Daily Safety Inspection Report

• Davco Electric Daily Safety Inspection Report

• Client / Site

• Location
  Address

• Date/ Time:

  Date

Disclaimer The safety assessment conducted by Total Safety Training and Consultants, LLC is intended solely as a support document to supplement existing safety procedures and standards already implemented by the company, including but not limited to OSHA, NEC, and NFPA 70 standards. Total Safety Training and Consultants, LLC assumes no liability for any injuries, damages, losses, or other consequences arising directly or indirectly from the use or misuse of this assessment.

• A workplace safety inspection was recently conducted at your jobsite. The following documentation is a written report of all safety concerns & 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 or an officer of your organization 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 us directly.
  
  Juanita Perez
  Total Safety Training & Consultants LLC
  (954) 651-3280

• Project: PBIA Client: Davco Electrical Services

• Davco Authorized Competent Person

• Location:

• Date & Time:

  Date

Pre-Task Safety Procedures

• Have all Davco Electric employees participated in the daily Tailboard Meeting?

  Yes

  No

  N/A

• Are all scheduled work activities listed on the Pre-Task Plan Huddle Board?

  Yes

  No

  N/A

• Is the approved Job Hazard Analysis (JHA) onsite and signed by all workers?

  Yes

  No

  N/A

• Have all workers signed the daily pre-task sign in sheet?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Are all workers wearing the required PPE? <br><br> Safety glasses, face shields, hard hats, safety shoes, insulating (rubber) gloves with leather protectors, insulating sleeves, and flame-resistant (FR) clothing.

  Yes

  No

• Add media

  Media

LOCKOUT / TAGOUT Procedures

• Have all workers received LOTO training ? 1910.147(c)(7)(i)

  Yes

  No

  N/A

• Has the Switchgear or Equipment been LOCKED OUT by the Authorized Competent Person?

  Yes

  No

  N/A

• Add media

  Media

• Has Davco Electric’s authorized Competent Person followed the step-by-step process for LOTO? 1910.147(d) 1. Application of control 2. Preparation for shutdown 3. Machine shutdown 4. Machine isolation 5. LOTO application 6. Release of stored energy 7. Verification of isolation 8. Completion of maintenance 9. Release from LOTO 10. LOTO device removal

  Media

• Photos of LOCKED OUT Equipment

  Media

START-UP Procedures

• Have all equipment, tools and material been removed from the work area?

  Yes

  No

  N/A

• Has the Competent Person conducted a Pre-Start-up inspection?

  Yes

  No

  N/A

• Was the Start-up successful?

  Pass

  Fail

  N/A

• Add media

  Media

Sign Off

• Final summary of inspection:

• Are the overall conditions of this jobsite is satisfactory?

  Yes

  No

• All deficiencies noted during this inspection must be corrected immediately to bring this jobsite into compliance with OSHA Standards. All violations noted in this report have been discussed with the jobsite superintendent.
  
  Juanita Perez
  Total Safety Training & Consultants LLC
  (954) 651-3280