Contrack Watts - Safety Inspection

• Name of Project

• Location
  Address

• Conducted on

  Date

• Prepared by

Safety Management

• Prepatory Meetings /Safety PreCons

  Yes

  No

  N/A

• Orientations

  Yes

  No

  N/A

• AHA

  Yes

  No

  N/A

• AHA Quality

  Yes

  No

  N/A

• WHAT

  Yes

  No

  N/A

• Quality of WHAT

  Yes

  No

  N/A

• Designated Operator Qualification Listing

  Yes

  No

  N/A

• Toolbox Talks

  Yes

  No

  N/A

• Silica Prevention Plan

  Yes

  No

  N/A

• SDS

  Yes

  No

  N/A

PPE

• Safety Glasses

  Yes

  No

  N/A

• Hard Hats

  Yes

  No

  N/A

• High Visibility

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Specialized PPE

  Yes

  No

  N/A

Fall Protection

• Zero Fall Hazards

  Yes

  No

  N/A

• Tie-Off Correct

  Yes

  No

  N/A

• JSA for All Fall Hazards

  Yes

  No

  N/A

• Are Areas Beneath Overhead Work Areas Properly Barricaded?

  Yes

  No

  N/A

Fire Protection

• Extinguishers in Place

  Yes

  No

  N/A

• Extinguishers Inspected

  Yes

  No

  N/A

• Fuel Storage

  Yes

  No

  N/A

Access Equipment

• Walk Paths Defined and Slip Free

  Yes

  No

  N/A

• Ladder Type

  Yes

  No

  N/A

• Step Ladders Correct

  Yes

  No

  N/A

• Extension Ladders Secured

  Yes

  No

  N/A

• Stairs

  Yes

  No

  N/A

• Aerial Lifts

  Yes

  No

  N/A

Electrical

• Pre-Energization Plan

  Yes

  No

  N/A

• GFCI Testing Log

  Yes

  No

  N/A

• Temporary Panels

  Yes

  No

  N/A

• Extension Cords

  Yes

  No

  N/A

• Temporary Lighting

  Yes

  No

  N/A

• Lockout / Tagout

  Yes

  No

  N/A

Excavations

• Competent Person

  Yes

  No

  N/A

• Cave-In Protection

  Yes

  No

  N/A

• Daily Dig Permit

  Yes

  No

  N/A

• Excel Spreadsheet

  Yes

  No

  N/A

Scaffold

• Competent Person

  Yes

  No

  N/A

• Base

  Yes

  No

  N/A

• Cross Braces

  Yes

  No

  N/A

• Planks

  Yes

  No

  N/A

• Fall Protection / Guardrails

  Yes

  No

  N/A

• Access

  Yes

  No

  N/A

• Scaffold Tag

  Yes

  No

  N/A

Nothing Hits The Floor

• Cut Stations

  Yes

  No

  N/A

• Trash Cans

  Yes

  No

  N/A

• Cords Elevated

  Yes

  No

  N/A

• Material Storage

  Yes

  No

  N/A

• Loose Debris

  Yes

  No

  N/A

Equipment

• Inspections

  Yes

  No

  N/A

• Back-up Alarms

  Yes

  No

  N/A

• Barricades

  Yes

  No

  N/A

• Fall Protection

  Yes

  No

  N/A

• Operator Training

  Yes

  No

  N/A

• Other observed that need to be addressed