Information

  • Overaa Construction/ Job Site Number

  • Job Site Location
  • JOB NUMBER

  • Conducted on

  • SUPERINTENDENT/FOREMAN:

  • Number of Overaa Employees / Number of SUBCONTRACTOR/Company

  • Prepared by

Postings

  • Postings/300A/Accidents Investigations?<br>

  • First Aid/FirstAid Log/Dr. Letter/ Emergency Phone# ?

  • Cal/OSHA/CSO/Code SP/ Clinic/Hospital Info?

  • Safety/Tailgate/Crisis Mgmt./SDS Manuals/Labeling?<br>

  • Excavation Notification/Project/Permit/USA?

Lighting

  • Lighting/String Lights/Cages/Securing?

  • Task/Area lighting sufficient/Flashlights?

SWPPP

  • Wall Map/ Gate Sign/Inspections/Weather Reports?

  • Rain Gauge Readings/Spill Kit/Waste Handling?

  • BMP's Maintained?

  • Portable Toilets/Secondary Containment/Secured?

CONFINED SPACE ENTRY

  • Sign-Confined Space- Do Not Enter/Documentation

  • Attendant/Permit/Testing/Log/Ventilation/2way radios

  • Rescuer/Equipment/Set-Up/Equipment in area/Access

TRAINING

  • Training Cards/Safety Meetings/Special Tailgates?

  • Crane/Certified/Inspected/NCCCO/Forklift/Platform?

  • CJSR Conducted/Documented/JHA?

ELECTRICAL

  • TEMP BOXES/ GFCI?

  • Cords/Plugs/Properly Placed/Protected/Inspected?

  • Grounded/Bonded/LOTO/NFPA70E?

  • Overhead Power Lines/Signage?

FIRE PROTECTION

  • Fire Extinguishers/ inspection/Trailer/Exit?

  • Fire Extinguisher/ Accessible<75'/Hung?

  • Safety Cans/ Flammable Storage Cabinets/Signage/50'?

FALL PROTECTION

  • Full body harness/Caps/Trough/Trough/Lanyards/ SRL?

  • Perimeter Rail/Cable/Openings/Holes Covered

  • Scaffolded/ Inspected/ Tied/Ladder/ Tagged/ToeBoard?

  • Ladder/Use/Access/Secured/Guarded/Labels?

GENERAL

  • Access/ladder/Stairway/<br>

  • Stretch & Flex/Banner?

  • Excavation/,25' to Stair/Ladder/ Ramp/Trench

  • Forms/Falsework/Rebar/Bracing/Caps/Finishing?<br>

  • Traffic/Paddle/Signs/Barricades/Vest/Lighting?

  • Water Supply/Cups/Bottles/Covered Disposal?

  • Ventilated/Shade/100%Seating?

  • Laser/Warning Signage/PAT?

  • Cutting/Grinding/Concrete/Wetting/Vacuuming?

HOUSEKEEPING AND MAINT

  • Floor/Aisles/Obstructions/Cords?

  • Parking Area/ Storage Areas/Lunch Areas?

  • Secondary Containment/Diesel/Gasoline

  • Slipping/Tripping Hazard/Ramps/Walkways?

  • Toilet/Wash/Maintained/Covered Waste Disposal?

  • Tools and Material Properly Stored?

  • Work Areas Maintained Clean/Orderly?

11. Personal Protective Equipment (PPE)

  • Eye Protection/Side Shields/Face Shield/Goggles/Eye Wash Station?

  • Foot Protection/Rubber Boots/Toe Caps?

  • Hands/Gloves/Leather/Nitrile?

  • Head Protection/Overhead Cover?

  • Hearing Protection/Plugs/Muffs?

  • High Visibility Vest/Clothing/Flashlight?

  • Respiratory Protection/Storage/ Disposal?

MACHINERY AND EQUIPMENT

  • Air Compressor < 30 psi/Pins/Valves?

  • Cranes/Annual/Quarterly Inspection?

  • Cylinders/Stored/Secured/BFP/Cart Fire Wall?

  • adequate housekeeping?

  • Equipment/Condition/ Records?

  • Forklift Lifting Device On Site/In Use?

  • Forklift Visual Inspection Documentation?

  • Proper Tools/Good Condition?

  • Safeguards in Place/ Guards/Tool Rest?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • Issues corrected

  • Auditor's signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.