DRB WEEKLY SAFETY REPORT

• Conducted on

  Date

• Prepared by

• Location
  Address

• Has daily safety inspections been completed?

  Compliant

  Non-Compliant

  N/A

PPE

• Hard hats worn by all workers?

  Yes

  No

  N/A

• Safety Glasses worn by all workers using power tools, nail guns, or grinding equipment ?

  Yes

  No

  N/A

• Proper foot wear worn by all workers?

  Yes

  No

  N/A

• Respirators used when required?

  Yes

  No

  N/A

• Hearing protection used when required?

  Yes

  No

  N/A

• Traffic vest worn by workers in the street?

  Yes

  No

  N/A

• Shirts worn by all workers?

  Yes

  No

  N/A

• Gloves worn by all personnel handling sharp objects?

  Yes

  No

  N/A

FALL PROTECTION

• Windows and doors protected by safety bar?

  Yes

  No

  N/A

• Open porches protected?

  Yes

  No

  N/A

• Fall protection provided to workers 6 feet or higher above lower working surface?

  Yes

  No

  N/A

• PFAS used properly?

  Yes

  No

  N/A

• PFAS inspected prior to use?

  Yes

  No

  N/A

• Safety rails installed at all stair openings and open to below areas?

  Yes

  No

  N/A

• Workers protected from fall in truss setting operation?

  Yes

  No

  N/A

• Stair ways free and clear of debris?

  Yes

  No

  N/A

• Means of egress provided at greater than 19" rise?

  Yes

  No

  N/A

LADDERS / STAIRS

• Step ladders used in and open and locked position?

  Yes

  No

  N/A

• Step ladder working height not exceeded?

  Yes

  No

  N/A

• All ladders are free of defects, mud, ice?

  Yes

  No

  N/A

• All ladders are inspected prior to use?

  Yes

  No

  N/A

• Extension ladders do not exceed 4 to 1 angle?

  Yes

  No

  N/A

• Extension ladders are set on solid base?

  Yes

  No

  N/A

• Extension ladders extend 36" above landing surface?

  Yes

  No

  N/A

• Are all flights of stair 4 or more risers equipped with standard stair railings, temp railings ,or handrail?

  Yes

  No

  N/A

HOUSEKEEPING

• All debris is picked up at end of each day?

  Yes

  No

  N/A

• Lumber with nails have been pulled or bent over?

  Yes

  No

  N/A

• Lumber and materils stacked neatly at ground level?

  Yes

  No

  N/A

• Flammable materials removed from site?

  Yes

  No

  N/A

• Flying debris secured in the event of high wind?

  Yes

  No

  N/A

• Stairways clear of debris ,cords and hoses

  Yes

  No

  N/A

ELECTRICAL HAZARDS

• All extension cords complete with 3rd (grounding) prongs?

  Yes

  No

  N/A

• All power tools grounded?

  Yes

  No

  N/A

• All cords free of tears and breaks in insulated coating?

  Yes

  No

  N/A

• G.F.C.I. temporary receptical tested before each use?

  Yes

  No

  N/A

• Home Hot check in compliance with written procedure?

  Yes

  No

  N/A

• Protection to overhead lines provided to all workers?

  Yes

  No

  N/A

BOOM TRUCK / CRANE OPERATION

• Certified operator?

  Yes

  No

  N/A

• Operator logs up-to-date

  Yes

  No

  N/A

• Competent person as signal person?

  Yes

  No

  N/A

• Hand signals charts are on equipment?

  Yes

  No

  N/A

• Competent person as rigger?

  Yes

  No

  N/A

• Lift zone barricaded off?

  Yes

  No

  N/A

• C.A.Z. established

  Yes

  No

  N/A

• Equipment set up on stable, level surface?

  Yes

  No

  N/A

• Spreader bar used when hoisting trusses? No single point hook ups

  Yes

  No

  N/A

• Tag line use to guide lifts?

  Yes

  No

  N/A

HAND AND POWER TOOLS

• Proper tool for the job?

  Yes

  No

  N/A

• All guards in place on Table saws, Grinders,and Cir. saws?

  Yes

  No

  N/A

• All tools inspected regularly?

  Yes

  No

  N/A

• Operators of powder actuated tools are licensed?

  Yes

  No

  N/A

JOB SITE REQUIREMENTS

• First Aid supplies readily accessible?

  Yes

  No

  N/A

• Fire Extinguishers check and accessible at each site / ( supplied by vendors)

  Yes

  No

  N/A

• Phone number for nearest medical center posted?

  Yes

  No

  N/A

• Work areas properly signed and barricaded?

  Yes

  No

  N/A

• Is facility for treatment of injured employees within 15 min. of job site ? If not is there an employee trained in First Aid on site?

  Yes

  No

  N/A

• Toilet facilities clean and accessible?

  Yes

  No

  N/A

• Potable drinking water on site?

  Yes

  No

  N/A

• Competent person from each sub-contractor on site?

  Yes

  No

  N/A

• Is each worker instructed in the recognition and avoidance of unsafe conditions?

  Yes

  No

  N/A

FIRE PREVENTION

• Adequate Fire Extinguishers checked and accessible?

  Yes

  No

  N/A

• Flammable materials removed from site each day?

  Yes

  No

  N/A

• No smoking signs posted and enforced?

  Yes

  No

  N/A

• Employee trained in both P.A.S.S. and R.A.C.E.?

  Yes

  No

  N/A

SCAFFOLDING

• All scaffolding inspected each day?

  Yes

  No

  N/A

• Scaffolding erected on sound ridged ground?

  Yes

  No

  N/A

• Scaffolding tied to structure as required?

  Yes

  No

  N/A

• Top rail, mid rail and toe boards in place?

  Yes

  No

  N/A

• Planking is sound and sturdy?

  Yes

  No

  N/A

• Proper access provided?

  Yes

  No

  N/A

• Workers below protected from falling objects?

  Yes

  No

  N/A

• Pump jacks set on mudsills?

  Yes

  No

  N/A

• Pump jacks properly braced?

  Yes

  No

  N/A

• Fall protection used on pump jacks?

  Yes

  No

  N/A

• Carpenter brackets sound and secure?

  Yes

  No

  N/A

• Carpenter brackets set less than 6 feet above lower surface?

  Yes

  No

  N/A

FLOOR AND WALL OPENINGS

• All floor or deck openings are planked over or barricaded?

  Yes

  No

  N/A

• Perimeter protection in place?

  Yes

  No

  N/A

• deck boards are secured?

  Yes

  No

  N/A

• Materials stored away from edge?

  Yes

  No

  N/A

MATERIAL HANDLING

• Materials properly stored or stacked?

  Yes

  No

  N/A

• Workers using proper lifting methods?

  Yes

  No

  N/A

• Tag lines used to guide lifts?

  Yes

  No

  N/A

• Proper number of workers for each operation?

  Yes

  No

  N/A

CONCRETE CONSTRUCTION

• Workers protected from cement dust?

  Yes

  No

  N/A

• Exposed skin covered?

  Yes

  No

  N/A

• Walkway clear and adequate?

  Yes

  No

  N/A

• Walls over 8 feet are supported?

  Yes

  No

  N/A

• Are all protruding reinforcing rods covered?

  Yes

  No

  N/A

• Is Lock out Tag out procedure in use on any equipment where inadvertent operation could cause injury?

  Yes

  No

  N/A

VEHICLES

• Do all vehicles, earth moving , compacting equipment, skid steers, or lifting equipment with obstructed rear view have back up alarms or use with observer?

  Yes

  No

  N/A

• Are all vehicles, earth moving , compacting equipment, skid steers, or lifting equipment have seat belts and are they used?

  Yes

  No

  N/A

• Are flagmen wearing reflectorized garments and using flags, sign paddles or lights?

  Yes

  No

  N/A

TRENCHES, EXCAVATION & SHORING

• Competent person on site to inspect daily?

  Yes

  No

  N/A

• Excavations over 5 feet in depth are shored or sloped back?

  Yes

  No

  N/A

• Are materials stored at least 2 feet from top of trench?

  Yes

  No

  N/A

• Equipment is a safe distance from top edge of trench?

  Yes

  No

  N/A

• Ladders provided every 25 feet in trench more than 4 feet in depth?

  Yes

  No

  N/A

• Have under ground utilities been located and marked?

  Yes

  No

  N/A

• Are workers exposed to traffic wearing warning vests of reflectorized or high visibility material?

  Yes

  No

  N/A

WELDING & BURNING

• Gas cylinders stored upright and secured?

  Yes

  No

  N/A

• Burning/ welding goggles or shields are used?

  Yes

  No

  N/A

• Fire extinguishers are near by?

  Yes

  No

  N/A

• Hoses and regulators are in good condition?

  Yes

  No

  N/A

MISCELLANEOUS

• Are copies of Safety Data Sheets (SDS) available on site?

  Yes

  No

  N/A

• Are workers protected from exposure to silica such as Hadie siding cutting, cutting blocks,bricks or grinding concrete?

  Yes

  No

  N/A

• Are there any other unsafe acts or hazards on site ?

  Yes

  No

  N/A