Health & Welfare
First aid supplies available
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Hand washing materials or facilities, available
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Material Safety Data Sheets and Safety Manual, available.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Emergency preparedness: Evacuation route.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Safety Bulletin Board current and orderly.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Health & Welfare related comments
Housekeeping
Good site layout of materials.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Site access/dust control.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Site housekeeping- controls.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Trash containers/covers used.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Materials stacked and stable.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Flammable- combustibles stored/access clear.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
All boards de-nailed and picked up.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Passageways/walkways clear at all times.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Holes covered, identified and secured.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Cords/cables routed properly out of walkways.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Housekeeping related comment
Personal Protective Equipment
Head protection worn at all times.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Eye protection appropriate for hazards.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Foot protection- steal toed boots
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Hearing protection appropriate for hazards.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Hand protection appropriate for hazards.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Respiratory protection as required for tasks.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Chemical protection appropriate for hazards.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Fall protection and anchor points adequate.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Proper work clothing.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
NFPA 70E PPE available/used.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Personal Protective Equipment related comments.
Employee Work Observations
Employees wearing correct PPE for tasks
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Employees working on scissor lifts properly.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Employees were handling materials properly.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Lifting and moving devices were available.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Employees observed using ladders properly.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
No materials carried ascending/descending ladder.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Employees operating equipment were trained
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Employees using fall protection properly.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Employee Work Observations related comments.
Safety Procedures
Pre-Task Planning Form used before starting project.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Hazardous energy controls (lockout/tagout).
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
NFPA 70E Arc Flash procedures
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Confined Space Entry controls procedures.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Hazard Communication labeling reqs. in use.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Safety Procedures related comments
Hand Tools
Correct tools and use for task observed.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Defective tool program in use.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Daily inspection.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
No makeshift tools.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Hand Tools related comments.
Power Hand Tools
Detective tool program in use.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Properly grounded or double insulated.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Ground Fault Interrupter use.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Properly guarded at all times.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Inspections of electrical cords and connectors.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Inspection and maintenance- daily/monthly.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Correct disc/speed/size/type.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Power Hand Tools related comments.
Ladders, Ramps and Stairs
Ladders inspected before use.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Ladder design and use correct for task.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Secured at top and/or base.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Side rails extend 3' above top of platform.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Rungs not over 12" on center & regular spacing.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Environmental
Universal Waste labeled, separated and stored properly.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Used lamps and ballasts
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Used batteries
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Used refrigerant oil
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Recovered refrigerant
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Used electronic circuit boards
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Used Mercury switches
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
List other Universal Waste as needed
Environmental related comments
Fire Prevention/Protection
Adequate fire extinguishers for hazards
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Proper type and location
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Fire watches trained and posted where required
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
No smoking signs posted
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Inspection and maintenance- monthly
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Fire extinguisher use reported
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Flammable materials in approved containers
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Fire Prevention/Protection related comments
Safety Permits
Obtained as required/monitored, hot work, etc.
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Smoking control in areas with flammable materials
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Fire extinguishers - as required on permit
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Safety Permits related comments
Welding/Cutting
Cylinders secured and upright
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Gauges removed during relocation (individual)
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Condition of hoses inspected daily
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Fire extinguishers - 10 ABC minimum within 50'
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Personal protective equipment
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Welding shields in use
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Grounding- close to work station
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Cable conditions inspected/rolled up - not in use
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Hot work permits issued as required
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Equipment off when not in use
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Machine frame grounded
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Flash back arrest it's installed - torch/gauge
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Welding/Cutting related comments
Scaffolding
Erect/dismant supervised by competent personnel
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Connections secured
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Platform free of debris
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Base pads used/casters locked
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Scaffolds plumb and braced
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Guard rails 42" high/stable and toe boards
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Material in good condition - no knots, splinters
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Mobile scaffold use - stationary/no riders
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Safe access/fall protection provided/used
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Anchored, safety belts tied-off
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Scaffold properly inspected/tagged
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Scaffolding related comments
Cranes and Lifting
Operator qualified/certification
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Qualified rigger/signal person when required
Meets Requirements
Needs Improvement
Totally Unacceptable
N/A
Cranes and Lifting related comments
Additional Comments Signatures
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Rona Gelman
EMCOR Betlem EM & FS Field Safety Inspection Report
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