Title Page
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Name of Site Inspected
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Date:
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Inspection By:
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Time In:
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Time Out:
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Location
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Construction Manager:
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Site Safety Manager:
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Site Superintendent:
General
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Types of Tasks/Work Activities Occurring?
General Site & Documentation
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Act postings?
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Form 1000's?
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Emergency #'s?
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First Aid Kit?
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Form 82?
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Orientations?
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Utility Locates?
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Hazard Assessment?
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Safety Talks?
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Pre-Use Inspection Checklist?
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Hot Work Permits?
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Construction NOP?
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DSR/HazMat Reports?
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NOP (Asbestos/Lead)?
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Engineer Specifications & Certificate?
Noteworthy Observations
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Summary of Positive Practices During Site Visit Include:
Inspection Report Items
Section 27
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Site Supervision Assigned?
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Weekly Inspection Completed?
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Postings?
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Emergency Procedures in Place?
Protective Clothing, Equipment & Devices
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Hard Hats?
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Safety Boots?
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Eye Protection?
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Skin Protection?
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High Visibility Clothing?
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Hearing Protection (Noise Regulation)?
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Guardrails?
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Use of Fall Protection (Fall Arrest & Travel Restraint)?
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Floor Openings Protected adequately?
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All areas above/below ground level accessed via Ramps and Stairs?
Hygiene
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Adequate Washroom?
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Drinking Water Available?
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Clean Eating Areas?
Housekeeping
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Waste Management?
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Material Storage?
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Equipment Storage?
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Doors/Stairs/Hallways/Corridors kept clear?
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Flammable & Combustible Liquid Storage?
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Signage (hazardous materials)?
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Adequate Lighting?
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Air Quality/Dust/Vapour (Ventilation for Contaminant Control)?
Temporary Heat
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Adequate Ventilation?
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Fuel Lines Protected?
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Heat Stress program in place?
Fire Safety
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Fire Extinguisher Training Provided ?
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Muster Point Accessible and identified?
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Fire Extinguishers Inspected Monthly?
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Secured from Damage?
Dust Control
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Area Controlled?
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Adequate PPE Used?
Public Way Protection
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Project activities are adequately separated from Public areas? (1.8m sturdy fence or similar)
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Covered Walkways?
Traffic Control
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Traffic Plan in Place?
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Workers wearing adequate Protection?
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Clear communication between signallers?
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Public Protection?
Egress: Access to & from Work Areas
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Adequate & Unobstructed?
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All work areas above/below ground level are accessed via stairs, ramp or ladders?
Platforms, Runways & Ramps
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Adequate Strength?
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Adequate Width?
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If used for wheelbarrows, equipped with guardrail at 4ft and above?
Stairs & Landings
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Adequate Rise & Run?
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Securely Fastened?
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Adequate guardrail installed?
Ladders
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Access Ladders secured at top and bottom?
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Access Ladders extending 3 ft over landing area?
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Access Ladders sloped 3:1 ratio?
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Performance Or Access Ladders used safely?
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Portable ladders appear in good condition?
Equipment General & Explosive Actuating
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Properly Maintained?
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Workers operating safely?
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Limited Operation in Reverse?
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Signallers?
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Wearing high visibility tear away vests?
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Use of Stilts?
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Explosive Actuated Fastening Tools?
- Yes
- No
- N/A
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Proof of training available?
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Actuated tools properly stored while not in use? (Lockable container)
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Discarded cartridges disposed adequately in buckets of water?
Welding & Cutting
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Cylinders Managed?
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Hot Work Permits?
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Welders trained?
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Fire extinguishers nearby?
Access to Heights, Scaffolds & Work Platforms
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Scaffolds are Installed & Maintained Properly?
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Scaffolds on Casters or Wheels have breaks applied while in use?
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Scaffold Platform: at least 460 mm? Full Planking is Above 2.4 m?
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Use of guardrails above 2.4m?
Suspended Work Platforms
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Adequate Design?
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Roof plan in place and posted in conspicuous areas?
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Training?
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Inspection & Testing?
Elevated Work Platform
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Pre-use Inspections Completed?
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Training?
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Annual Inspection sticker available and up to date?
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Operator Manual Available?
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Adequate Fall Protection in use?
Cranes, Hoisting & Rigging/Cables, Slings, Rigging
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Crane Operator Training for capacities of crane?
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Hoisting and Rigging training?
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Pre-use Inspection?
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Safe Operation?
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Adequate Cables/Hooks?
Electrical & Other Energy Hazards
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Lockout Procedure?
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Locks & Tags?
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Overhead Lines Protected?
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Arc Flash Protection?
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Panel Unobstructed?
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Temporary Panels are lockable?
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High voltage electrical rooms /panels signage is present?
Excavations
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Access/egress ladders safely installed?
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Excavation edge protected with guardrail/fence if 10ft deep?
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All material, tools kept at least 1.8m from edge of excavation to prevent fallen material?
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All excavations accessed by workers are kept free from water? (Dewatering)
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Adequate Sloping?
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Trench box used?
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Engineering drawings present for trench box?
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Trench box installed and used as per instructions?
Other
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Any Roofing?
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Demolition?
Other Regulations
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Control of Exposure to Biological or Chemical Agents?
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Confined Spaces?
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First Aid?
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WHMIS?
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Window Cleaning?
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Technical Standards & Safety Act?
Optional: COVID-19 Mitigation Measures
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Screening Protocol in Place & Functional?
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Handwashing & Sanitization Measures in Place?
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Physical Distancing & Facial Coverings?
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Compartmentalization (Segregation/Staggered Shifts)?
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Communication & Awareness (signage, policies)?
Summary
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Items Reviewed
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Reviewed With?
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Client
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Master Safety Representative