safety procedures

• Failure to intervene or address an unsafe act of another

• Other:

Other Observations

• Additional Comments.

• Add media

  Media

• Upcoming or needed training comments.

• Follow up/pre-planning items

• Safety Inspector

  Sign