Cromwell Field Visit

• Prepared By:

  Yes

  No

  N/A

• Conducted on

  Date

• Cromwell Safety Visit

• Customer's Last Name

• Location
  Address

• Lead(s) Names

Complete the visit in sequential order, anything "at-risk" indicate the name of the individual(s). Add photos to anything response you see fit.

• Take a photo of the overall job site.

  Media

• Greet the crew in a friendly manner and explain the reason for the visit.

• Safety Pause completed and readily available on job table?

  Safe

  At Risk

  N/A

• Stop the job and require everyone to conduct a safety pause as a group before continuing work.

• I reviewed the Safety Pause and signed

Install

• Are Installers working at this job?

  Yes

  No

• Is anyone on the roof without being tied in properly?

  Safe

  At Risk

  N/A

• Who is not wearing/using fall protection?

• Is everyone staying within 30 degrees from front of the anchor point?

  Yes

  No

  N/A

• Is anyone crossing lifelines?

  Safe

  At Risk

  N/A

• Is anyone using a positioning lanyard by itself?

  Yes

  No

• Could the employee walk off the roof in any direction, if they wanted to, without re-adjusting their rope grab?

  Safe

  At Risk

  N/A

• Are tools secured, with no risk of falling or being dropped to ground level?

  Safe

  At Risk

  N/A

• Any visible defective fall protection equipment on site?

  Safe

  At Risk

  N/A

• Take a photo of all of the roof access ladders that are in use.

  Media

• Are the access ladders secured properly?

  Yes

  No

  N/A

• Are the access ladders 3' above roof eave?

  Yes

  No

  N/A

• Are employees using the ladder maintaining 3-points of contact?

  Yes

  No

  N/A

• Are they using fall protection?

  Safe

  At Risk

  N/A

Electrical

• Are there electricians working here?

  Yes

  No

• Are the electrician's using a ladder other than the access ladder to the roof?

  Yes

  No

  N/A

• Are the electricians maintaining 3 points of contact when using the ladder?

  Safe

  At Risk

  N/A

• Does the ladder have bullhorns? (If able)

  Safe

  At Risk

  N/A

• Does the ladder have blue rubber covers on the side rails? (If able)

  Safe

  At Risk

  N/A

• Is anyone working on energized equipment without arc flash gear on?

  Safe

  At Risk

  N/A

• Was the meter pulled using arc flash protection?

  Safe

  At Risk

  N/A

• Are the electricians in the attic?

  Yes

  No

• Is the attic considered a confined space?

  Yes

  No

• Was a pre-assessment completed and available for viewing?

  Yes

  No

  N/A

• Are pit boards in use?

  Yes

  No

  N/A

General Safety

• The work is site tidy, continuously maintained, and free from preventable trip hazards?

• Are employees wearing hardhats where required? (anywhere an overhead hazard exists)

  Safe

  At Risk

  N/A

• Cut-resistant gloves when handling sharp objects?

  Safe

  At Risk

  N/A

• Are employees wearing safety glasses?

  Yes

  No

  N/A

Vehicle Safety

• Take a photo displaying vehicle setup.

  Media

• Are the vehicles organized and well maintained?

  Safe

  At Risk

  N/A

• Do the vehicles have 2 cones? (1 in front and 1 in rear of vehicle unless parked in road, cones should be on side nearest traffic)

  Safe

  At Risk

  N/A

• Are the vehicles chocked? (pitched surfaces only)

  Safe

  At Risk

  N/A

• Is the Driver's Vehicle Inspection Report (DVIR) book filled out for the current week?

  Yes

  No

  N/A

• Is the area around the vehicles neat and organized?

  Yes

  No

  N/A

• Are the fire extinguisher and first aid kit readily accessible?

  Yes

  No

  N/A

Communication

• The crews are communicating clearly and effectively.

• The lead is leading and takes responsibility for his crew's safety.

• I have reviewed these findings with the leads or any other member of the crew?

• Thank the crew sincerely for their hard work before leaving.

Exit

• Any Additional Comments

• Please sign your name, finish the report, export in PDF and E-mail to daniel.hayes@directenergysolar.com

  Sign