Construction Safety Inspection

• Contractors

  Select

• Project name and number

  Select

• Conducted on.

  Date

• For any open discrepancies during this report please respond in writing (memorandum or e-mail) within 48hrs of corrective action taken if addressed, or plan of action (with ILSMs in place) to mitigate risk of discrepancy if not yet corrected

• What type of inspection was conducted?

  Scheduled

  Random

undefined

• For any open discrepancies during this report please respond in writing (memorandum or e-mail) within 24hrs of corrective action taken if addressed, or plan of action (with ILSMs in place) to mitigate risk of discrepancy if not yet corrected.

• What type of inspections rounds is being conducted?

  CSC Inspection

  Safety Specialist Only

• Thomas Dentice

• Russell Schneider

• Paul Buchmann

• Chloe Fisher

• Dan McRae

• Amy Gersonde

• Mary Whitehouse

• Jessica Kois

• Jon Wardecke

• FM

• Enter Name(s)

• Other

• Enter Name(s)

• Thomas Dentice

• Other

• Type Name(s)

1.0 General

• 1.1 SSHO and Subcontractor CPs Onsite

  Yes

  No

  N/A

• 1.2 Accident Prevention Plan/Activity Hazard Analyses

  Yes

  No

  N/A

• 1.3 Training

  Yes

  No

  N/A

• 1.4 Orientation/ code of safe practices

  Yes

  No

  N/A

• 1.5 Toolbox meetings/pre-job safety

  Yes

  No

  N/A

• 1.6 Postings (OSHA) (project info/ POC)

  Yes

  No

  N/A

• 1.7 Emergency numbers/ first aid/ eye wash

  Yes

  No

  N/A

• 1.8 Toilets/hand wash/drinking water

  Yes

  No

  N/A

• Additional Comments

2.0 Site Security

• 2.1 Badges/Guards/Contractor POVs/Conduct

  Yes

  No

  N/A

• 2.2 Entrance/Exit/Fencing

  Yes

  No

  N/A

• 2.3 Secured to prevent patient/public entry

  Yes

  No

  N/A

• Additional Comments

3.0 Personal Protective Equipment

• 3.1 Hard Hat, Eye & Face Protection

  Yes

  No

  N/A

• 3.2 Hearing Protection, Footwear

  Yes

  No

  N/A

• Additional Comments

4.0 Environment/PCRA/ILSM

• 4.1 Traffic/ public safety

  Yes

  No

  N/A

• 4.2 Illumination

  Yes

  No

  N/A

• 4.3 ICRA completed & posted as necessary

  Yes

  No

  N/A

• 4.4 ILSM implemented as necessary, ILSM Correct dates and contractor following listed procedures (i.e. rerouted exits and corridor pathway clear)

  Yes

  No

  N/A

• 4.5 Ventilation, incl. negative air/ HEPA filtration

  Yes

  No

  N/A

• 4.6 Integrity of dust control and containment

  Yes

  No

  N/A

• 4.7 Housekeeping

  Yes

  No

  N/A

• 4.8 1 hr. fire separation from Patient Care areas

  Yes

  No

  N/A

• 4.9 Emergency exits clear / unlocked

  Yes

  No

  N/A

• Additional Comments

5.0 Fire Protection

• 5.1 Fire extinguishers checked/ accessible

  Yes

  No

  N/A

• 5.2 Alarm/ detection system

  Yes

  No

  N/A

• 5.3 Flammable/ combustible material ( Safely stored )

  Yes

  No

  N/A

• Additional Comments

6.0 Electrical Safety

• 6.1 Electrical Safe Work Condition/De-energized

  Yes

  No

  N/A

• 6.2 LOTO Process - AHA/Procedure Developed

  Yes

  No

  N/A

• 6.3 LOTO Process - Haz/class PPE Used

  Yes

  No

  N/A

• 6.4 LOTO Process - Lock/Tag/Tested

  Yes

  No

  N/A

• 6.5 Ground Fault Protection (GFCIs)

  Yes

  No

  N/A

• 6.6 Path to Ground continuous

  Yes

  No

  N/A

• 6.7 Installation & Use/Strain Relief/Insulation

  Yes

  No

  N/A

• Additional Comments

7.0 Welding & Cutting

• 7.1 Approved/current hot work permit

  Yes

  No

  N/A

• 7.2 Cylinders - Proper use & segregation

  Yes

  No

  N/A

• Additional Comments

8.0 Ladders

• 8.1 Ladder without damage/ good condition

  Yes

  No

  N/A

• 8.2 3' above landing/ Tied and Braced

  Yes

  No

  N/A

• 8.3 Proper Use/Top Step

  Yes

  No

  N/A

• Additional Comments

9.0 Fall Protection

• 9.1 Use of Fall Protection over 6'

  Yes

  No

  N/A

• Additional Comments

10.0 Hand/Power Tools

• 10.1 Guards attached/ functional

  Yes

  No

  N/A

• Additional Comments

11.0 Scaffolds/Shoring (Interior/Exterior)

• Does this site have scaffolds or shoring (interior or exterior)?

  Yes

  No

• 11.1 Current Certified Installation Doc

  Yes

  No

  N/A

• 11.2 Planks/Toe Boards

  Yes

  No

  N/A

• 11.3 Railed Properly

  Yes

  No

  N/A

• 11.4 Falling object protection

  Yes

  No

  N/A

• Additional Comments

12.0 Zoom Booms/Lift Trucks

• Does this site have scissors/zoom boom or lift trucks?

  Yes

  No

• 12.1 Aerial Lift-Harness & Lanyards (JLG)

  Yes

  No

  N/A

• 12.2 Operator Certification

  Yes

  No

  N/A

• Additional Comments

13.0 Excavations/Trenches

• Does this site have excavations or trenching?

  Yes

  No

• 13.1 AHA/Permit

  Yes

  No

  N/A

• 13.2 Underground line located/ potholed

  Yes

  No

  N/A

• 13.3 Spoil piles at least 2' from edge, properly shored/ sloped or benched

  Yes

  No

  N/A

• 13.4 Barricades/ protective measures

  Yes

  No

  N/A

• undefined

14.0 Concrete Operations

• Does this site have concrete operations?

  Yes

  No

• 14.1 Rebars capped

  Yes

  No

  N/A

• 14.2 Cement/ silica dust exposures

  Yes

  No

  N/A

• 14.3 Cutting sawing/ grinding controls

  Yes

  No

  N/A

• 14.4 PPE utilized by crew

  Yes

  No

  N/A

• 14.5 Wall or structure supported

  Yes

  No

  N/A

• Additional Comments

15.0 Cranes

• Does this site have a crane?

  Yes

  No

• 15.1 Inspections & maintenance

  Yes

  No

  N/A

• 15.2 Critical Lift Plan/AHA completed

  Yes

  No

  N/A

• 15.3 Safe Lift/over buildings

  Yes

  No

  N/A

• 15.4 Crane set up & swing protection

  Yes

  No

  N/A

• 15.5 Certified operator

  Yes

  No

  N/A

• Additional Comments

16.0 Hazard Communication

• 16.1 SDSs - all chemicals & available

  Yes

  No

  N/A

• 16.2 Hazard Warning - Labeling

  Yes

  No

  N/A

• Additional Comments

17.0 Occupational Health Hazards (Lead & Asbestos)

• Does this site have lead & asbestos?

  Yes

  No

• 17.1 Lead–Exposure Assessment

  Yes

  No

  N/A

• 17.2 Asbestos-Exposure Assessment

  Yes

  No

  N/A

• 17.3 Asbestos-Respiratory Protection

  Yes

  No

  N/A

• Additional Comments

18.0 Environmental Considerations

• 18.1 Is construction waste being recycled?

  Yes

  No

  N/A

• Additional Comments

• Is construction taking place outside (potential to cause erosion)?

  Yes

  No

• 18.3 Are good housekeeping practices in place to prevent discharges of debris to waterways?

  Yes

  No

  N/A

• 18.4 Are erosion control best management practices installed and functional?

  Yes

  No

  N/A

• 18.5 Is public right of way curb line free from tracked soil and accumulation?

  Yes

  No

  N/A

• Additional Comments

20.0 Other Hazards

• Is site free of any other noted hazards?

  Yes

  No

  N/A

• Add media

  Media

• undefined

Recommendations/Best Practices

• undefined

• Add media

  Media

Progress Pictures

• Progress Pictures

Picture

• Add media

  Media

• Comments