Field Inspection Report - duplicate

• Job Name:

• Job Number:

• Division:

• Client / Site

• Job Superintendent / Foreman

• Project Manager

• Prepared by

• Conducted on

  Date
• Location
  Address

• Document No.

• Emergency Phone Nos Posted?

  Yes

  No

  N/A

  GC

• Adequate Fire Extinguishers

  Yes

  No

  N/A

  GC

• How many?

• Federal / State Posters / OSHA 300A Log

  Yes

  No

  N/A

  GC

• Housekeeping

  Yes

  No

  N/A

  GC

• Steps/ Railings / Landings

  Yes

  No

  N/A

  GC

• HVAC / Heater

  Yes

  No

  N/A

  GC

• First Aid Kit

  Yes

  No

  N/A

  GC

• Proper Housekeeping

  Yes

  No

  N/A

  GC

• Personnel Entrances to Building

  Yes

  No

  N/A

  GC

• Adequate Fire Extinguishers

  Yes

  No

  N/A

  GC

• Proper Lighting (min OSHA standards)

  Yes

  No

  N/A

  GC

• Hazardous Chemicals Labeled

  Yes

  No

  N/A

  GC

• Adequate Toilet Facilities

  Yes

  No

  N/A

  GC

• Handwash Facility

  Yes

  No

  N/A

  GC

• Potable Water with Cups

  Yes

  No

  N/A

  GC

• Adequate Trash Cans

  Yes

  No

  N/A

  GC

• Material / Equipment Secured

  Yes

  No

  N/A

  GC

• Rebar Protected

  Yes

  No

  N/A

  GC

• Free From Tripping Hazards

  Yes

  No

  N/A

  GC

• Free From Protruding Nails

  Yes

  No

  N/A

  GC

• Warning / Instruction Signs

  Yes

  No

  N/A

  GC

• Flammable / Combustibles Use / Storage

  Yes

  No

  N/A

  GC

• Emergency Action Plan

  Yes

  No

  N/A

  GC

• Clear of Asbestos

  Yes

  No

  N/A

  GC

• Hard Hats

  Yes

  No

  N/A

  GC

• Safety Glasses / Goggles

  Yes

  No

  N/A

  GC

• Safety Shoes

  Yes

  No

  N/A

  GC

• Hearing Protection

  Yes

  No

  N/A

  GC

• Gloves

  Yes

  No

  N/A

  GC

• Clothing

  Yes

  No

  N/A

  GC

• Respiratory Protection

  Yes

  No

  N/A

  GC

• Welding Hoods / Screens

  Yes

  No

  N/A

  GC

• Confined Space Equipment

  Yes

  No

  N/A

  GC

• Used Properly & Employee's Trained

  Yes

  No

  N/A

  GC

• Soil Class Types

  Select Type 1 Type 2 Type 3

  • Type 1
  • Type 2
  • Type 3

• Depth of Excavation / Trench

• Proper Sloping / Shoring Over 5 Feet

  Yes

  No

  N/A

  GC

• Properly Barricaded

  Yes

  No

  N/A

  GC

• Overburden 2 Feet From Edge

  Yes

  No

  N/A

  GC

• Adequate Ladder Access Provided

  Yes

  No

  N/A

  GC

• Dewatered

  Yes

  No

  N/A

  GC

• Inspections Conducted

  Yes

  No

  N/A

  GC

• Employees Properly Trained

  Yes

  No

  N/A

  GC

• Used Properly

  Yes

  No

  N/A

  GC

• Floor Openings Protected

  Yes

  No

  N/A

  GC

• Wall Openings Protected

  Yes

  No

  N/A

  GC

• Guardrail System

  Yes

  No

  N/A

  GC

• Personal Fall Arrest System

  Yes

  No

  N/A

  GC

• Safety Monitor

  Yes

  No

  N/A

  GC

• Employees Properly Trained

  Yes

  No

  N/A

  GC

• Used Properly

  Yes

  No

  N/A

  GC

• Tied Off

  Yes

  No

  N/A

  GC

• Stabilized

  Yes

  No

  N/A

  GC

• Defective Ladders Tagged

  Yes

  No

  N/A

  GC

• Used Properly

  Yes

  No

  N/A

  GC

• Guardrails / Midrails / Toeboards

  Yes

  No

  N/A

  GC

• Crossbracing In Place

  Yes

  No

  N/A

  GC

• Sound Footing

  Yes

  No

  N/A

  GC

• Planking Adequate

  Yes

  No

  N/A

  GC

• Ladder Access

  Yes

  No

  N/A

  GC

• Locking Pins

  Yes

  No

  N/A

  GC

• Wheels Locked

  Yes

  No

  N/A

  GC

• Employees Properly Trained

  Yes

  No

  N/A

  GC

• Scaffolding / Lifts Inspected

  Yes

  No

  N/A

  GC

• Openings Protected

  Yes

  No

  N/A

  GC

• Stairs / Railings

  Yes

  No

  N/A

  GC

• Pan Treads Filled / Used

  Yes

  No

  N/A

  GC

• Proper Lighting ( Min OSHA standards)

  Yes

  No

  N/A

  GC

• Fire Protection Provided

  Yes

  No

  N/A

  GC

• Safe Condition

  Yes

  No

  N/A

  GC

• Proper Use

  Yes

  No

  N/A

  GC

• Properly Grounded / Double Insulated

  Yes

  No

  N/A

  GC

• Guards In Place

  Yes

  No

  N/A

  GC

• Defective Tools Tagged

  Yes

  No

  N/A

  GC

• Cord Condition

  Yes

  No

  N/A

  GC

• Label Legible

  Yes

  No

  N/A

  GC

• Employee's Properly Trained / Certified

  Yes

  No

  N/A

  GC

• Tool Inspections

  Yes

  No

  N/A

  GC

• Reprimands / Warnings Issued Safety Related

  Yes

  No

  N/A

• Safety Meeting Held Weekly

  Yes

  No

  N/A

• Orientation Provided to New Employees

  Yes

  No

  N/A

• HazCom Program & Job Required MSDS Understood

  Yes

  No

  N/A

• Cleanliness

  Yes

  No

  N/A

• Maintenance Performed As Needed

  Yes

  No

  N/A

• Equipment / Vehicle Inspections

  Yes

  No

  N/A

• Used Properly

  Yes

  No

  N/A

• Clear of Overhead Obstructions

  Yes

  No

  N/A

• Parked Safely

  Yes

  No

  N/A

• Swing Radius Barricaded

  Yes

  No

  N/A

• Stabilized

  Yes

  No

  N/A

• Load Capacity Marked

  Yes

  No

  N/A

• Seat Belt

  Yes

  No

  N/A

• Back-Up Alarm

  Yes

  No

  N/A

• Fire Extinguisher

  Yes

  No

  N/A

• Employees's Properly Trained

  Yes

  No

  N/A

• Properly Grounded

  Yes

  No

  N/A

  GC

• Defective Cords Tagged

  Yes

  No

  N/A

  GC

• Properly Inspected

  Yes

  No

  N/A

  GC

• Safe Condition

  Yes

  No

  N/A

  GC

• Used Properly

  Yes

  No

  N/A

  GC

• GFI Protected

  Yes

  No

  N/A

  GC

• Temporary Wiring Exposed Energy Source

  Yes

  No

  N/A

  GC

• Barricade ( Switch Boards, Transformers, Temp Panels, etc)

  Yes

  No

  N/A

  GC

• GFI's In Use

  Yes

  No

  N/A

  GC

• Electrical Equipment Identified

  Yes

  No

  N/A

  GC

• Panels Covered ( Junction Boxes, Devices, etc)

  Yes

  No

  N/A

  GC

• All Knock Outs In Place or Filed

  Yes

  No

  N/A

  GC

• Signs In Place For High Volt Panels ( Switch Boards, Panel Board, Switches, Electrical Room Doors, etc)

  Yes

  No

  N/A

  GC

• Receptacle Polarity Verified

  Yes

  No

  N/A

  GC

• Insulated Hand Tools Used

  Yes

  No

  N/A

  GC

• Inspections Performed

  Yes

  No

  N/A

  GC

• GFI / Polarity Tester On Site

  Yes

  No

  N/A

  GC

• Employee Properly Trained As OSHA Competent Person

  Yes

  No

  N/A

  GC

• Lockout / Tagout Required

  Yes

  No

  N/A

  GC

• Lockout / Tagout Used Properly

  Yes

  No

  N/A

  GC

• PPE Used ( Blanket, Gloves, etc)

  Yes

  No

  N/A

  GC

• Hot Work Approved By DM

  Yes

  No

  N/A

  GC

• Defective Devices ( Covers, etc)

  Yes

  No

  N/A

  GC

• All Exposed Wire Joints Taped

  Yes

  No

  N/A

  GC

• PPE Requirements

  Yes

  No

  N/A

  GC

• No Smoking Policy

  Yes

  No

  N/A

  GC

• Visitors Policy

  Yes

  No

  N/A

  GC

Violation Summary:

• Non-Serious Violations:

Non-Serious

• Non-Serious

• Offense Penalty

• Serious Violations:

Serious

• Serious:

• Offense Penalty

• Willful Violation:

Willful

• Willful

• Offense Penalty

• Total Penalty Amount:

Other:

• Other Safety Problems or Hazards Created by GC / Subs /Others Where WECC Exposure Exists:

• Additional Comments:

• Corrective Action Taken:

Signatures:

• Job Supervisor / Foreman

  Sign

• Division Manager

  Sign

Construction Checklist Instructions:

• NOTE: It will be the supervisor/foreman’s responsibility to take all corrective action(s) immediately in order to be compliance with all safety regulations. The supervisor/foreman will complete the Corrective Action Section and forward the original and yellow copies to the Division Manager. The Division Manager will then review and ensure that all corrective action(s) has been taken, sign the original and forward it to the Safety Manager within 5 days of the inspection.

• Internal Safety Inspection Penalties
  
  In order to place more emphasis on safety, Divisions will be charged for safety violations resulting from Internal Safety Inspections. The same criteria will be utilized for classifying violations and assessing penalties as that used by the North Carolina Department of Labor in its inspections for violations of the Occupational Safety & Health Act, except the penalty will be less severe.
  
  The types of violations and penalties are:
  
  1. Non-Serious or Other Than Serious Violations – exists when a violation has a direct relationship to job safety and health, but probably would not result in serious physical harm or death.
  
  Penalties
  First Offense $0
  Second Offense $100 (If the violation occurs within the same year as the first offense)
  Third Offense $250 (If the violation occurs within the same year as the second offense)
  
  2. Serious Violations – when the cited breach of standards results in a substantial probability of serious physical harm or death to employees.
  
  Penalties
  First Offense $100
  Second Offense $250 (If violation occurs within the same year as the first offense)
  Third Offense $500 (If violation occurs within the same year as the second offense)
  
  3. Willful Violations – is defined as a Division who intentionally and knowingly commits a violation. It is not necessary that the violation be committed with a bad purpose or an evil intent to be deemed “willful”. It is sufficient that the violation was deliberate, voluntary or intentional as distinguished from inadvertent, accidental or ordinary negligence.
  
  Penalties
  First Offense $500
  Second Offense $1,000 (If violation occurs within the same year as the first offense)
  Third Offense $1,500 (If violation occurs within the same year as the second offense)
  
  NOTE: Penalties will be charged to the Division for each violation cited on the Internal Safety Inspection Checklist.
  
  If the General Contractor has a safety violation, our employees should stop work or move to another area until that violation is abated by the General Contractor. The Foreman/Supervisor should notify the General Contractor of any safety violations and if they are not abated within a reasonable amount of time, the Division Manager should be contacted. That Division will not be charged for a violation in the General Contractor’s area of responsibility. However, if a Division is notified of an unsafe condition and our employees continue to work in that area, a penalty will be assessed.