Construction Division Job Observation Form - Blue Plains

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Previous inspection

• 1.1 - Are machine guards in place and operational?

  Yes

  No

  N/A

• 1.2 - Are inoperable equipment tagged and out of service?

  Yes

  No

  N/A

• 1.3 - Is saw dust, metal shavings, welding dust, and stone dust cleaned up promptly?

  Yes

  No

  N/A

• 1.4 - Are goggles and face shields available to be worn when grinding?

  Yes

  No

  N/A

• 1.5 - Is cleanliness maintained in the shop?

  Yes

  No

  N/A

• 1.6 - Are flammables stored in flammable storage lockers?

  Yes

  No

  N/A

• 1.7 - Are extension cords used in lieu of permanent wiring?

  Yes

  No

  N/A

• 1.8 - Are surge protectors used to protected equipment and GFCI used to protect employees?

  Yes

  No

  N/A

• 1.9 - Does emergency lighting work?

  Yes

  No

  N/A

• 1.10 - Has fire extinguishers been inspected for the month?

  Yes

  No

  N/A

• 1.11 - Is sufficient access and working space maintained around all electrical equipment to permit ready and safe operations and maintenance?

  Yes

  No

  N/A

• 1.12 - Are MSDS of authorized chemicals available? If not, are employees aware of MSDS locations?

  Yes

  No

  N/A

• 1.13 - Are workers aware of which JHA's cover the task the are performing?

  Yes

  No

  N/A

• 1.14 - Are eye wash units available, clean, access unobstructed and inspection monthly?

  Yes

  No

  N/A

Sign Off

• Auditor's signature

  Sign

• Yes

  No

  N/A