Title Page
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Conducted on
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Prepared by
Fall Protection
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Are holes or windows that are 6 feet or more in height above the lower level properly protected by a guardrail system, safety net system, or personal fall arrest systems?
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Are there any open holes that are 6 feet or more in height unprotected?
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Are workers protected from falling objects?
Scaffolding
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Is each platform on the scaffold completely decked?
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Is each scaffold platform and walkway at least 18 inches wide?
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Does the scaffold have a top rail, mid rail and toe board?
Ladders
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Are ladders being set up properly?
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Are the ladders being used properly?
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Is the ladder damaged in any way?
Electrical
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Is all energized switching and control parts protected and effectively grounded?
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Are people using protective devices when messing with energized wires?
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Are the fuses in a metal box and only where qualified personnel can get to them?
Hazard Communication
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Does the employer have a way to inform the employees of non-routine tasks and the hazards that are associated with it?
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Is there a hazard communication program?
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Is there a way for other employees to access safety data sheets on site?
Respiratory Protection
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Are the respirators tight fitting?
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Are employees provided respirators?
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Do workers have the appropriate respirator on?
Lock out/tag out
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Are the electric lines deenergized?
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Is the fuse box tagged out?
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Are you able to plainly see the tags and what circuit or equipment that it is tagging out?
General requirements-Hand and power tools
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Do all the power tools have the appropriate guards?
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Are all power tools in safe condition?
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Are workers using proper PPE when operating these tools?
Fall Protection-Training Requirements
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Have all the employees been trained in fall protection prior to working on the job site?
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Are all fall protection systems being used properly?
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Are the fall protection systems in good condition?
Material Handling Equipment
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Does the operator of a piece of equipment have his seat belt on?
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Do the brakes on this piece of equipment work properly?
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Is there an audible alarm on this piece of equipment?