Daily Safety Inspection Report- PESCG

• Site Name

• Job Name and No.

• Start Date

  Date

• End Date

  Date

• Superintendent

• Inspector

• Location
  Address

• INSTRUCTIONS
  _______________________________________________
  1. Please type in your responses or choose from the selections on the questions below.
  2. Add photos and notes by clicking the Add Notes and Add Image buttons below each questions.
  3. To add a Corrective Measure click on the Add Action button below each questions and provide a description, assign to a member, set priority, and due date.
  4. Complete audit by providing digital signature.
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

General Information

• Average Number of Workers

• Days Worked Accident Free

• Unsafe Condition Reported

Subcontractors On Site

• Click Add CONTRACTOR

CONTRACTOR

• Please specify name

• Trade numbers of workers

1. Job Information

• OSHA 300A forms posted and complete?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• OSHA, EEOC, etc posters?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Emergency#s & Map to nearest medical center?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Tool box talks up to date?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• AHAs Followed, Amened as needed, training?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Pre-Start Daily Safety Briefing Held?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

2. Housekeeping

• Waste containers provided?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Passageways and walkways clear?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Walking/Working Surfaces Clear?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• General neatness of work area?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

3. Fire Prevention

• Fire extinguishers checked and accessible?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Workers Trained in Use Annually?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

4. Electrical

• Extension cords in good condition?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Workers Trained to inspect cords before use.

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Ground fault circuit interrupter (GFCI) tested monthly and used?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Temporary lighting sufficient, guarded, suspended?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Overhead Electrical Lines Signage?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Underground Electrical Identified, Marked?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Workers Trained on Avoidance & IF Contact is made?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

5. Hand, Power & Powder Actuated Tools

• Hand tools inspected regularly?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Guards in place on machines?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Right tool being used for job at hand?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

6. Fall Protection

• Safety rails are secured properly?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Fall protection when climbing ladders over 20’?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Employees exposed to fall hazards are tied off?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Employees below protected from falling objects?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

7. Ladders

• Ladders extend at least 36” above the landing?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Ladders secured to prevent slipping or sliding?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Ladders with damage taken out of service?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Stepladders used in fully open position?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• No step at top two rungs of stepladder?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

8. Confined Spaces?

• All confined spaces identified with sign?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Permit completed and posted in area?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Air monitoring done prior to entry?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Authorized entrants accounted for (in/out system)?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Rescue plan (Fire Dept)?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Proper access provided?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Permit closed out (insert photo)

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Confined space secured from unauthorized entry (after hours)?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

9. Traffic Control-Site Access Control

• Access is controlled to prevent unauthorized entry?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Perimeter & Excavation protection is in place?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Danger Signs Posted?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Traffic Control/Signage/Flaggers?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

10. Lock-Out Tag-Out Procedures

• Tags, Locks, Apparatus available?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Pre-Construct meeting to verify needs?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Electrical disconnected & isolated?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Gas lines disconnected & isolated?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Water Lines (Water, sewer) isolated?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

11. Material Handling

• Materials are properly stored or stacked?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Tag lines used when lifting/hoisting?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Employees are using proper lifting methods

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

12. Welding & Burning

• Hot Work Permit issued & followed

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Gas cylinders stored upright?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Proper distance between fuels and oxygen (20’)?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Burning/welding goggles or shields are used?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Fire extinguishers nearby?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Hoses are in good condition?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

13. Cranes

• Outriggers are extended and swing radius barricade in place

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Operator is familiar with load charts?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Hand signal charts are on crane?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Annual & Daily Inspections are up-to-date?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Chains & slings inspected and tagged as required?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Riggers & signal person “Qualified or Certified”?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Operator is NCCO “Certified”?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Critical or Non-Critical lift plan?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Tag Line Used?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

14. Concrete Construction

• Employees are protected from Silica dust?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Exposure Control Plan in use?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Exposed skin is covered?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Rebar Capped?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

15. Personal Protective Equipment

• Hard hats are being worn (Brim Forward)?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Safety glasses are being worn?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Proper Clothing/Footwear worn?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Respirators are used when required?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Hearing protection being worn when required?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• High Visibility vests worn?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Protective Gloves when needed?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

16. Excavation/Grading

• Excavations inspected daily by CP?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Excavations deeper than 4ft equipped with ladder, earthen ramp or stairs for access within 25ft?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Excavations deeper than 5ft protected from cave-ins by sloping, shoring or trench box?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Air monitored for hazardous atmosphere?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Spoil piles, equipment and tools kept a min 2ft from edge?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Water kept from accumulating?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Trench Box Tab Data Available?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

17. Machinery and Equipment

• All equipment operated by trained personnel and on designated operators list?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Equipment inspected daily/before use?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Operators wearing seatbelts?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

• Equipped with Backup alarms, warning lights, horn, fire extinguisher?

  • Adequate upon inspection

  • Needs Consideration

  • Immediate Attention Required

  • N/A

18. Weather Conditions

• Please specify weather conditions

General Comments and Observations

• Please add additional comments and observations

Completion

• Inspector Name and Signature

  Sign