Douglas N. Higgins - General Site Inspection

• Project Name

• Project Number

• Short Description of Work Activities

• Date Completed

  Date
• Location
  Address

• Superintendent Name

• Auditors Name

• Auditors Title

PERSONAL PROTECTIVE EQUIPMENT

• Minimum Required PPE (i.e. Hard Hat, Vest or High Visibility Shirt, Hard Toe Work Boots)

  Yes

  No

  N/A

• Specialty PPE (i.e. Face Shield, Hearing Protection, Respirators, PFD's)

  Yes

  No

  N/A

HOUSEKEEPING

• General Site Housekeeping

  Yes

  No

  N/A

• Trash cans and/or dumpsters in work area and maintained

  Yes

  No

  N/A

• Safe access to work areas

  Yes

  No

  N/A

• Safe access to storage containers

  Yes

  No

  N/A

TEMPORARY BARRICADES

• Work area barricaded with signage (if required)

  Yes

  No

  N/A

• Proper tape used, Red for Danger and Yellow for Caution (if required)

  Yes

  No

  N/A

• Road/Sidewalk Closed signs in place (if required)

  Yes

  No

  N/A

LADDERS AND ELEVATED WORK

• Extension ladders tied-off and secured

  Yes

  No

  N/A

• Extension ladders extended 3' above the landing

  Yes

  No

  N/A

• Step ladders fully open and locked

  Yes

  No

  N/A

• Damaged ladders tagged Out-of-Service or removed from site

  Yes

  No

  N/A

FALL PROTECTION

• Employees 100% tied off when working at heights over 6'

  Yes

  No

  N/A

• Fall protection in place (i.e. handrails and warning lines)

  Yes

  No

  N/A

• Fall Arrest Systems worn, set-up and used correctly

  Yes

  No

  N/A

• Employees anchored off correctly

  Yes

  No

  N/A

MOBILE EQUIPMENT

• Seatbelts used

  Yes

  No

  N/A

• Operating at a safe speed (both travel and operating)

  Yes

  No

  N/A

• Operating at a safe distance from ground personnel and open excavations

  Yes

  No

  N/A

• Backup and movement alarms working

  Yes

  No

  N/A

• Spotters used when needed

  Yes

  No

  N/A

• Equipment maintained without leaks

  Yes

  No

  N/A

LOAD HANDILING EQUIPMENT USED FOR HOISTING WITH RIGGING

• Annual inspection current (for cranes only)

  Yes

  No

  N/A

• Crane operator is certified (for cranes only)

  Yes

  No

  N/A

• Swing radius protection in place (for cranes only)

  Yes

  No

  N/A

• Workers staying clear of suspended loads

  Yes

  No

  N/A

• Qualified rigger/signal person being used

  Yes

  No

  N/A

• Proper rigging and techniques used

  Yes

  No

  N/A

• Knowledge of hand signals for type of equipment used (i.e. Loader, Excavators, Cranes)

  Yes

  No

  N/A

• Tag lines used (if required)

  Yes

  No

  N/A

EXCAVATION

• Excavation daily inspection performed and documented

  Yes

  No

  N/A

• Underground locates are in place and current

  Yes

  No

  N/A

• Safe means of entering/exiting for excavations deeper than 4'

  Yes

  No

  N/A

• Daily air quality checked for excavations deeper than 4’

  Yes

  No

  N/A

• Cave-In protection in place for excavations deeper that 5'

  Yes

  No

  N/A

• Equipment staged at a safe distance from the edge

  Yes

  No

  N/A

• Spoils and materials at least 2' from leading edge

  Yes

  No

  N/A

COMPRESSES GAS CYLINDERS

• Stored and/or transported upright, secured and hard caps in place

  Yes

  No

  N/A

• Oxygen and acetylene stored at least 20' apart or separated by a one hour rated fire barrier when not in use

  Yes

  No

  N/A

CONCRETE OPERATIONS

• Concrete pump and hoses in good working order and used properly

  Yes

  No

  N/A

• Slick lines and hoses clamped and secured

  Yes

  No

  N/A

• Concrete washed from skin in a timely manner

  Yes

  No

  N/A

CONFINED SPACE

• Confined spaces identified and posted

  Yes

  No

  N/A

• All employees involved are trained based on assigned task/responsibilities

  Yes

  No

  N/A

• Permit required spaces controlled by permit and attendant when occupied

  Yes

  No

  N/A

• Permit required spaces have active permit and rescue plan

  Yes

  No

  N/A

• All confined spaces inspected and documented (Pre-Check List)

  Yes

  No

  N/A

• All confined spaces air quality checked and documented

  Yes

  No

  N/A

• Open spaces, such as manholes are protected from pedestrians and vehicular traffic

  Yes

  No

  N/A

PREWORK

• Weekly Toolbox Talks performed and documented

  Yes

  No

  N/A

• Daily JSA's communicated to all employees and documented

  Yes

  No

  N/A

• SDS for all chemicals on the project are available upon request

  Yes

  No

  N/A

• All required jobsite work permits (i.e. hot work permits) current

  Yes

  No

  N/A

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