Inspection

Site Safety Inspection

JOB NO

AREA SUPERVISOR:
PROJECT:

LOCATION:

INSPECTION TYPE:

Formal

Informal

FREQUENCY

Weekly

Monthly

Quarterly

Other:

INSPECTION CONDUCTED BY:

Name:

Title:

Signature:

Name:

Title:

HAZARD RATING CLASSIFICATIONS:
ALL INSPECTIONS WILL BE RATED ACCORDING TO THE DEGREE OF SEVERITY TO SET PRIORITY OF ACTION

ALL “A” HAZARDS IDENTIFIED MUST BE IMMEDIATELY ADDRESSED

A Hazard: A condition or practice likely to cause immediate permanent disability, loss of life, or extensive loss of structure, equipment or material and/or reportable environmental release/spill. Requires immediate corrective action as is defined as an imminent hazard. Activity must be discontinued until hazard has been corrected / resolved

B Hazard: A condition or act likely to cause moderate injury or illness, resulting in temporary disability, property damage or environmental release/spill that is disruptive but not extensive. An urgent situation, requiring attention as soon as possible

C Hazard: A condition or practice likely to cause minor (non-disabling) injury or illness, non-disruptive property damage or minor environmental impact. Not an emergency, however to be addressed without delay

O: Outstanding item from previous inspection

PLAN THE INSPECTION:

Identify inspection Type and Frequency

Review severity classifications

Assign specific categories on which to focus efforts when there is more than one person conducting the inspection

Confirm access requirements and authorizations for specific areas or processes

PERFORM THE INSPECTION:

Identify each element and relative compliance conditions per the Safety Inspection Matrix

Record the specific Hazard Class for each observation

Record the correction of any unsafe practice or condition observed

Assign responsibility for correcting the hazard or unacceptable behaviour

Detail any positive interactions with Supervision and Workers as identified through the inspection

EXECUTE RESULTS:

Communicate the inspection results to Management, Supervision and Workers

Assure that all corrective actions from the inspection are completed

DESCRIPTION / OBSERVATION

HAZARD RATING

CORRECTIVE ACTION
RESPONSIBILITY
COMPLETION DATE
POSITIVE OBSERVATIONS
14.0 REPORTING

Copies To:

Name:

Title:

Name:

Title:

INSPECTION MATRIX
Project Requirements

JHA / POWSEA completed for Task

Emergency Response Plan and Procedures posted

Workers fit for duty

Free from slipping/tripping hazards (mud, ice, water)

Safe access/egress of walkways / stairways

Adequate task and area lighting

Hot Work

Hot Work Permit Complete

Check valves and flashback arrestors in place

Fuel gases and oxygen stored in accordance with regulation

Cylinders secured in the upright position

Gauges removed and protective caps in place when not in use

Tagging system for unused oxy/fuel equipment employed

Flammables removed from hot work areas

Welding shield/barrier in place

Proper ventilation

Areas below are identified by a barrier

Slag and spark containment

Rod stubs are stored properly

Respiratory protection used as required

Fire Extinguishers available, charged and inspected

Ladders

Suited to task

On firm footing

Rubber cleats on feet

Regulated height/base ratio

Secured at top and base

One-meter extension at grade

No cracks or splices

Non-conductive for electrical use

Three-point contact employed

Doors, stairway/landing not obstructed by ladder(s)

Landing clear and level

Elevated Work Platforms

Annual certification

Operator is trained

Pre-inspection completed

Function test complete

Path of travel has been reviewed (holes, soft spots)

Weight of materials and equipment do not exceed manufacturer’s specifications

Surface is firm, level and can support the machine weight

Fall protection requirements observed

No standing on mid-rail/top-rails

Spotters used in confined areas properly spaced

Piping

Safe rigging practices observed

Pipe supports are in place and bolted tight and/or welded

Pipe is adequately supported throughout

Shoes on their supports, spring hangers adjusted

Fasteners secured to prevent movement and/or leakage

Labels/information is legible and tagged with Equipment ID

Lines purged/cleaned prior to hot works

In-process work identified

Lockout of hazardous systems verified for process work

Safety precautions observed for testing (hydro/pneumatic)

Hazard Assessment Audits

Does the POWSEA Card represent the task performed

Hazards are specific to the task

Is there a acceptable control for the hazards

Has the Foreman / Supervisor reviewed the POWSEA

Does the worker understand the process

Is the worker revisiting the POWSEA after breaks or through changes in plan?

Hoisting Equipment & Rigging

Work area and path of lift cleared/secured for lifting

Weights of lift known

Rigging equipment has been inspected / certified (as required)

Equipment & rigging rated for lift

Softeners applied

Rigging applied correctly by competent personnel

Safety applied (as required) for angle-adjusted lifts

Crane inspection completed

Operating within manufacturers limits

Rigging & Hoisting checklist completed

Critical Lift Plans developed

Signaller is identified

Proper signals used

Blind lifts are using radio communication

Tag lines employed for control

Scaffolding

Firm level, stable surface

Top and mid-rails

Toe boards

Acceptable work platform

Load rated platform

Acceptable access/egress

Mud sills in place

Outriggers/screw jacks

Tagged with daily inspection frequency

Compatible hardware used

Regulated height/base ratio

Wheels blocked or locked

All members firmly fastened/secured

Housekeeping

Good hygiene practices – lunchrooms/offices/toilets

General appearance of work areas free of clutter

Adequate waste containers throughout

Receptacles not overflowing

Walkways, entrances and stairwells free from obstructions

Materials stored safely and secured from falling

Cords/cables stored neatly/overhead

Mobile & Heavy Equipment

Pre-Use inspection completed and documented

Regular maintenance completed

Fire Extinguisher and safety equipment installed/available

Backup alarms installed

Seat belts available and in use

Loads secured during transport

Beacon operational and all necessary lights on/working

Use of spotter(s) throughout operation (as necessary)

Safe operation practices observed

Material Handling/Storage

Proper lifting techniques used (≤ 50lbs)

Weight of object known

Storage/laydown area organized

Materials securely stored (free from tipping, rolling or falling)

Entrances/exits/walkways not obstructed

Signs and delineators available for traffic flow

Hand & Power Tools

Worker familiar with use

Inspected prior to operation

Used in accordance with the manufacturer guidelines

Guards are in place

Tool has not been modified/altered

Line of Fire/Pinch Points observed

Electrically grounded

Cutting implements sharp

PPE

Hard hats

Eye and face protection

Footwear

High visibility vests

Hearing protection

Gloves

Protective and reflective clothing

Gloves suited to task

Fire Protection/Suppression

Extinguishers provided on vehicles/equipment

Available near Hot Work operations

Available in offices and lunchrooms

Fuel/chemical storage areas

Smoking limited to designated areas only

Fire blankets employed (as necessary)

Suitable barricades and flagging erected

Fall Protections/Prevention

Fall Protection Plan developed and implemented (as applicable)

Workers trained in requirements

Equipment is inspected (harness, lanyard, anchor sling, hardware)

Labels are clearly marked and legible

SRL’s are inspected

Control zones are established

Handrails/guardrails are in place

Floor/roof openings securely covered and identified

WHMIS-2015

Workers are trained in WHMIS 2015

SDS’s are current and immediately available

Hazardous products labeled

Labels on applicable workplace containers

Exposure control plans in place (as required)

Workers employing controls (including PPE) in accordance with SDS

Electrical

Permit(s) received and reviewed (as required)

Properly rated tools and equipment

Cords and cables in good condition following inspection criteria and quarterly colour code (grounding assurance)

Ground Fault Circuit Interceptors (GFCI) operable

Lock-Out procedure in place and observed

Zero energy state verified

Proper locks/tags utilized

Formwork completed

Limits of approach observed

Environmental

Spill containment kits are sufficient

Hazardous material storage

Emergency Response Plan includes specifics for spills

Environmental Policy is posted

Contaminants are stored and disposed of by a licensed carrier (as applicable)

Reporting process is known and followed

Secondary containment for fuels and lubricants

Establish/contain concrete washout areas

Control of airborne dusts (as applicable)

Maintenance of storm water and runoff

Erosion & sediment control

Equipment maintenance to limit environmental impacts (leaks)

Procedures for working in and around bodies of water

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.