ERG Daily Inspection Form

• Site conducted

  Select

• Project Name

• Location
  Address

• Prime / Sub Contractor

• Date of inspection

  Date

• Prepared by

• Instructions:
  
  1. List the Sub Contractors, then answer "Satisfactory", "Unsatisfactory", "N/A" on the questions provided.
  2. Add photos and notes by clicking on the paperclip icon.
  3. To add a Corrective Actions, click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
  4. Complete audit by providing digital signature.
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

• List the Sub Contractors (click add "Sub Contractor")

Sub Contractor

• Sub Contractor's Name

PPE

• Hardhat

  Satisfactory

  Unsatisfactory

  N/A

• Eye / Face Protection

  Satisfactory

  Unsatisfactory

  N/A

• Hearing Protection

  Satisfactory

  Unsatisfactory

  N/A

• Hand Protection

  Satisfactory

  Unsatisfactory

  N/A

• Foot Protection

  Satisfactory

  Unsatisfactory

  N/A

• Fire Resistant Clothing

  Satisfactory

  Unsatisfactory

  N/A

• Harness/Fall Protection

  Satisfactory

  Unsatisfactory

  N/A

• Inspections of PPE

  Satisfactory

  Unsatisfactory

  N/A

• Site Specific PPE

  Satisfactory

  Unsatisfactory

  N/A

• Gas Detector

  Satisfactory

  Unsatisfactory

  N/A

Medical

• Person Trained CPR/FA

  Satisfactory

  Unsatisfactory

  N/A

• First Aid / Bloodborne Kits

  Satisfactory

  Unsatisfactory

  N/A

Work Area

• Safety Meeting

  Satisfactory

  Unsatisfactory

  N/A

• Training/Cert's

  Satisfactory

  Unsatisfactory

  N/A

• Job Safety Analysis

  Satisfactory

  Unsatisfactory

  N/A

• SDS Binder

  Select Satisfactory Unsatisfactory N/A

  • Satisfactory
  • Unsatisfactory
  • N/A

• OSHA Poster

  Satisfactory

  Unsatisfactory

  N/A

• All Other Documentation

  Satisfactory

  Unsatisfactory

  N/A

Fire Extinguishers

• Monthly Inspection

  Satisfactory

  Unsatisfactory

  N/A

• In Smoking Areas

  Satisfactory

  Unsatisfactory

  N/A

• Near Work

  Satisfactory

  Unsatisfactory

  N/A

• In Equipment/Vehicle

  Satisfactory

  Unsatisfactory

  N/A

Parking Areas

• Housekeeping

  Satisfactory

  Unsatisfactory

  N/A

• Vehicles Parked Uniformly

  Satisfactory

  Unsatisfactory

  N/A

• Pull Forward to Exit

  Satisfactory

  Unsatisfactory

  N/A

• Leaks / Drips

  Satisfactory

  Unsatisfactory

  N/A

• Other

  Satisfactory

  Unsatisfactory

  N/A

Environmental

• Spill Response Equip

  Satisfactory

  Unsatisfactory

  N/A

• Chemical Storage

  Satisfactory

  Unsatisfactory

  N/A

• Labels

  Satisfactory

  Unsatisfactory

  N/A

• Containment

  Satisfactory

  Unsatisfactory

  N/A

• Spills / Drips

  Satisfactory

  Unsatisfactory

  N/A

Equipment

• Back-up Alarm

  Satisfactory

  Unsatisfactory

  N/A

• Tag Line

  Yes

  No

  N/A

• Inspections as Required

  Satisfactory

  Unsatisfactory

  N/A

• Qualified Operator

  Satisfactory

  Unsatisfactory

  N/A

• Spotter

  Satisfactory

  Unsatisfactory

  N/A

• Safety Devices Working

  Satisfactory

  Unsatisfactory

  N/A

• In Good Repair/Clean

  Satisfactory

  Unsatisfactory

  N/A

• No Leaks / Diapers

  Satisfactory

  Unsatisfactory

  N/A

Tools/Machines

• Lifting Devices

  Satisfactory

  Unsatisfactory

  N/A

• Good Repair

  Satisfactory

  Unsatisfactory

  N/A

• All Guards in Place

  Satisfactory

  Unsatisfactory

  N/A

• Cords in Good Repair

  Satisfactory

  Unsatisfactory

  N/A

• No Leaks

  Satisfactory

  Unsatisfactory

  N/A

• Inspections Current

  Satisfactory

  Unsatisfactory

  N/A

• Safety Devices Working

  Satisfactory

  Unsatisfactory

  N/A

• Other

  Satisfactory

  Unsatisfactory

  N/A

Aerial Lifts

• Qualified Operator

  Satisfactory

  Unsatisfactory

  N/A

• Daily Inspection

  Satisfactory

  Unsatisfactory

  N/A

• Grounded & Barricaded

  Satisfactory

  Unsatisfactory

  N/A

• Warning Labels

  Satisfactory

  Unsatisfactory

  N/A

• Controls Labeled

  Satisfactory

  Unsatisfactory

  N/A

• Fall Protection

  Satisfactory

  Unsatisfactory

  N/A

Fall Protection

• Competent Person

  Satisfactory

  Unsatisfactory

  N/A

• Guardrails

  Satisfactory

  Unsatisfactory

  N/A

• Body Harness/Lanyard

  Satisfactory

  Unsatisfactory

  N/A

• Safety Monitor

  Satisfactory

  Unsatisfactory

  N/A

• Falling Object Protection

  Satisfactory

  Unsatisfactory

  N/A

• Daily Inspections

  Satisfactory

  Unsatisfactory

  N/A

Confined Space

• Competent Person

  Satisfactory

  Unsatisfactory

  N/A

• Permitted/Non-Permitted

  Satisfactory

  Unsatisfactory

  N/A

• Atmosphere Tested

  Satisfactory

  Unsatisfactory

  N/A

• Hole Watch

  Satisfactory

  Unsatisfactory

  N/A

• Man Hole Guard

  Satisfactory

  Unsatisfactory

  N/A

• Forced Ventilation

  Satisfactory

  Unsatisfactory

  N/A

• Rescue Equip / Team

  Satisfactory

  Unsatisfactory

  N/A

• Hot Work Permit

  Satisfactory

  Unsatisfactory

  N/A

• Warning Signs

  Satisfactory

  Unsatisfactory

  N/A

• Contractors Notified

  Satisfactory

  Unsatisfactory

  N/A

• Confined Space Log Book

  Satisfactory

  Unsatisfactory

  N/A

Electrical

• Daily Inspec. Tools, Cords

  Satisfactory

  Unsatisfactory

  N/A

• GFCI/Assured Grounding

  Satisfactory

  Unsatisfactory

  N/A

• Overhead Powerlines (10' min)

  Satisfactory

  Unsatisfactory

  N/A

Completion

• Person Performing Inspection

  Sign