Job Site Name
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Job Site Name
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Date
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Site Supervisor
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Time start
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Prepared by
Requirements
Requirements
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Emergency Phone Numbers Posted, Map to Emergency Medical, Oregon Required Postings.
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First Aid supplies check Quanities
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Eye wash station checked monthly
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Water on Site
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SDS Sheets on site or on a Company APP.
PPE
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Hard hats worn if required
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Hearing protection if reqiured
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Safety harness used if required
- Yes
- No
- N/A
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Safety glasses worn if required
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Respirator worn if Required
House Keeping
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Walkways and stairs clear of debris and materials
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Restrooms clean
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No Smoking Signs if needed
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Rebar capped
Fire protection
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Fire fighting equipment placed around site, tagged monthly one for every 3000 SQ FT.
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Fire Extinguisher at each Staircase on 2nd Floor and Higher
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Fire fighting equipment marked and accessible
Electrical
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Temp lights have bulb guards
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Sufficient lighting
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Lockout/Tagout used if required.
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All cords and tolls have ground prongs
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GFCI on all cords used outdoors
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No Black Tape Repairs or Wires Showing
Tools
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Power tool cords and plugs in good condition
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Power tools have guards
Ladders
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Straight ladders extended over 36 inches above landing
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Straight ladders have feet or blocked at bottom
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Straight ladders setup with a slope of 4 to 1
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Straight ladders secured at Top to Prevent Movement
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Ladders free of damage
Scaffolds
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Scaffolding fully planked
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Scaffolding braced correctly
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Workers prohibited from riding on rolling scaffolding
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Sill plates used on scaffolding outdoors
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Fall protection used on scaffolding above 10 feet
Boom and Scissor
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Workers trained to operate
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Scissor entry chain or gate closed
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Machines Uses on Solid Ground
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Workers wearing harness in boom lift
Hand Rails and Covers
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Floor holes over 2 inches are covered and labeled
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Windows Openings have braces set between 39 and 45 inches
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Door and Window Openings Have top brace at 39-45 inches and Doors have a mid brace at 21 inches
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Openings over 19 inches Wide have bracing to prevent falls
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Toe boards present if needed
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Safety bracing will withstand 200 pounds of force in outward direction
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Safety Braces have an Upright every 8 feet per OSHA
Trench and Excavation
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Workers stay within shored area
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Excavation spoil stored 2 feet back from trench edge
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Soil Piles in the adjacent area don't exceed 2 feet in height (The adjacent Area is equal to the depth of the trench)
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Shore boxes above or level with surface
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Ladder in trenches over 4 feet deep per OSHA
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Excavation 5ft or deeper shored per OSHA standard
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Competent person present ( Ask Workers if they know who it is)
Silica
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Cutting wet present
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Vacuum 90% effective if used for silica
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Respirators used when required by the task per OSHA
Forklift
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Forklift in good condition
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Forklift Attended when load in the air.
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The seatbelt is used per OSHA requirements
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Operators manual in forklift
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Load chart legible
Summary
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Summary