Safety Observation

JOB ADMINSTRATION

Job briefing performed?

Competent person assigned

All workers properly trained in task?

Hazards recognized and appropriate mitigations taken?

All necessary permits completed and available?

Appropriate Safety Data Sheets (SDS) information accessible?

PERSONAL PROTECTIVE EQUIPMENT

All workers trained in the use and care of PPE?

Appropriate work clothes and footwear for the job being worn?

Worker PPE has been inspected?

PPE is maintained in an acceptable condition?

Hard hats being worn properly when required?

Safety glasses being worn properly when required?

High-visibility clothing being worn properly when required?

Gloves being worn when necessary?

Hearing protection being worn properly when required

Proper respiratory equipment being worn when required?

Additional protection being worn when required?

Specify:

SAFE WORK PRACTICES

Properly lifting techniques being utilized?

Emergency All-Stop practice being utilized?

Changes in hazards or conditions being communicated?

Co-worker assistance being utilized?

Adequate lighting in use?

FIRST AID & EMERGENCIES

Properly trained/certified personnel on site?

Emergency phone numbers accessible?

First aid kit accessible?

First aid kit inspected?

Workers aware of general emergency procedures?

Workers aware of site specific emergency procedures?

FIRE PREVENTION & PRECAUTIONS

Proper flammable containers in use?

Fire extinguishing equipment accessible?

Fire extinguisher inspected and tagged?

Combustibles properly stored?

HOUSEKEEPING

Walkways, passageways, and access points are clear of hazards?

Work area is cleared of unnecessary debris?

All unnecessary equipment is clear of work area?

Materials are safely stacked and stored?

Vehicles, trailers, and equipment containers are clean and orderly?

HEALTH & ENVIRONMENTAL HAZARDS

Has the potential for a hazardous environment been identified?

Hazardous materials recognized and isolated?

Type of environmental hazards

Precautions for heat stress being taken?

Precautions for cold exposure being taken?

Noise decibel reading

TOOL & EQUIPMENT (Hand & Power)

Applies at this job site?

Workers properly trained in use?

Tool or equipment inspected prior to use?

Power cords in good condition with no defects?

All guards and safeties in place?

Maintenance performed prior to use?

Required PPE used during operation?

Tool maintained per Assured Equipment Grounding Program?

VEHICLE & HEAVY EQUIPMENT

Applies at this job site?

Vehicles and heavy equipment inspected prior to use?

Operated by trained/authorized personnel?

All lights working properly?

All warning devices working properly?

All operating systems working properly?

No leaks present?

Seat belts and/or restraining devices in use?

Trailered equipment secured for transport

PUBLIC ACCESS/WALKWAY PROTECTION

Applies at this job site?

Public access & walkways free of hazards?

Detour of public access & walkways identified and understandable?

Monitoring of public access being performed?

ELECTRICAL HAZARDS & SAFETY

Applies at this job site?

Extension cords inspected and in safe condition?

All electrical systems and equipment are properly protected?

Equipment is at least 10' away from overhead power lines?

All underground and overhead electrical sources identified?

Lockout/Tagout procedures being followed?

SAFE LADDER USE

Applies at this job site?

Ladders have been inspected prior to use?

Proper type and size are in use?

Ladder is placed on an acceptable surface?

Ladder is properly secured?

Worker(s) is using ladder in an appropriate and safe manner?

Worker(s) is using 3-points of contact?

Ladder(s) being used

Ladder is set at a 75 degree angle or a 4 to 1 ratio?

Ladder is at least 2-3 rungs or 36" above landing?

WORK ZONE SET-UP

Applies at this job site?

Adequate warning signs in place?

Adequate cones or channeling devices in place?

Motorist protected from heavy equipment?

Traffic adequately controlled through work area?

Certified flagger(s) being utilized?

Flagger(s) utilizing proper PPE and equipment

FALL PROTECTION

Applies at this site?

Fall protection in place for work over 4'?

Drop precautions recognized?

Floor or ground openings properly marked and protected?

Guardrails in place and in compliance?

Fall arrest system in place and inspected?

Harness and equipment being worn properly?

Rescue plan in place?

AERIAL LIFTS/MANLIFTS/SCAFFOLDING

Applies at this job site?

Inspection completed?

Manufacturers operating manual present?

Trained/authorized operator?

Being used properly?

Outriggers in use?

Proper fall protection in use?

TRENCHING & EXCAVATION SAFETY

Applies at this site?

Permitting required?

Underground utilities identified and marked?

Job site barricading and protection in place?

Soiled tested and area inspected?

Excavation inspected prior to entry?

Spill pile at least 2’ from edge?

Adequate and proper shoring in place where required?

Accessibility and placement of ladder(s) adequate?

Fall protection in use where required?

CONFINED SPACES: Applies at this job site?

Applies at this job site?

Entry permit required?

Air testing completed?

Ventilation in progress?

Rescue plan in place?

Completion of Observation

Overall Comments:

Corrective Actions Required?

Corrective Actions Taken:

Completed By Signature