Construction Hazard Identification And Risk Assessment

• Weekly Safety Inspection

• Madison Center

• Conducted on

  Date

• Prepared by

• 505 Madison Street, Seattle WA
  Address

Housekeeping

• Is site clean and orderly?

  Yes

  No

  N/A

• Nothing Hits the Deck in place?

  Yes

  No

  N/A

• Material on Carts enforced?

  Yes

  No

  N/A

• Material staged properly?

  Yes

  No

  N/A

• Trash and Debris managed?

  Yes

  No

  N/A

PPE

• PPE use per site plan/AHA?

  Yes

  No

  N/A

• High Vis outerwear used?

  Yes

  No

  N/A

• Respirators used per site plan?

  Yes

  No

  N/A

• Hearing protection as required?<br>

  Yes

  No

  N/A

• 100% safety glasses in use?

  Yes

  No

  N/A

• Gloves used as required?

  Yes

  No

  N/A

3) Ladders

• Correct type and size used?

  Yes

  No

  N/A

• Ladders secured as required?

  Yes

  No

  N/A

• Step ladders used properly?

  Yes

  No

  N/A

• Ext ladders used properly?

  Yes

  No

  N/A

• 3 or > rungs above for access?

  Yes

  No

  N/A

• Job site ladder per code?

  Yes

  No

  N/A

Aerial Lifts

• Qualified operators only?

  Yes

  No

  N/A

• Lifts inspected prior to use?

  Yes

  No

  N/A

• Gates and Chains closed when in use?

  Yes

  No

  N/A

• No standing or climbing on rails?

  Yes

  No

  N/A

• Scissor lift used on flat level surface?

  Yes

  No

  N/A

• Fall protection used?

  Yes

  No

  N/A

Traffic / Pedestrian Controls

• TMP in place?

  Yes

  No

  N/A

• TMP Supervisor on site at all times?

  Yes

  No

  N/A

• Designated public access ways?<br>

  Yes

  No

  N/A

• Signage in place and effective?

  Yes

  No

  N/A

• Barricades and fencing in place and effective?

  Yes

  No

  N/A

• Flaggers and spotters as required?

  Yes

  No

  N/A

• All material inside

  Yes

  No

  N/A

Electrical

• Cord Management in place

  Yes

  No

  N/A

• Cords protected from damage?

  Yes

  No

  N/A

• 100% GFI protection in place?

  Yes

  No

  N/A

• LOTO procedures as required?

  Yes

  No

  N/A

• Energized panels have covers an breakers are labeled?

  Yes

  No

  N/A

Access / Egress

• Designated public access ways?

  Yes

  No

  N/A

• Access signage in place and effective?

  Yes

  No

  N/A

• Access free of trip or other hazards?

  Yes

  No

  N/A

• Stair rails @ 30 in height or 4 risers?

  Yes

  No

  N/A

• Stairs when elevation changes> 19"?

  Yes

  No

  N/A

• Ramps at least 18" wide and secured?

  Yes

  No

  N/A

Fire Control

• Sufficient fire extinguishers on site and in working order?

  Yes

  No

  N/A

• Emergency exit routes established?

  Yes

  No

  N/A

• Combustibles debris removed daily?

  Yes

  No

  N/A

• Flammables in metal cans and stored in Flame Locker?

  Yes

  No

  N/A

Lighting

• Access and egress well lit?

  Yes

  No

  N/A

• Task lighting as needed?

  Yes

  No

  N/A

• Lighting cover / guards in place and single power source?

  Yes

  No

  N/A

• Cords grounded - GFI's

  Yes

  No

  N/A

• Emergency lighting in place?

  Yes

  No

  N/A

Tools

• Grinders have guards in place?

  Yes

  No

  N/A

• Portable and table saws have guards in place?

  Yes

  No

  N/A

• Pneumatic tools hoses secured?

  Yes

  No

  N/A

• Proper tool for job being used?

  Yes

  No

  N/A

• Compressed gas cylinders secured upright with caps?

  Yes

  No

  N/A

Fall Protection

• Working / walking surfaces , form work / rebar and all other fall hazards > 4' guarded and protected?

  Yes

  No

  N/A

• Roofs / leading edges above 4' controlled or guarded?

  Yes

  No

  N/A

• All fall protection gear properly used by trained employee?

  Yes

  No

  N/A

• Wall openings / floor holes covered or guarded?

  Yes

  No

  N/A

• Guard rails (42"+/- 3") with mid-rail and toe boards in place?

  Yes

  No

  N/A

• Cable guard rails are taught with less than 3" of deflection?

  Yes

  No

  N/A

Forklifts

• Qualified operators only-documented training?

  Yes

  No

  N/A

• Inspected daily with documented inspection checklist?

  Yes

  No

  N/A

• Forklift and attachments used properly per design?

  Yes

  No

  N/A

• No loads rigged under forks or to mast?

  Yes

  No

  N/A

• Loads properly secured / carried?

  Yes

  No

  N/A

• Operator demonstrates safe operating skills?

  Yes

  No

  N/A

Environmental

• Air Quality / dust controlled?

  Yes

  No

  N/A

• No health hazard 3 or > on site

  Yes

  No

  N/A

• Noise exposures controlled and at an acceptable level?

  Yes

  No

  N/A

• No run-off from site present in public areas?

  Yes

  No

  N/A

• Applicable number / type of spill kits available?

  Yes

  No

  N/A

• Work adjacent to occupied space evaluated

  Yes

  No

  N/A

Cranes

• Qualified operators only with documented certs?

  Yes

  No

  N/A

• Cranes certifications verified?

  Yes

  No

  N/A

• Inspected daily-inspection log maintained?

  Yes

  No

  N/A

• All operational hazards identified and controlled?

  Yes

  No

  N/A

• Qualified riggers assigned and rigging inspected?

  Yes

  No

  N/A

• Critical lift / Pre-lifts meeting when required?

  Yes

  No

  N/A

Work Platforms

• Platforms fully planked (min 36")

  Yes

  No

  N/A

• Safe access to platforms in place?

  Yes

  No

  N/A

• 100% guard rails including end returns?

  Yes

  No

  N/A

• Control zones / falling object protection?

  Yes

  No

  N/A

• Platform fully supported and correctly erected?

  Yes

  No

  N/A

• Fall protection for assembly disassembly?

  Yes

  No

  N/A

Confined Space

• Permit required / issued / checked?

  Yes

  No

  N/A

• Air monitoring required and in place?

  Yes

  No

  N/A

• Rescue plan and equipment in place?

  Yes

  No

  N/A

• Proper lighting and ventilation established

  Yes

  No

  N/A

• All space entrants have harnesses on?

  Yes

  No

  N/A

• Yes

  No

  N/A

Trenching and excavations

• Cave in protection system / design when 4' deep or >

  Yes

  No

  N/A

• Soil spoils are greater than 2' from excavation?

  Yes

  No

  N/A

• Inspected daily when workers in trench / excavation?

  Yes

  No

  N/A

• Safe access provided - ladders every 25'?

  Yes

  No

  N/A

• Fall protection / control zones when >4 ' deep?

  Yes

  No

  N/A

• Standing water and other hazards controlled?

  Yes

  No

  N/A

Demolition Work

• Dust / environmental conditions controlled?

  Yes

  No

  N/A

• No in identified or suspect material?

  Yes

  No

  N/A

• Identified energized and no-demo utilities?

  Yes

  No

  N/A

• PPE - cut resistant gloves / sleeves used?

  Yes

  No

  N/A

• Debris control / removal means in place?

  Yes

  No

  N/A

Scaffolds

• Scaffolding erected per manufacturers design?

  Yes

  No

  N/A

• Safe access on and off scaffolds?

  Yes

  No

  N/A

• Qualified scaffold users and electors?

  Yes

  No

  N/A

• Daily inspections performed / logs maintained?

  Yes

  No

  N/A

• Control zones under scaffolding as required?

  Yes

  No

  N/A

• Guard rails in place on scaffolding above 4' ?

  Yes

  No

  N/A

Hot work

• City / jurisdiction permit current and on file?

  Yes

  No

  N/A

• Sellen Burn permit issued and signed?

  Yes

  No

  N/A

• Fire watch protocols established and in place?

  Yes

  No

  N/A

• Areas of hot work / spark travel inspected?

  Yes

  No

  N/A

• Gas cylinders and torches properly used and secured?

  Yes

  No

  N/A

Subcontractor Evaluation (evaluate a subcontractors safety performance)

• Company Name?

• Is the company's safety plan in place and effective?

  Yes

  No

  N/A

• Does the company attend and participate in the daily huddle and site prep?

  Yes

  No

  N/A

General Notes

• General Notes

Corrective Actions Required

• Enter any corrective actions that will be undertaken

Corrective actions carried over from previous inspections / not completed?

• Enter any corrective actions from previous inspection, who it was assigned to and completion date

Personnel Present During Inspection

Sign Off

• Site Safety Coordinator Signature

  Sign

• Superintendent Signature

  Sign