Title Page
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Site conducted
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Conducted on
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Name and Signature of Inspector
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Temperature (High/Low)
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Weather
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Wind Speed and Direction
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Morning Headcount
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Trades on Site
AM Sub Trade Compliance
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All Workers On Site Signed In
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All FLHA Filled, Signed, And In Possession of Management Prior to Start of Work
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All Workers Orientated
1. GENERAL SAFETY OF WORKERS
Temporary Supports in Place/Functioning Effectively - OHSR 20.14
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Workers Protected From Falling Material Hazards? - OHSR 20.9
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Sloping and Shoring Requirements Met - OHSR 20.81
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Rebar and Other Protruding Objects Removed/Guarded - OHSR 20.25 (1)
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2. ACCESS & EGRESS
All Access/Egress Clear of Obstructions (20" Wide Min.) - OHSR 4.61
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Access and Egress Safe - OHSR 4.33 (1), 20.4 (2)
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Slip/Trip Hazards - OHSR 4.39
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Restricted Access Conspicuously/Effectively Marked/Barricaded
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3. PPE
PPE Used When Required - OHSR 8.9 (1) (a)
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PPE Maintained in Good Usable Condition - OHSR 8.9 (2)
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Proof of Adequate Training in Care and Use of PPE From Employer - OHSR 8.7
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4. FIRST AID
Ticketed OFA Attendant With Appropriate Level On Site During Work - OHSR 3.16 (1)
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Kit and Stretcher Equipped/Organized/Available? - OHSR 3.16 (1) (a-b)
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5. LADDERS + ELEVATED WORK PLATFORMS
Job Built Ladders Compliant W/LDR 1-2004 WSBC
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Platform Used When Necessary - OHSR 13.6 (1)
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Ladders Used Correctly - OHSR 13.5
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6. SCAFFOLD
Scaffold Planks Clear of Falling Material Hazards?
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Access Hatches Closed After Use?
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7. TOOLS & EQUIPMENT
Tools/Equipment in Good/Safe Condition - OHSR 12.10
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Rigging Condition - OHSR 15.56, 15.54, 15.48 15.43,
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Mobile Equipment Pre-Use Inspections Provided Before Start Of Work - OHSR 16.3
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Hoses/Air Lines/Oil Resevours Leaking?
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8. ELECTRICAL SAFETY
GFCI on All Outdoor Plugs - OHSR 19.15
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Limits of Approach Maintained - OHSR 19.21.1
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Extension Cord Condition - WSBC Guideline 19.5
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9. FIRE PREVENTION
Emergency Response Plan Available - OHSR 4.13
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Status
Emergency Response Plan Current - OHSR 4.14
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Status
Extinguishers Certified/Available/ Every 3000 Sq. Ft. and No More Than 100' Apart - OHSA 1926-150 (c) (1) (i)
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Status
10. FALL PROTECTION
Used When Required - OHSR 11.2
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Used Correctly/Good Condition - OHSR 11.9
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Written Site-Specific Fall Protection Plan When Required - OHSR 11.3
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Status
11. GUARDAILS/HANDRAILS
Built in Accordance W/Specs/Condition - OHSR 4.58
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Toeboards Installed/Condition - OHSR 4.60?
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Handrails on Stairs W/More Than 4 Risers? - OHSR 4.62
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12. MOBILE EQUIPMENT
Operator Pre - Use Inspection - OHSR 16.17, 4.11
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Status
Operator Proof of Certification Available - OHSR 4.10
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Status
13. PUBLIC SAFETY
Fences Secure/Placed to Prevent Unauthorized Access
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Delivery/Trucking/Crane Operations Not Compromising Public Safety
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Dust Control - OHSR 18.15
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14. TRAFFIC CONTROL
FLTA - OHSR 18.3.1
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Status
Escape Routes - OHSR 18.6.3 (2) (c)
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Status
Traffic Control Devices Installed Effectively and in Accordance with TMM 2020
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Status
15. Site Conditions
Housekeeping
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De-Watering
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Condition
Layout/Configuration
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Condition
Incidents/Accidents/First Aid
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Item
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Observations
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Observation
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What Was Observed?
Trade Progress
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Company
Materials or Equipment Recieved/Lost/Damaged
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Daily Site Photos
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4 Corners
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Additional
