Danis/RN Rouse Jobsite Safety Inspection

Jobsite Safety Inspection

• Jobsite Number & SI (Place SI after Job Number for Safety Inspection)

• Conducted on

  Date

• Prepared by

JOB START-UP

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• Postings (Federal & Danis All-In-One, Gun Poster, No Smoking)

  Yes

  No

  N/A

• First Aid Kit hung and Crisis Management Plan Posted

  Yes

  No

  N/A

• Emergency Action Poster up with appropriate contact numbers?

  Yes

  No

  N/A

• Notification System in place and Rally Point designated.

  Yes

  No

  N/A

• Competent Persons List Posted for Contractors on site.

  Yes

  No

  N/A

GENERAL SAFETY, OCCUPATIONAL HEALTH AND ENVIRONMENTAL CONTROLS

• INSPECTING ITEMES RELATED TO THIS SECTION?

  YES

  NO

• Preconstruction safety meetings are conducted

  Yes

  No

  N/A

• Safety plans are up-to-date.

  Yes

  No

  N/A

• Sub's documentation (toolbox talks, inspections, MSDS on site, etc.)

  Yes

  No

  N/A

• Morning huddles are conducted and documented.

  Yes

  No

  N/A

• Stretch & Flex is performed on a daily basis.

  Yes

  No

  N/A

• Housekeeping is in good order.

  Yes

  No

  N/A

• Exits Unobstructed / Emergency Exit Signs are in place (as applicable)

  Yes

  No

  N/A

• First Aid Kit / Eyewash Replenished

  Yes

  No

  N/A

• First Aid / CPR trained employee is on site.

  Yes

  No

  N/A

• An adequate supply of potable (drinking) water is available.

  Yes

  No

  N/A

• Toilet Facilities (clean) (1 toilet per 20 workers)

  Yes

  No

  N/A

• Hazardous chemicals are labeled properly (fuel tank storage placards, form oil, curing compound, etc.)

  Yes

  No

  N/A

• Public Protection (fencing, walkways, signage, lighting)

  Safe

  At Risk

  N/A

• Other (please specify)

  Safe

  At Risk

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• Hard Hats

  Safe

  At Risk

  N/A

• Foot protection

  Yes

  No

  N/A

• Eye / Face Protection

  Safe

  At Risk

  N/A

• Hearing Protection

  Safe

  At Risk

  N/A

• Respiratory Protection

  Safe

  At Risk

  N/A

• Hand Protection

  Safe

  At Risk

  N/A

• Protective Clothing (High Viz, welding jacket, etc.)

  Safe

  At Risk

  N/A

• Other (please specify)

  Safe

  At Risk

  N/A

FIRE PROTECTION & PREVENTION

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• Fire Extinguisher - Is monthly inspection Current?

  Yes

  No

  N/A

PLEASE COMPLETE FIRE EXTINGUISHER CHECKLIST ASAP.

• Fire Extinguishers observed in good condition?

  Yes

  No

  N/A

• One 2A FE every 3000 sq ft, not exceeding 100 ft of travel

  Yes

  No

  N/A

• Fire Extinguisher at every Stairwell?

  Yes

  No

  N/A

• Flammable/Combustible Liquids Stored Properly (safety cans, storage tanks - double walled/spill containment and protected)

  Yes

  No

  N/A

• Hot Work (Fire Watch, Fire Blankets, Hot Work Permit, Extinguisher Present, Debris Cleared)

  Yes

  No

  N/A

• Other (please specify)

  Safe

  At Risk

  N/A

TOOLS - HAND & POWER

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• Tools in good shape and used properly.

  Safe

  At Risk

  N/A

• Guards installed on power tools.

  Safe

  At Risk

  N/A

• Power tools properly grounded or double insulated.

  Safe

  At Risk

  N/A

• Powder-actuated tools used per OSHA guidelines.

  Safe

  At Risk

  N/A

• Laser signs posted in proper locations. (if needed)

  Yes

  No

  N/A

• Other (please specify)

  Safe

  At Risk

  N/A

WELDING & TORCH CUTTING

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• Hot Work Permit Required?

  Required

  Not Required

• Permit completed and posted by work.

  Yes

  No

  N/A

• Existing Fire Alarm/System Addressed

  Yes

  No

  N/A

• Proper people notified of work?

  Yes

  No

  N/A

• Fire Watch in place per permit?

  Yes

  No

  N/A

• Proper Fire Suppression in place per permit?

  Yes

  No

  N/A

• Hot work doesn't create hazard for other workers.

  Safe

  At Risk

  N/A

• Suitable Hot Work PPE.

  Safe

  At Risk

  N/A

• Additional Fire Extinguisher in place.

  Yes

  No

  N/A

• Welding Operations?

  Inspect

  No

• Welding cables/connectors insulated and flexible.

  Safe

  At Risk

  N/A

• Welding cables free from repair or splices w/in 10' of cable end.

  Safe

  At Risk

  N/A

• Welding curtains in place. (if applicable)

  Safe

  At Risk

  N/A

• Proper ventilation is provided.

  Safe

  At Risk

  N/A

• Torch Cutting Operations?

  Inspect

  No

• Compressed gas cylinders stored properly. (upright, secured, capped, 20' apart)

  Yes

  No

  N/A

• Backflow preventers installed by torch guages.

  Yes

  No

  N/A

• Gauges removed at end-of-day/when not-in-use?

  Safe

  At Risk

  N/A

• Other (please specify)

  Safe

  At Risk

  N/A

ELECTRICAL

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• GFCI (at breakers, outlets, pigtails)

  Yes

  No

  N/A

• GFCIs regularly inspected by Electrician?

  Yes

  No

  N/A

• Live parts guarded from employee contact.

  Safe

  At Risk

  N/A

• Temporary Lighting In Use?

  YES

  NO

• Hung properly - manufactured hanger/non-conductive material

  Safe

  At Risk

  N/A

• Bulbs Protected not broken/missing

  Safe

  At Risk

  N/A

• Powered by independent circuit.

  Yes

  No

  N/A

• Electrical Cords in good condition & not a trip hazard

  Safe

  At Risk

  N/A

• Electrical Cords - hung w/ non-conductive material, out of water.

  Safe

  At Risk

  N/A

• Energizedl Panel - Dead Front & Cover Installed

  Yes

  No

  N/A

• Energized Panel - Blank installed for missing breakers

  Yes

  No

  N/A

• Lock Out / Tag Out currently used?

  YES

  NO

• Lock in place with proper tag.

  Yes

  No

  N/A

• Owner Documentation completed (if applicable)

  Yes

  No

  N/A

• Multiple subcontractors involved?

  YES

  NO

• Other (please specify)

  Safe

  At Risk

  N/A

SCAFFOLDS

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• Competent Person supervised Erection?

  Yes

  No

  N/A

• Competent Person on site?

  Yes

  No

  N/A

• Tagged and inspected by Competent Person?

  Yes

  No

  N/A

• Base (sills/plates/jacks/casters - secured/level)

  Safe

  At Risk

  N/A

• Frames (compatible, pinned, plumb/square, condition)

  Yes

  No

  N/A

• Base (sills/plates/jacks/casters - secured/level)

  Safe

  At Risk

  N/A

• Platforms (fully planked, secure/proper overhang, condition)

  Safe

  At Risk

  N/A

• Access (ladder - attached/integrated in frame)

  Yes

  No

  N/A

• Secured to Structure/Outriggers in place

  Yes

  No

  N/A

• Guardrails, Toeboards, Personal Fall Prot.

  Yes

  No

  N/A

• Mobile Scaffolds in use?

  YES

  NO

• Diagonal "Gooser" Bar

  Yes

  No

  N/A

• Casters / Wheels Locked

  Yes

  No

  N/A

• Stilts in use?

  YES

  NO

• Flat surface, no holes/debris/trip hazards

  Safe

  At Risk

  N/A

• Guardrails extended (if applicable)

  Yes

  No

  N/A

• Other (please specify)

  Safe

  At Risk

  N/A

FALL PROTECTION

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• Wearing Personal Fall Protection?

  Yes

  No

  N/A

• Attached to 5000 lb Anchor Point (min)

  Safe

  At Risk

  N/A

• Rescue Plan in Place

  Yes

  No

  N/A

• Properly wearing Harness

  Safe

  At Risk

  N/A

• Full system in good shape

  Safe

  At Risk

  N/A

• Guardrails in use?

  YES

  NO

• Toprail 42" +/- 3", Midrail, Toeboard

  Safe

  At Risk

  N/A

• Flagged every 6' (wire rope)

  Safe

  At Risk

  N/A

• Stanchions - Secure, </= 8' (wood system)

  Yes

  No

  N/A

• Falling Object Protection (Canopy, Barriers)

  Safe

  At Risk

  N/A

• Hole Covers (2 x max load, secure, high viz)

  Safe

  At Risk

  N/A

• Warning Lines (6' roofers, 15' other trades)

  Safe

  At Risk

  N/A

• Other (please specify)

  Safe

  At Risk

  N/A

CRANES, DERRICKS, HOISTS, ELEVATORS & CONVEYORS

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• Inspections (Daily, Annual)

  Yes

  No

  N/A

• Windows free from damage

  Safe

  At Risk

  N/A

• Set-up (Level, Barricaded, tires off ground)

  Safe

  At Risk

  N/A

• Outriggers (full extension, pads adequate & level)

  Safe

  At Risk

  N/A

• Power Lines in reach?

  YES

  NO

• Are Power Lines De-energized

  YES

  NO

• Select Voltage & Distance

  Select up to 50 kV - 10' 50-200 kV - 15' 200-350 kV - 20' 350-500 kV - 25' 500-750 kV - 35' 750-1000 kV - 45' over 1000 kV PE

  • up to 50 kV - 10'
  • 50-200 kV - 15'
  • 200-350 kV - 20'
  • 350-500 kV - 25'
  • 500-750 kV - 35'
  • 750-1000 kV - 45'
  • over 1000 kV PE

• Proper Distances Maintained?

  Safe

  At Risk

  N/A

• Spotter/Warning System in place

  Yes

  No

  N/A

• Anti-two Block System

  Safe

  At Risk

  N/A

• Fire Extinguisher in cab.

  Yes

  No

  N/A

• Operation (load path, taglines, signal person)

  Safe

  At Risk

  N/A

• Workers clear of load path/suspended.

  Safe

  At Risk

  N/A

• Capacity (Charts available, Critical Lift Plan, Weights know)

  Safe

  At Risk

  N/A

• Sling Condition (wire rope, synthetic, hardware)

  Safe

  At Risk

  N/A

• Operator (controlled & safe)

  Safe

  At Risk

  N/A

• Other (please specify)

  Yes

  No

  N/A

EXCAVATIONS

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• Utility Locates Performed (811)

  Yes

  No

  N/A

• Egress - 4' or greater (25' of travel)

  Safe

  At Risk

  N/A

• Air Monitoring (sewer tie-in, possible hazardous atmosphere)

  Safe

  At Risk

  N/A

• Spoils/Material/Equip. 2' from edge

  Safe

  At Risk

  N/A

• Competent Person - Performed Daily Inspection

  Yes

  No

  N/A

• Trench/Excavation over 5'

  YES

  NO

• Protective System in place.

  Yes

  No

  N/A

• Type of System

  Shoring

  Trench Box

  Sloping

  Benching

• What is slope?

  Stable Rock

  A- 3/4:1

  B- 1:1

  C- 1.5:1

REMOVE WORKERS TO SAFE AREA UNTIL A SAFE SYSTEM IS IN PLACE!

• Employees trained in trenching/excavation

  Yes

  No

  N/A

• Excavation Barricaded (if applicable)

  Safe

  At Risk

  N/A

• Other (please specify)

  Yes

  No

  N/A

CONCRETE & MASONRY

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• Impalement Hazards Protected (rebar, D-pins)

  Safe

  At Risk

  N/A

• Silica Exposure (wet cutting, respirator for mixing, grinding, cutting)

  Safe

  At Risk

  N/A

• PPE for Cement (Safety Glasses, Rubber Gloves, Rubber Boots)

  Yes

  No

  N/A

• Hygiene For Cement (Neutralite, Paper Towels, 15 min Eyewash)

  Yes

  No

  N/A

• Temporary Heat

  YES

  NO

• Combustibles away from heat source

  Safe

  At Risk

  N/A

• Air Quality Maintained

  Safe

  At Risk

  N/A

• Compressed Gas stored properly.

  Safe

  At Risk

  N/A

• Structural Masonry Operation?

  YES

  NO

• Over 8' adequately braced.

  Safe

  At Risk

  N/A

• Proper anchorage

  Yes

  No

  N/A

• Controlled Access Zone (wall height + 4')

  Yes

  No

  N/A

• Precast/Tilt-up Panels

  YES

  NO

• Adequate Pipe Bracing.

  Safe

  At Risk

  N/A

• Proper Anchorage

  Yes

  No

  N/A

• Controlled Access Zone (wall height + 4')

  Yes

  No

  N/A

• Other (please specify)

  Yes

  No

  N/A

STAIRWAYS & LADDERS

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• Stair or ladder provided for 19" or > change in elevation

  Yes

  No

  N/A

• Ladders?

  YES

  NO

• Danis Ladders Inspected (inspection sticker)

  Yes

  No

  N/A

• Extension Ladders 3' above landing.

  Safe

  At Risk

  N/A

• Extension Ladder Secured at Top (min)

  Safe

  At Risk

  N/A

• Extension Ladder set-up 4:1 ratio

  Safe

  At Risk

  N/A

• Off-set corral in place

  Safe

  At Risk

  N/A

• Access areas kept clear.

  Safe

  At Risk

  N/A

• Set on Stable Surfaces

  Safe

  At Risk

  N/A

• Step Ladders fully open (spreaders locked)

  Yes

  No

  N/A

• Top Two Steps not used (step ladder)

  Safe

  At Risk

  N/A

• Job-Built Ladders meet ANSI Standard

  Safe

  At Risk

  N/A

• Stairs?

  YES

  NO

• Treads filled solid with concrete or wood.

  Safe

  At Risk

  N/A

• Hand Rails (min 36" above tread, continuous grab)

  Safe

  At Risk

  N/A

• Fall Protection both sides

  Safe

  At Risk

  N/A

• Other (please specify)

  Yes

  No

  N/A

MOBILE EQUIPMENT

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• Daily Inspection(s) Performed

  Yes

  No

  N/A

• Operator performing in a safe manor.

  Safe

  At Risk

  N/A

• Seatbelt worn during operation.

  Safe

  At Risk

  N/A

• ROPS - in place, defect free

  Safe

  At Risk

  N/A

• Back-up Alarm(s) working.

  Safe

  At Risk

  N/A

• Aerial Lift (Fall Protection, Operator Trained)

  Safe

  At Risk

  N/A

• Scissor Lift (Safety Chain Used, Fall Protection when above platform)

  Safe

  At Risk

  N/A

• Other (please specify)

  Yes

  No

  N/A

• Enter Auditor's Name and Signature.

  Sign