Daily/Weekly Safety Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

• Project Location:

• Project Number:

• Date/Time:

  Date

• Inspector:

• Superintendent:

• Work Description:

Inspection

1. Personal Protective Equipment

• Is Personal Protective Equipment part of this week's inspection?

  Yes

  No

  N/A

• 1.1 Safety Glasses

  Safe

  At Risk

  N/A

• 1.2 Head Protection

  Safe

  At Risk

  N/A

• 1.3 Hearing Protection

  Safe

  At Risk

  N/A

• 1.4 Foot Protection

  Safe

  At Risk

  N/A

• 1.5 Hand Protection

  Safe

  At Risk

  N/A

• 1.6 Fall Protection

  Safe

  At Risk

  N/A

• 1.7 Faceshield/Googles

  Safe

  At Risk

  N/A

• 1.8 Respirator

  Safe

  At Risk

  N/A

• 1.9 Natural Clothing

  Safe

  At Risk

  N/A

• 1.10 Body Protection/FR

  Safe

  At Risk

  N/A

2. Policies, Procedures & Permits

• Are Policies, Procedures & Permits part of this week's inspection?

  Yes

  No

  N/A

• 2.1 Lift/Handling

  Safe

  At Risk

  N/A

• 2.2 Permits

  Safe

  At Risk

  N/A

• 2.3 Barricades/Warnings

  Safe

  At Risk

  N/A

• 2.4 GFCI/Assured Grounding

  Safe

  At Risk

  N/A

• 2.5 JSA's/Safety Meetings

  Safe

  At Risk

  N/A

• 2.6 Emergency Evac/Alarm

  Safe

  At Risk

  N/A

• 2.7 Containers Labeled

  Safe

  At Risk

  N/A

• 2.8 Fire Protection

  Safe

  At Risk

  N/A

• 2.9 Lockout/Tagout

  Safe

  At Risk

  N/A

• 2.10 Labor Law/WC Posting

  Safe

  At Risk

  N/A

3. Equipment & Tools

• Are Equipment & Tools part of this week's inspection?

  Yes

  No

  N/A

• 3.1 Hand Operated

  Safe

  At Risk

  N/A

• 3.2 Portable Power Tools

  Safe

  At Risk

  N/A

• 3.3 Hoisting/Rigging Equipment

  Safe

  At Risk

  N/A

• 3.4 Temporary Power/GFCI

  Safe

  At Risk

  N/A

• 3.5 Electrical Cords

  Safe

  At Risk

  N/A

• 3.6 Air Hoses

  Safe

  At Risk

  N/A

• 3.7 Fire Extinguisher

  Safe

  At Risk

  N/A

• 3.8 Ladders

  Safe

  At Risk

  N/A

• 3.9 Scaffolds

  Safe

  At Risk

  N/A

• Welders/Leads

  Safe

  At Risk

  N/A

4. Facility, Compound & Storage

• Will Facility, Compound & Storage be part of this week's inspection?

  Yes

  No

  N/A

• 4.1 Floors/Walls

  Safe

  At Risk

  N/A

• 4.2 Electrical

  Safe

  At Risk

  N/A

• 4.3 Lighting

  Safe

  At Risk

  N/A

• 4.4 Evacuation Map

  Safe

  At Risk

  N/A

• 4.5 Exit Signs

  Safe

  At Risk

  N/A

• 4.6 Material Storage

  Safe

  At Risk

  N/A

• 4.7 Walkways/Exit

  Safe

  At Risk

  N/A

• 4.8 Housekeeping

  Safe

  At Risk

  N/A

5. Equipment Operations

• Is Equipment Operations part of this week's inspection?

  Yes

  No

  N/A

• 5.1 Operators Cards

  Safe

  At Risk

  N/A

• 5.2 Maintenance

  Safe

  At Risk

  N/A

• 5.3 Inspection Records

  Safe

  At Risk

  N/A

• 5.4 Safe Operations

  Safe

  At Risk

  N/A

6. Confined Spaces

• Are Confined Spaces part of this week's inspection?

  Yes

  No

  N/A

• 6.1 Entry Permit

  Safe

  At Risk

  N/A

• 6.2 O2/CO2/SO2/H2S lel

  Safe

  At Risk

  N/A

• 6.3 Sign In/Out

  Safe

  At Risk

  N/A

• 6.4 Communication

  Safe

  At Risk

  N/A

• 6.5 Lights/Ventilation

  Safe

  At Risk

  N/A

• 6.6 Rescue Plan

  Safe

  At Risk

  N/A

• 6.7 Safety Harness

  Safe

  At Risk

  N/A

7. Hazardous Material Abatement

• Are Hazardous Material Abatement part of this week's inspection?

  Yes

  No

  N/A

• 7.1 Competent Person on site

  Safe

  At Risk

  N/A

• 7.2 Barricade/Signage

  Safe

  At Risk

  N/A

• 7.3 Protective Clothing

  Safe

  At Risk

  N/A

• 7.4 Footwear

  Safe

  At Risk

  N/A

• 7.5 Containment/Decon

  Safe

  At Risk

  N/A

• 7.6 Sign In/Out

  Safe

  At Risk

  N/A

• 7.7 Documentation

  Safe

  At Risk

  N/A

• 7.8 Respirator Usage

  Safe

  At Risk

  N/A

8. Environmental

• Is Environmental par of this week's inspection?

  Yes

  No

  N/A

• 8.1 Drums/Containers

  Safe

  At Risk

  N/A

• 8.2 Labels

  Safe

  At Risk

  N/A

• 8.3 Spill Kit Available

  Safe

  At Risk

  N/A

• 8.4 Containers Closed

  Safe

  At Risk

  N/A

• 8.5 Accumulation Start Date

  Safe

  At Risk

  N/A

• 8.6 General Conditions

  Safe

  At Risk

  N/A

9. Scaffolding

• Is Scaffolding part of this week's inspection?

  Yes

  No

  N/A

• 9.1 Safe Access

  Safe

  At Risk

  N/A

• 9.2 Handrails/Midrails

  Safe

  At Risk

  N/A

• 9.3 Toe Boards/Netting

  Safe

  At Risk

  N/A

• 9.4 Decking

  Safe

  At Risk

  N/A

• 9.5 Properly Braced

  Safe

  At Risk

  N/A

• 9.6 Proper Foundation

  Safe

  At Risk

  N/A

• 9.7 Inspected/Tagged

  Safe

  At Risk

  N/A

• Inspector Signature

  Sign

• Supervisor Signature

  Sign