Crew 2 - Job Site Inspection

• PO #

• Client/Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Crew On site

• Chuck

  Off

  On

• Mike

  Off

  On

• Donny

  Off

  On

• Ferras

  Off

  On

• Bob

  Off

  On

• Is today a monday or the first day on site?

  Yes

  No

  N/A

PPE - All Workers

• Harnesses - Inspected and in good condition

  Yes

  No

  N/A

• Ropes - Inspected and in good condition

  Yes

  No

  N/A

• Rope Grabs - Inspected and in good condition

  Yes

  No

  N/A

• Lanyards - Inspected and in good condition

  Yes

  No

  N/A

• Hard Hats - Inspected and in good condition

  Yes

  No

  N/A

• Roof Jacks - Inspected and in good condition

  Yes

  No

  N/A

• Planks - Inspected and in good condition

  Yes

  No

  N/A

• Safety Shoes - Worn, inspected and in good condition<br>

  Yes

  No

  N/A

• Safety Glasses - Inspected and in good condition

  Yes

  No

  N/A

• Pants worn?

  Yes

  No

  N/A

• Shirts worn?

  Yes

  No

  N/A

Tools and Equipment

• Compressors and hoses in good working condition (ie. not missing guards, leaking oil etc.)?

  Yes

  No

  N/A

• Nail guns and drills in good working condition?

  Yes

  No

  N/A

• Extension cords and electrical tools in good working condition?

  Yes

  No

  N/A

• Fully charged fire extinguishers?

  Yes

  No

  N/A

• First aid kit fully stocked?

  Yes

  No

  N/A

• Eye wash station available?

  Yes

  No

  N/A

• Ladders in good working condition (ie. Rails, rungs, safety shoes free from defects)?

  Yes

  No

  N/A

Posters & Safety Documentation

• Ontario Health and Safety Act & Construction Regulations (ie. the Green/Orange book)

• Company workplace violence and harassment policy

• Company Health & Safety policy and program

• MOL Orders & Reports (if any issued)

• Material Safety Data Sheets

• Emergency response plan and fall arrest rescue procedures

• In Case of Injury Poster issued by the workplace safety and insurance board

• Health & Safety at work: Prevention starts here poster issued by MOL

• Truck/trailer maintenance required?

  Yes

  No

  N/A

• Dayus Roofing job sign displayed?

  Yes

  No

  N/A

Hazard Assessment

• What is the fall distance?

• Are there any electrical hazards on site (ie. Hydro stacks, AC Units etc.)

  Yes

  No

  N/A

• Are skylights present on the roof?

  Yes

  No

  N/A

• Any visibly unsafe areas of deteriorated roof decking?

  Yes

  No

  N/A

• Any unusual features of building/inaccessible areas?

• Emergency first aider on site?

  Yes

  No

  N/A

• Proximity to emergency services

  1-10kms

  10-20kms

  20-30kms

  30-40kms

  40km+

• Notes & topic of toolbox talk:

• Foreman Signature:

  Sign