Information
-
Client / Site
-
Conducted on
-
Prepared by
Preplanning
-
Daily safety plan done each day?
-
Stretching out every morning?
-
AWAIR manual/MSDS on site?
Personal Protective Equipment (PPE)
-
Appropriate eye protection worn?
-
Appropriate head protection worn?
-
Appropriate Hand protection worn?
-
Hearing protection worn when required?
-
High visibility vest worn when required?
-
Respirator used when required?
-
Fit test and training performed?
-
PPE properly used and maintained?
Housekeeping
-
Work area including walkways clean and free of tripping hazards?
-
Lunch area clean?
-
Trash barrel with lid in lunch areas?
-
Tools and materials properly stored?
Electrical
-
Monthly inspection on electrical panels?
-
Temporary lighting hung by non-conductive materials with bulb guards?
-
Do all cords have a grounded plug?
-
Extension and equipment cords free from visible damage?
-
Lockout/Tagout procedures followed when required?
-
GFI used when required?
-
Electrical panels labeled and covered?
-
Energized work being performed?
-
Proper PPE worn?
-
PPE is current (no expired)?
-
Is the worker wearing any metallic accessories?
-
Insulated tools are being used?
-
Work area is secured?
-
Proper training?
Power tools
-
All guards in place?
-
Side handle in place (not removed)?
-
Proper use of tool?
Fall protection
-
Employees exposed to fall hazards tied off?
-
Tied off point can hold at least 5000 pounds?
-
Employees below protected from falling objects?
-
Fall protection equipment properly used?
-
Employees exposed to unprotected edges?
Ladders
-
Used in fully open position?
-
Free from defects?
-
Secured to prevent slipping, sliding or falling?
-
Extended at least 3 feet above landing?
-
Ladder used properly?<br>
-
Ladders in good working conditions?
Lifts
-
Gate chains and swing gates closed?
-
Free from tripping hazards?
-
Tied off when required?
-
Operator standing on platform and not on railing?
Hot Work
-
Hot work permit filled out?
-
Flammable materials cleared out of work area?
-
Fire extinguishers located at all hot work?
-
Fire watch utilized when required?
-
Proper PPE worn
Swing stage scaffold
-
Outriggers beams w/counterweights assembled to support the rated load of the hoist with a 4:1 safety factor
-
Checklist completed each day
-
Parapet clamps or hooks (if needed) are mounted on parapet wall capable of carrying rated load of hoist with a 4:1 safety factor
-
Rigging secured against unintentional movement
-
Tie back cables installed at right angle to face of building without slack and to a structurally sound portion of building
-
Wire ropes free of kinks and flat spots. Bullet ends checked
-
Clamps, pins, bolts tightened or fastened securely
-
Proper fall protection used
Confined Space
-
Atmospheric testing completed?
-
Permit completed and posted?
-
On-site rescue device provided (if needed)
-
Competent person on site?
-
Entering employees properly trained?
-
Lockout/Tagout procedures followed?
-
Attendant present when required?
Ergonomics
-
Proper number of workers for each operation?
-
Proper lifting techniques followed?
-
Proper body posture?
General safety
-
Work practices observed were performed safely?
-
OSHA posters posted?
-
First aid available?
-
Other observations
Observation
-
Add media
-
Client contact