Field Inspection Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Job Site information

• Inspection Date/Time

  Date

• Job Name

• Job location
  Address

• Scalo Company

  BSPA

  Cuddy

  BSNC

  BSOH

  Scalo Solar

• Inspector Name

  Joel Emerson

  Dan Wakeley

• Foreman Name

• Building Height

Access

• Portable Ladder

  Fixed Ladder

  Building Staircase

  Other

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  Media

• System(s)

  Select TPO EPDM PVC Shingles Fluid Applied Waterproofing Vegetative Perimeter Sheetmetal Wall Panels Solar Pavers

  • TPO
  • EPDM
  • PVC
  • Shingles
  • Fluid Applied Waterproofing
  • Vegetative
  • Perimeter Sheetmetal
  • Wall Panels
  • Solar
  • Pavers

• New Construction or Re-Roof

  New Construction

  Re-Roof

• General Comments

Fall Protection

• Warning line enclosed the perimeter six feet from the roof edge.

  Safe

  At Risk

  N/A

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• Fall arrest equipment inspected and in good condition

  Safe

  At Risk

  N/A

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• Safety Monitor in use of Edge Work

  Safe

  At Risk

  N/A

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• Skylight Protection (Guardrails, Warning line, or covers)

  Safe

  At Risk

  N/A

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• Additional Fall Protection Observations/Comments

Ladder

• Portable Ladder(s) Tied-Off at Top & Bottom

  Safe

  At Risk

  N/A

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• Fixed Ladder(s) Used

  Safe

  At Risk

  N/A

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• Ladder(s) Extend Minimum 3 ft above roof surface

  Safe

  At Risk

  N/A

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• Ground Area clear of hazards

  Safe

  At Risk

  N/A

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• Additional Ladder Observations/Comments

Personal Protective Equipment

• Employees have required PPE for job

  Safe

  At Risk

  N/A

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• Additional PPE required by customer

  Safe

  At Risk

  N/A

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• Proper attire

  Safe

  At Risk

  N/A

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• Additional PPE Observations/Comments

Electrical Safety

• GFCI Utlized

  Safe

  At Risk

  N/A

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• Power line protection

  Safe

  At Risk

  N/A

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• Defective Equipment tagged & removed from service

  Safe

  At Risk

  N/A

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• Additional Electrical Safety Observations/Comments

Kettle & Fire Safety

• Kettle in use

  Safe

  At Risk

  N/A

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• Kettle area setup with warning lines and property protection

  Safe

  At Risk

  N/A

• LP Tanks properly setup

  Safe

  At Risk

  N/A

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• Safety Gas Cans

  Safe

  At Risk

  N/A

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• Fire Extinguishers

  Safe

  At Risk

  N/A

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• Additional Kettle/Fire Safety Observations/Comments

Miscellaneous

• Eye wash bottles & First Aid Kit

  Safe

  At Risk

  N/A

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• HazzComm Program & Loss Control Manual

  Safe

  At Risk

  N/A

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• Unsafe Practices Observed

  Safe

  At Risk

  N/A

• Misc Safety Observations/Comments

Signatures

• Did foreman complete daily report in Blue Book?

  Yes

  No

  N/A

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• Foreman Signature

  Sign

• Inspector Signature

  Sign