Dorchester House Addition

• Safety Inspection

• Client / Site

• Conducted on

  Date

• Prepared by:

  Sign

Office Set up

• Clark Safety & Hazcom Manual

  Yes

  No

  N/A

• OSHA Poster/ EEO , Evacuation , Fire Extinguisher

  Yes

  No

  N/A

• First Aid box has been inspected and supplies ordered

  Yes

  No

  N/A

• Proper access- steps & hand rail

  Yes

  No

  N/A

Safety on Job Sites

• Fall hazards?

Fall Hazard

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  Media

• Type of fall hazard?

• Subcontractor

• Location

• Response / Correction

• Fall Equipment

Fall Equipment

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  Media

• Type of fall hazard?

• Subcontractor

• Location

• Response / Correction

• Scaffolding

Scaffold

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  Media

• Subcontractor

• Location

• Inspection

• Response / Correction

• Rigging Equipment

Rigging

• Unsafe or damage lifting equipment, including ropes, slings, chairs and hooks?

  Yes

  No

  N/A

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  Media

• Subcontractor

• Location

• Inspection

• Response / Correction

Lighting

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  Media

• Subcontractor

• Location

• Inspection

• Response / Correction

• Proper lighting, secured / with cage

  Yes

  No

  N/A

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  Media

• Subcontractor

• Location

• Inspection

• Response / Correction

Ladders

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  Media

• Subcontractor

• Location

• Inspection

• Response / Correction

Tools

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  Media

• Subcontractor

• Location

• Inspection

• Response / Correction

• Personnel Protective Equiment

PPE

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  Media

• Subcontractor

• Location

• Inspection

• Response / Correction

• Housekeeping

Housekeeping

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  Media

• Location

• Subcontractor

• Response / Correction

Fire Extinguishers

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  Media

• Location

• Subcontractor

• Response / Correction

• Electrical

Electrical

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  Media

• Location

• Subcontractor

• Response / Correction

Misc

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  Media

• Location

• Subcontractor

• Response / Correction