Construction Safety Inspection

• Audit Title

• Conducted on

  Date

• Prepared by

• Building

  Yes

  No

  N/A

• Floor

  Yes

  No

  N/A

1.0 - General

• 1.1 - Are all workers badged per Houston Methodist requirements?

  Yes

  No

  N/A

• 1.2 - Are ICRA/ILSM permits posted in a conspicuous area at jobsite?

  Yes

  No

  N/A

• 1.3 - Have Contractor Daily Inspection (CDI) Logs been filled out every day?

  Yes

  No

  N/A

2.0 - Fire & Life Safety Measures

• Are fire extinguishers posted at appropriate intervals throughout jobsite?

  Yes

  No

  N/A

• Are all fire extinguishers displaying current, state-required annual inspection tag?

  Yes

  No

  N/A

• Have all fire extinguishers been checked and initialed monthly on inspection tags?

  Yes

  No

  N/A

• Are all means of egress (corridors, stairwells, exit doors, etc.) fully functional?

  Yes

  No

  N/A

• Are power cords/extension cords in good working order?

  Yes

  No

  N/A

• Are any items resting on or hanging from fire sprinkler system?

  Yes

  No

  N/A

• Is jobsite free of accumulated combustible waste material?

  Yes

  No

  N/A

3.0 - Infection Control

• Are workers donning/doffing/wearing bunny suits, shoes covers, hair covers when required?

  Yes

  No

  N/A

• Was jobsite door or anteroom found to be open at the beginning of your inspection?

  Yes

  No

  N/A

• Is jobsite containment constructed to ICRA requirements?

  Yes

  No

  N/A

• Is tack mat being properly maintained?

  Yes

  No

  N/A

• Is positive/negative pressure being maintained if required per ICRA?

  Yes

  No

  N/A

• Are workers appropriately using containment cubes (if applicable)?

  Yes

  No

  N/A

Other Violations/ Comments