DCC Job Site Inspection

• Client / Site

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Foreman on site

Housekeeping

• Are work areas orderly and clean?

  Yes

  No

  N/A

• Are access roads/walkways clear of obstructions?

  Yes

  No

  N/A

• Is there adequate lighting for safe access during all hours of operation?

  Yes

  No

  N/A

• Are work areas free from trip hazards, debris, and clutter?

  Yes

  No

  N/A

• Area is free of scrap lumber with protruding nails?

  Yes

  No

  N/A

• Are proper signage and barricades in place to direct traffic and pedestrians safely?

  Yes

  No

  N/A

• If applicable, was orange fence used to close work area?

  Yes

  No

  N/A

• Are waste materials, such as excess concrete and packaging materials, disposed of properly and regularly?

  Yes

  No

  N/A

• Are materials stocked/stored properly?

  Yes

  No

  N/A

• Is there an adequate eye wash station? (Has sign, label, and enough liquid)

  Yes

  No

  N/A

• Containers available for disposal of waste materials (dumpster, trash container)?

  Yes

  No

  N/A

• If applicable: pre-storm planning, high winds. Covered and secured materials.

  Yes

  No

  N/A

• If applicable: silica or dust collection control. Are employees using an approved vacuum with HPA filter?

  Yes

  No

  N/A

• Is there a company site storage container?

  Yes

  No

  N/A

• Is there an used open epoxy tool?

  Yes

  No

  N/A

• Are there any unlabeled containers? (ex. water & oil pumps, materials, chemicals, etc)

  Yes

  No

  N/A

• Is there flammable/combustible containers out of their cages? (ex. gasoline, diesel, oil mixer)

  Yes

  No

  N/A

• Is there trash laying around?

  Yes

  No

  N/A

• Does it have a fire extinguisher inside?

  Yes

  No

  N/A

• Does it have a spill containment kit?

  Yes

  No

  N/A

• Is there a concrete washout station?

  Yes

  No

  N/A

• Are they available, clearly marked, and maintained?

  Yes

  No

  N/A

• Is washout container leak free?

  Yes

  No

  N/A

• Are the plastic linings and sidewalls damage free?

  Yes

  No

  N/A

• Has it been filled over 75% capacity?

  Yes

  No

  N/A

• If so, has the washwater been vacuumed off or allowed to evaporate to avoid overflow?

  Yes

  No

  N/A

Excavation and Trenching

• Was Miss Utility called before starting the work?

  Yes

  No

  N/A

• Is Miss Utility's ticket/permit still current and valid?

  Yes

  No

  N/A

• Check for excavation / trench?

  Yes

  No

  N/A

• Are excavation areas properly guarded and secured to prevent unauthorized access?

  Yes

  No

  N/A

• Is excavation/trench greater than 5 ft deep but less than 20 ft?

  Yes

  No

  N/A

• Are they properly sloped/benched, shored, or shielded according to OSHA requirements?

  Yes

  No

  N/A

• If applicable, is shoring system maintained?

  Yes

  No

  N/A

• Is the foundation trench at least 2 ft wide horizontally?

  Yes

  No

  N/A

• In trenches more than 4 ft deep, are stairways, ladders, or ramps located so lateral travel to them is no more than 25 ft?

  Yes

  No

  N/A

• Are employees not working in trenches where there is accumulated water or water is accumulating, unless adequate precautions are taken?

  Yes

  No

  N/A

• Is the spoil set back at least 2 feet?

  Yes

  No

  N/A

• Were the necessary ladders provided?

  Yes

  No

  N/A

• Are materials stored at least 10 feet away from edges/handrails or otherwise prevented from falling?

  Yes

  No

  N/A

Concrete

• Is all protruding reinforcing steel, onto or into which employees could fall, guarded to eliminate the hazard of impalement? (rebar impalement protection)

  Yes

  No

  N/A

• No employees are working under concrete buckets while buckets are being elevated/lowered into position?

  Yes

  No

  N/A

• Is rigging tag for shackle and cable on concrete bucket adequate? (tag is in good condition and information is legible)

  Yes

  No

  N/A

• Are concrete mixers guarded properly?

  Yes

  No

  N/A

Fall Protection

• Are guardrails or personal fall arrest systems in place where workers are exposed to fall hazards?

  Yes

  No

  N/A

• Are employees wearing adequate safety harnesses and lanyards? (have tag/label, not involved in an accident, and no visible damage)

  Yes

  No

  N/A

• Are safety harness and lanyards utilized with adequate anchorage points?

  Yes

  No

  N/A

• Check Aerial Work Platforms? (Ex. scaffolds, scissor lifts, boom lifts)

  Yes

  No

  N/A

• Is the operator certified for the AWP equipment?

  Yes

  No

  N/A

• Scaffolds?

  Yes

  No

  N/A

• All scaffolds plumbed and leveled as erection proceeds?

  Yes

  No

  N/A

• Are adequate sills and base plates being used?

  Yes

  No

  N/A

• Do scaffold planks extend past their end supports not less than 6 in and no more than 12 in?

  Yes

  No

  N/A

• If electrical power lines are near the scaffold, are necessary precautions being taken?

  Yes

  No

  N/A

• To prevent from falling objects, are toe boards or area barricaded below?

  Yes

  No

  N/A

• Are scaffolds securely anchored at least every 30 feet of length and 25 feet in height?

  Yes

  No

  N/A

• Are frames and panels braced by cross, horizontal or diagonal braces?

  Yes

  No

  N/A

• Is there an access ladder, steps or equivalent safe access to scaffold?

  Yes

  No

  N/A

• Is the scaffold within its weight capacity?

  Yes

  No

  N/A

• Check Ladders?

  Yes

  No

  N/A

• Are ladders in good condition?

  Yes

  No

  N/A

• Are ladders extended well above landing (at least 3') and being tied off?

  Yes

  No

  N/A

• Are the ladders proper for job and secured?

  Yes

  No

  N/A

• Are step ladders fully open when in use?

  Yes

  No

  N/A

• Is ladder placement safe?

  Yes

  No

  N/A

• Did we make the ladder?

  Yes

  No

  N/A

• Does the ladder not exceed the limit of 24 feet long?

  Yes

  No

  N/A

Electrical

• Is the insulation intact on cords and wiring?

  Yes

  No

  N/A

• Is temporary lighting guarded?

  Yes

  No

  N/A

• Are electrical panels labeled and covered accordingly?

  Yes

  No

  N/A

• Is the ground-fault circuit interrupter (GFCI) device being utilized?

  Yes

  No

  N/A

• Are extension cords connected directly to the GFCI and not to one another?

  Yes

  No

  N/A

• Do all electrical cords have ground pins/plugs?

  Yes

  No

  N/A

• Is there a warning sign where a person, tool, or machine may come into contact with any part of an energized power circuit?

  Yes

  No

  N/A

• Are lockout/tagout procedures utilized?

  Yes

  No

  N/A

Hand and Power Equipment

• Are hand tools in good working order?

  Yes

  No

  N/A

• Are electrical cords in good working order?

  Yes

  No

  N/A

• Are all mechanical safeguards in use?

  Yes

  No

  N/A

• Are handles not broken and splinter free?

  Yes

  No

  N/A

• Is tool specific signage in place? (ex. laser)

  Yes

  No

  N/A

• If laser is in use, is its height lower than 5 ft or higher than 6 ft?

  Yes

  No

  N/A

Equipment

• Check equipment machines?

  Yes

  No

  N/A

• Are brakes, lights, signals, and alarms operative? (ex. backup alarm)

  Yes

  No

  N/A

• Is the daily equipment inspection form filled out?

  Yes

  No

  N/A

• Does equipment operator have a valid and current certification?

  Yes

  No

  N/A

• If needed, does the team and equipment operator have radios to communicate with each other?

  Yes

  No

  N/A

• Check rigging?

  Yes

  No

  N/A

• Rigging team and equipment operator have radios to communicate with each other.

  Yes

  No

  N/A

• Are safety latches present on all hooks?

  Yes

  No

  N/A

• Is rigging in use tagged and in good condition?

  Yes

  No

  N/A

• Is the rigging equipment rated for the load being lifted?

  Yes

  No

  N/A

• Is a restraint line/tag/rope used if necessary to prevent rotation of the load that would be hazardous?

  Yes

  No

  N/A

• Check cranes?

  Yes

  No

  N/A

• Is the signalman certified?

  Yes

  No

  N/A

• Was the start of shift inspections conducted?

  Yes

  No

  N/A

• Are ground conditions appropriate?

  Yes

  No

  N/A

• Is swing radius protected and leveled?

  Yes

  No

  N/A

• Are the riggers qualified and carrying card?

  Yes

  No

  N/A

• Do riggers have a whistle to inform of moving load?

  Yes

  No

  N/A

• Not chains for overhead lifting unless approved

  Yes

  No

  N/A

• Overhead safe distance of 10 ft minimum

  Yes

  No

  N/A

• Crane is not within 20 ft of electrical power lines

  Yes

  No

  N/A

Fire Prevention & Environmental Controls

• Are fire extinguishers immediately available?

  Yes

  No

  N/A

• Are fire extinguishers inspected?

  Yes

  No

  N/A

• Does it have a tag, pin, and less than one year since last inspection? Is the psi green?

  Yes

  No

  N/A

• Are the hazardous materials on site, if any, properly stored?

  Yes

  No

  N/A

• Is there a spill containment kit on site?

  Yes

  No

  N/A

• Is it complete?

  Yes

  No

  N/A

• Combustible debris regularly removed to control fire hazards?

  Yes

  No

  N/A

• Are containers labeled with contents?

  Yes

  No

  N/A

• If applicable, was silt fence installed for erosion water control?

  Yes

  No

  N/A

• Is hot work being done? (ex. welding, cutting, burning, heating, grinding)

  Yes

  No

  N/A

• Is there a hot work permit?

  Yes

  No

  N/A

• Are the emergency plan and fire prevention procedures being followed?

  Yes

  No

  N/A

• Are tools and materials used for hot work properly inspected?

  Yes

  No

  N/A

Vehicle

• Check vehicle safety?

  Yes

  No

  N/A

• Does the truck have a first aid kit?

  Yes

  No

  N/A

• Is it complete and nothing is expired?

  Yes

  No

  N/A

• Does the truck have an adequate fire extinguisher?

  Yes

  No

  N/A

• Does the truck have an adequate eye wash station?

  Yes

  No

  N/A

• Do the water and oil blasting pumps have an adequate chemical label?

  Yes

  No

  N/A

PPE

• Proper work clothing (long pants, sleeved shirts)

  Yes

  No

  N/A

• Proper fit, zipped, buttoned, good condition clothing

  Yes

  No

  N/A

• Eye / face protection (safety glasses, goggles, face shield)

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Hard hats / helmets

  Yes

  No

  N/A

• High-visibility company vest

  Yes

  No

  N/A

• Steel-toed boots

  Yes

  No

  N/A

• Does rigging team have red vests?

  Yes

  No

  N/A

Hazard Communication

• Is there a chemical list on site?

  Yes

  No

  N/A

• Is the SDS packet on site?

  Yes

  No

  N/A

• Is it accessible to other companies' employees that might be exposed to the chemicals on site?

  Yes

  No

  N/A

Documentation

• Are required permits, drawings. and documentation readily available on site for inspection? (ex. miss utility, hot work, equipment daily log, detail/shop drawings, etc.)

  Yes

  No

  N/A

• Are Tool Box Talks (TBT) being completed?

  Yes

  No

  N/A

• Any violations?

  Yes

  No

  N/A

• Was action taken?

  Yes

  No

  N/A

• Why not?

• No violations, but were there any safety suggestions made to the foreman on site?

  Yes

  No

  N/A

• Additional Inspection Pictures

  Media