Construction Jobsite Survey Report OVERAA Copy

• Overaa Construction/ Job Site Number

• Job Site Location
  Address

• JOB NUMBER

• Conducted on

  Date

• SUPERINTENDENT/FOREMAN:

• Number of Overaa Employees / Number of SUBCONTRACTOR/Company

• Prepared by

Postings

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Excavation Notification/Project/Permit/USA?

  Yes

  No

  N/A

Lighting

• Lighting/String Lights/Cages/Securing?

  Yes

  No

  N/A

• Task/Area lighting sufficient/Flashlights?

  Yes

  No

  N/A

SWPPP

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

  Yes

  No

  N/A

• Rain Gauge Readings/Spill Kit/Waste Handling?

  Yes

  No

  N/A

• BMP's Maintained?

  Yes

  No

  N/A

• Portable Toilets/Secondary Containment/Secured?

  Yes

  No

  N/A

CONFINED SPACE ENTRY

• Sign-Confined Space- Do Not Enter/Documentation

  Good

  Fair

  Poor

  N/A

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

  Good

  Fair

  Poor

  N/A

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

  Good

  Fair

  Poor

  N/A

TRAINING

• Training Cards/Safety Meetings/Special Tailgates?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• CJSR Conducted/Documented/JHA?

  Yes

  No

  N/A

ELECTRICAL

• TEMP BOXES/ GFCI?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Grounded/Bonded/LOTO/NFPA70E?

  Yes

  No

  N/A

• Overhead Power Lines/Signage?

  Yes

  No

  N/A

FIRE PROTECTION

• Fire Extinguishers/ inspection/Trailer/Exit?

  Yes

  No

  N/A

• Fire Extinguisher/ Accessible<75'/Hung?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

FALL PROTECTION

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

  Yes

  No

  N/A

• Perimeter Rail/Cable/Openings/Holes Covered

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

GENERAL

• Access/ladder/Stairway/<br>

  Yes

  No

  N/A

• Stretch & Flex/Banner?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Water Supply/Cups/Bottles/Covered Disposal?

  Yes

  No

  N/A

• Ventilated/Shade/100%Seating?

  Yes

  No

  N/A

• Laser/Warning Signage/PAT?

  Yes

  No

  N/A

• Cutting/Grinding/Concrete/Wetting/Vacuuming?

  Yes

  No

  N/A

HOUSEKEEPING AND MAINT

• Floor/Aisles/Obstructions/Cords?

  Yes

  No

  N/A

• Parking Area/ Storage Areas/Lunch Areas?

  Yes

  No

  N/A

• Secondary Containment/Diesel/Gasoline

  Yes

  No

  N/A

• Slipping/Tripping Hazard/Ramps/Walkways?

  Yes

  No

  N/A

• Toilet/Wash/Maintained/Covered Waste Disposal?

  Yes

  No

  N/A

• Tools and Material Properly Stored?

  Yes

  No

  N/A

• Work Areas Maintained Clean/Orderly?

  Yes

  No

  N/A

11. Personal Protective Equipment (PPE)

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

  Yes

  No

  N/A

• Foot Protection/Rubber Boots/Toe Caps?

  Yes

  No

  N/A

• Hands/Gloves/Leather/Nitrile?

  Yes

  No

  N/A

• Head Protection/Overhead Cover?

  Yes

  No

  N/A

• Hearing Protection/Plugs/Muffs?

  Yes

  No

  N/A

• High Visibility Vest/Clothing/Flashlight?

  Yes

  No

  N/A

• Respiratory Protection/Storage/ Disposal?

  Yes

  No

  N/A

MACHINERY AND EQUIPMENT

• Air Compressor < 30 psi/Pins/Valves?

  Yes

  No

  N/A

• Cranes/Annual/Quarterly Inspection?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• adequate housekeeping?

  Yes

  No

  N/A

• Equipment/Condition/ Records?

  Yes

  No

  N/A

• Forklift Lifting Device On Site/In Use?

  Yes

  No

  N/A

• Forklift Visual Inspection Documentation?

  Yes

  No

  N/A

• Proper Tools/Good Condition?

  Yes

  No

  N/A

• Safeguards in Place/ Guards/Tool Rest?

  Yes

  No

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• Issues corrected

  Sign

• Auditor's signature

  Sign