Information
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Project Name
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Conducted on
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Superintendent
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SSHO
Administration
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Weekly tool box talk conducted and records kept?
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Daily inspections being conducted?
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Equipment inspections being conducted and records maintained?
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AHA's being done and reviewed by all exposed workers?
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First aid kit stocked and inspected weekly?
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SDS on file for only the chemicals on site?
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Weekly temporary power inspection conducted and records on file?
Housekeeping
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Adequate number of clean toilets with hand washing / hand sanitizer?
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Drinking water, cups, and trash receptacle available?
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Projecting nails or screws bent over or removed?
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Walkways and passages clear to walk?
Personal Protective Equipment
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Employees wearing safety glasses at all times?
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Employees wearing hard hats?
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Employees wearing gloves when exposed to cut/chemical hazards?
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Hearing / Respiratory Protection worn by employees when required?
Electrical
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GFCI protection in use on all temporary power sources?
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Electrical panels and devices labeled and secured?
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Extension cords in good condition?
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Adequate temporary light being provided?
Hand and Power Tools
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Power Tools free from damage and have all guards in place?
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Hand tools free from damage ( shaft, head, splinters, etc.)?
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Powder Actuated Tool operators have their training card available for review?
Excavations
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Dig permit on file?
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Have utilities been located and protected?
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Adequately sloped or shored if 5' or deeper?
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Means of egress every 25 feet when 4' or deeper?
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Spoil pile and equipment back at least 2 feet from edge?
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If exposed to equipment traffic, have stop logs or berms been put in place?
Fall Protection
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Employees working above 6 feet using fall protection?
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Lifelines kept short enough to prevent injury if a fall occurs?
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Employees using anchor capable of supporting 5,000 lbs?
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Guardrails or cables installed at 42" and 21" with toe board?
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All holes 2" or larger covered, secured, and labeled correctly?
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Fall protection used while operating aerial lifts?
Fire Protection
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Flashback arresters in place on torch heads?
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Gas cylinders secured in a cart while in use?
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Gas cylinders stored correctly when not in use?
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Only NFPA approved containers used for fuel?
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Adequate number of fire extinguishers in place?
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Hot Work permit on file?
Ladders
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Do extension ladders extend 36 inches above landing?
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Are extension ladders secured at the top and bottom?
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Are spreader bars locked on step ladders?
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Top two steps on step ladders not being used?
Equipment
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All equipment have ROPS installed?
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Back up alarm and horn working on on equipment?
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Operator wearing seatbelt?
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Forklift operator have training card available?
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Forklift being used IAW its load chart?
Cranes
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Does crane have annual inspection available for review?
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Does operator have training card available for review?
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Does operator have daily inspection available for review?
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Is swing radius of crane barricaded?
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Is rigging being done by a certified rigger?
Scaffolding
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All scaffolding inspected by competent person before each shift?
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For scaffolding not on concrete, are the mudsill, base plate, and screw jack in place?
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All bracing installed?
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Scaffold built plumb and level?
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All working levels fully planked?
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Guardrails, Midrails and Toeboards installed?
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Ladder access provided for employees on all working levels?
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Rolling scaffold wheels locked while occupied?
Review
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SSHO signature
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Safety Director signature
