Crew 2 - Job Site Inspection

• PO #

• Client/Site

• Location
  Address

• Conducted on

  Date

• Prepared by

Crew On site

• Chuck

  Off

  On

• Paul

  Off

  On

• Gary

  Off

  On

• Donny

  Off

  On

• Jason

  Off

  On

• Ferras

  Off

  On

Personal Protective Equipment

• All workers in Working at heights compliance?

  Yes

  No

  N/A

• Hard hats worn?

  Yes

  No

  N/A

• Safety shoes worn?

  Yes

  No

  N/A

• Safety Glasses worn?

  Yes

  No

  N/A

• Harnesses worn?

  Yes

  No

  N/A

• Pants worn?

  Yes

  No

  N/A

• Shirts worn

  Yes

  No

  N/A

Site Information

• What is the fall distance?

• Any unusual features of building/inaccessible areas?

• Proximity to emergency services

  1-10kms

  10-20kms

  20-30kms

  30-40kms

  40km+

• Dayus Roofing job sign displayed?

  Yes

  No

  N/A

• First aid kit stocked?

  Yes

  No

  N/A

• Fully charged fire extinguishers?

  Yes

  No

  N/A

• Property protected?

  Yes

  No

  N/A

• Notes:

General condition of equipment

• Ladders in good shape?

  Yes

  No

  N/A

• Truck maintenance required?

  Yes

  No

  N/A

• Foreman Signature:

  Sign