DAILY SAFETY INSPECTION REPORT (SYNERGYNDS)

• Site conducted

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• Client:

• Conducted on

  Date
• MAP ADDRESS
  Address

• Project:

• Roofing Contractor:

• # of workers on jobsite

• Safety Inspection Conducted by:

• A workplace safety inspection was conducted at your jobsite. The following documentation is a written report of all safety concerns and violations observed during the inspection. Please address and abate all noted deficiencies as soon as possible. Serious violations should be addressed and corrected immediately.
  
  A follow up safety inspection will be conducted by a member of our staff within 24 hours of this report to ensure that all corrective actions and measures have been taken. If you have any questions regarding this inspection report or request assistance in taking the corrective actions suggested in this report, please feel free to contact me directly.
  
  Juanita Perez
  Safety Manager
  Total Safety Training & Consultants LLC
  (954) 651-3280
  www.the-safetypros.com
  

• The following safety violations were observed during this inspection.

• undefined

LADDER

• Does Ladder conform to applicable standards?

  YES

  NO

• Ladder secured to roof and extended at least 3' above eave?

  YES

  NO

• Picture of ladder tied to roof 3' above eave.

  Media

• Ladder placed on level surface, away from all doorways, and high traffic areas?

  YES

  NO

PERSONAL FALL ARREST SYSTEM (PFAS)

• PFAS worn while working 6' or more above a lower lever?

  YES, to Code

  NO

• Picture of worker wearing PFAS.

  Media

• Is PFAS safely attached to anchors and harness?

  YES, to Code

  NO

• Is there proper vertical lifeline adjustment? (SLACK)

  YES

  NO

• Is there safe passage to and from the access point?

  YES

  NO

• Anchor, harness, and / or lifeline all in good condition?

  YES, to Code

  NO

• Are all anchors properly secured per manufactures specifications?<br>If installation into truss using screw/nail in center row of holes.<br>If installation into field using screw/nail in every rows of holes.<br>

  YES, to Code

  NO

OTHER IMPORTANT SAFETY POINTS & PERSONAL PROTECTIVE EQUIPMENT (PPE)

• Are Hard Hats properly utilized as required?

  YES

  NO

• Are Safety Glasses properly utilized as required?

  YES

  NO

• If safety can is present, is it a Metal Can?

  YES

  NO

• Is Fire Extinguisher present and charged as required?

  YES

  NO

• Is First Aid Kit present?

  YES

  NO

• Are all other equipment, tools, and cords in good condition?<br>

  YES

  NO

• NOTES

  Select Crew working safe. Crew at lunch while inspection was being conducted. Crew finishing up job for the day. No housekeeping issues. Praised crew for job well done and being in compliance.

  • Crew working safe.
  • Crew at lunch while inspection was being conducted.
  • Crew finishing up job for the day.
  • No housekeeping issues.
  • Praised crew for job well done and being in compliance.

• COMMENTS & CORRECTIVE ACTIONS TAKEN

• Safety Consultant Review & Actions Taken