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Corrado - Demo Template
Corrado - Demo Template
Rick Civita

Corrado - Demo Template

Jobsite Safety Inspection - Demo

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Free Corrado - Demo Template Checklist

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Information

  • Project Number

  • Project Name

  • Foreman Name

  • Location

  • Conducted on

  • Prepared by

  • Document No.

  • Select date

Job Site Information

  • Job Specific Emergency Numbers Posted?

  • Safety Meeting/Toolbox Talk Completed?

  • First Aid Kit properly stocked and available?

  • Add media

Weather Conditions

  • Clear

  • Partly Cloudy

  • Cloudy

  • Dew

  • Mist

  • Rain

  • Frost

  • Ice

  • Snow

  • Temperature estimate (F)

  • Add media

Permit's and JSA's

  • Hot Work Permit?

  • Safe Work Permit?

  • Confined Space Permit?

  • Is a JSA completed for each task?

  • Excavation Assessment been completed?

  • Add media

HOUSEKEEPING

  • Work areas neat?

  • Projecting nails or screws bent over or removed?

  • Passageways and walkways clear?

  • Passageways easily accessible?

  • Tripping hazards identified and mitigated?

  • Are Sanitary Facilities Adequate and Clean?

  • Add media

FIRE PREVENTION

  • Adequate fire extinguishers located throughout job site?

  • Fire Extinguishers inspected as required and accessible?

  • Job specific phone no. of Fire Department posted?

  • Fuels properly stored?

  • Only approved containers for flammables and combustible liquids used?

  • Add media

ELECTRICAL

  • Extension wires with bare wires or missing ground prongs taken out of service?

  • Ground fault interrupters being used?

  • Are there any exposed live electrical parts?

  • Are portable generators properly grounded and in good working order?

  • Are proper LOTO procedures being applied?

  • Add media

HAND & POWER TOOLS

  • Hand tools inspected regularly and free of damage?

  • Guards in place on machines and tools?

  • Are gas powered tools fueled with the correct fuel?

  • Is the equipment labeled for the correct type of fuel?

  • Has the engine oil level been verified for correct amount of oil?

  • Correct tool being used for job at hand?

  • Are electrically powered tools properly grounded?

  • Are damaged tools taken out of Service?

  • Have Employees been instructed on the proper use of the equipment?

  • Are electric pumps in good working order and properly sealed?

  • Have all tools been properly inspected?

  • Have extension cords and GFCI's been inspected?

  • Add media

FALL PROTECTION

  • Are barricades being utilized? If so have they been properly installed and in good working condition?

  • Safety rails, barricades and cables secured properly?

  • Safety harnesses worn properly and inspected before use?

  • Employees exposed to fall hazards tied off?

  • Employees below protected from falling objects?

  • All holes in walking/ working surfaces are covered or barricaded, and properly marked?

  • Materials stored away from edge?

  • Are Excavated Areas protected from Pedestrians?

  • If guardrail systems are used is the Top rail 42", and Mid rail 21"?

  • Are Re bar and Anchor Bolts Protected?

  • Add media

LADDERS

  • Ladders extended at least 36" above landing?

  • Ladders are secure to prevent slipping, sliding or falling?

  • Are Ladders in good condition and Inspected?

  • Are ladders missing rungs or damaged? If so, are they marked and taken out of service?

  • Stepladders used in fully open position?

  • Add media

SCAFFOLDING

  • Is there any scaffolding on the jobsite?

  • All scaffolding inspected daily and tags updated?

  • Erected on sound rigid footing?

  • Tied to structure as required?

  • Guardrails, mid-rails, toe boards and screens in place and installed as required?

  • Proper access provided?

  • Scaffold Platform is fully planked and anchored?

  • Employees below protected from falling objects?

  • Add media

TRENCHES, EXCAVATION & SHORING

  • Are there any excavations on the Jobsite?

  • Has Overhead and Underground Hazards been assessed, protected or eliminated?

  • Competent person identified and present?

  • Are excavations 5' or greater in depth are shored, benched or sloped back?

  • SOLID OR ROCK TYPE MAXIMUM ALLOWABLE SLOPES (H:V) (<20FT)

    STABLE ROCK.............................. VERTICAL (90)
    TYPE A.......................................... 3/4:1 (53)
    TYPE B.......................................... 1:1 (45)
    TYPE C.......................................... 1 1/2 : 1 (34)

  • Materials are stored at least 2' away from trench?

  • Ladders provided within 25' of personnel in trench?

  • Equipment is at a safe distance from edge of trench or excavation?

  • Underground utilities marked?

  • Any hazardous atmospheres identified and monitored?

  • Is excavation assessment complete and onsite?

  • Has Excavation been Inspected and documented?

  • Is there standing water in excavation?

  • Are shoring and trench boxes being utilized?

  • Have the shoring and trench boxes been inspected?

  • Is there leakage from hydraulic cylinders?

  • Is the tabulated data onsite?

  • Are adjacent structures adequately supported?

  • Add media

Confined Space

  • Is there a Confined Space?

  • Is this a Permit Required Space?

  • Is there a hole watch?

  • Is there continuous monitoring?

  • Is there a means of communication between hole watch and entrants?

  • Has emergency crew been Identified?

  • Is the Confined Space properly barricaded?

  • Is proper PPE being used for the task?

  • Is there safe access and egress?

  • Have you notified or communicated entry with General Contractor?

  • Are you using all necessary PRCS equipment (tripod, winch, harness, etc..)

  • Have you performed pre-entry inspection and checklist?

  • Have you filled out entry-permit and held JSA for job task?

  • Are you entering the space under alternate entry procedures?

  • Are all known hazards eliminated or controlled?

  • Is Continuous Air monitoring being utilized?

  • Add media

MATERIAL HANDLING

  • Materials properly stored or stacked?

  • Employees using proper lifting techniques?

  • Tag lines used to guide loads?

  • Chemical containers properly labeled?

  • Add media

Burning, Welding, Grinding, Chipping, and Cutting

  • Are there any welding or cutting activities on the jobsite?

  • Gas cylinders are secured stored upright?

  • Proper separating distances between fuels & oxygen? (20'min)

  • Goggles or face shields used?

  • Fire extinguishers readily available?

  • Hoses in good condition?

  • Are Chop Saws or Floor Saws being used?

  • Are wet methods being used?

  • Are Face Shields being utilized?

  • Are dust masks available and being utilized when grinding, chipping, or cutting?

  • Add media

CRANES and CONSTRUCTION EQUIPMENT

  • Are there any cranes on the jobsite?

  • Outriggers on solid ground and load radius including load barricaded?

  • Are Overhead Power Lines Inactive or Protected?

  • Are cranes keeping safe distance from Power line?<br>50kV - 10'<br>50kV to 200kV - 15'<br>200kV to 350kV - 20'<br>350kV to 500kV - 25'<br>500kV to 750kV - 35'<br>750kV to 1,000kV - 45'

  • Signal men being utilized?

  • Daily visual inspection Completed?

  • Crane has documentation of valid annual inspection?

  • Employees kept from under suspended loads?

  • Chains and slings inspected and tagged as required?

  • Employees handling loads trained in rigging and signaling?

  • Daily pre-operational inspections performed and documented?

  • Vehicles are equipped with back-up alarms that are working properly?

  • Seat belts worn?

  • All Lights are Functional?

  • Are Spotters being utilized?

  • Add media

AERIAL LIFTS

  • Are there any aerial lifts on the jobsite?

  • Daily pre-operational inspections performed and documented?

  • Fall arrest systems used on boom or articulating lifts?

  • Operators trained?

  • Add media

PERSONAL PROTECTIVE EQUIPMENT

  • Is proper hand protection being utilized by ALL employees?

  • Hard hats being worn?

  • Are FR clothing being worn?

  • Are H2S monitors being worn?

  • Are 4/5 gas meters being utilized?

  • Are face shields available when needed?

  • Safety glasses being utilized by ALL employees?

  • Respirators used when required? Proper respirator documentation available?

  • Hearing protection being worn by ALL employees?

  • Traffic vests or high visibility clothing material being worn?

  • Add media

HAZCOM/SDS

  • Is applicable SDS and hazard communication policy present?

  • Are all containers containing chemicals properly labeled and readable?

  • Are employees informed about where to find the SDS books?

  • Are proper PPE being used when working around chemicals? Refer to the SDS for proper PPE.

  • Are workers aware of the proper procedures to follow if exposed to a hazardous chemical?

  • Add media

AUDIT CONCLUSIONS

  • Add media

SIGNATURE

  • Site Lead

  • Auditor's Signature

Corrado - Demo Template
Rick Civita

Corrado - Demo Template

Jobsite Safety Inspection - Demo

Use this Template
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.

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