Field Safety Inspection

• Client / Site

• Conducted on

  Date

• Prepared by

• Contractors

General Items

• Have all employees on site received a safety orientation?

  Safe

  At Risk

  N/A

• Do all subcontractors on site have current certificates of insurance on file?

  Safe

  At Risk

  N/A

• Do all subcontractors have their MSDS/SDS Manuals on site?

  Safe

  At Risk

  N/A

• First aid kit is fully stocked and has no expired items?

  Safe

  At Risk

  N/A

• Was a site wide safety meeting conducted last week?

  Safe

  At Risk

  N/A

• Is there adequate visitor PPE Available?

  Safe

  At Risk

  N/A

• Housekeeping - Job Site is clean and organized well?

  Yes

  No

  N/A

• Are compressed gas cylinders being stored properly?

  Yes

  No

  N/A

• Other/Miscellaneous

  Safe

  At Risk

  N/A

Cranes and Hoisting Equipment

• Do you have a copy of the crane's annual inspection?

  Safe

  At Risk

  N/A

• Have the Russell Crane Permit(s) been Completed?

  Safe

  At Risk

  N/A

• Are the ground conditions adequate to support the crane?

  Safe

  At Risk

  N/A

• Are the Outriggers Fully Extended?

  Safe

  At Risk

  N/A

• Is the crane's swing radius at least 20' away from overhead power lines?

  Safe

  At Risk

  N/A

• Is the Swing Radius Around the Counterweights and Tracks/Tires Barricaded?

  Safe

  At Risk

  N/A

• Loads are not being lifted over personnel?

  Safe

  At Risk

  N/A

• Are Safety Latches on all hooks in Place?

  Safe

  At Risk

  N/A

• Are all Rigging labels/tags are in place and legible?

  Safe

  At Risk

  N/A

• Is all Rigging free from damage (broken wires/frayed webbing)?

  Safe

  At Risk

  N/A

• Other/Miscellaneous

  Safe

  At Risk

  N/A

Electrical

• Extension Cords are free from damage?

  Safe

  At Risk

  N/A

• Extension Cords are Protected from Vehicle/Lift Traffic?

  Safe

  At Risk

  N/A

• Electrical room's with energized equipment have doors and signage installed?

  Safe

  At Risk

  N/A

• Temporary panels have No unused openings and are fully labeled?

  Safe

  At Risk

  N/A

• GFCI's are being used at all times?

  Safe

  At Risk

  N/A

• All energized receptacles and light switches have cover plates installed?

  Safe

  At Risk

  N/A

• Temporary Lighting is supported properly and all bulbs are protected by cages?

  Safe

  At Risk

  N/A

• Other/Miscellaneous

  Safe

  At Risk

  N/A

Excavations

• Have Utility Locates have been completed?

  Safe

  At Risk

  N/A

• Are excavations 5' or deeper Sloped, Benched or Shored adequately?

  Safe

  At Risk

  N/A

• Is Spoil being kept 2' from the edge of the excavation?

  Safe

  At Risk

  N/A

• Is Perimeter protection / Barricades installed around open excavations?

  Safe

  At Risk

  N/A

• Ladder Access within 25' is available for all excavations 4' or deeper?

  Safe

  At Risk

  N/A

• Are Daily Inspections being Documented by the competent person?

  Safe

  At Risk

  N/A

• Other/Miscellaneous

  Safe

  At Risk

  N/A

Fall Protection

• Guardrails are installed where needed and maintained in good condition?

  Safe

  At Risk

  N/A

• If Cable Guardrails are being used, the top cable is flagged every 6'?

  Safe

  At Risk

  N/A

• Are toe boards installed at all open edges?

  Safe

  At Risk

  N/A

• A warning line is installed around the roof at least 6' back from the edge?

  Safe

  At Risk

  N/A

• Employees working at heights above 6' are using personal fall arrest?

  Safe

  At Risk

  N/A

• Proper Anchorage Points are being used for fall protection?

  Safe

  At Risk

  N/A

• Floor Holes greater than 2" have covers secured and labeled?

  Safe

  At Risk

  N/A

• All rebar and other impalement hazards are protected?

  Safe

  At Risk

  N/A

• Other/Miscellaneous

  Safe

  At Risk

  N/A

Fire Protection

• Are Fire Extinguishers Available, charged and inspected?

  Safe

  At Risk

  N/A

• Proper Metal Fuel Containers are being used? (No Plastic gas cans)

  Safe

  At Risk

  N/A

• Flammable liquids are being stored properly? (No more than 25 gallons in 1 room)

  Safe

  At Risk

  N/A

• Is the area around Temporary Heaters free from combustibles?

  Safe

  At Risk

  N/A

• Other/Miscellaneous

  Safe

  At Risk

  N/A

Hand and Power Tools

• Guards are in Place?

  Safe

  At Risk

  N/A

• Cords are in Good Condition?

  Safe

  At Risk

  N/A

• Employees are using the Proper tool for the job?

  Safe

  At Risk

  N/A

• Other/Miscellaneous

  Safe

  At Risk

  N/A

Hazard Communication

• Proper Labeling on Containers/Tanks/Bottles?

  Safe

  At Risk

  N/A

• Other/Miscellaneous

  Safe

  At Risk

  N/A

ICRA / ILSM

• Risk Assessment has been Completed with the Hospital?

  Safe

  At Risk

  N/A

• Negative Air Maintained?

  Safe

  At Risk

  N/A

• Temporary Walls / Dust Containments in place and secure?

  Safe

  At Risk

  N/A

• Exit Signs / Egress Route Signs Posted?

  Safe

  At Risk

  N/A

• Walk-off/Sticky Mats maintained?

  Safe

  At Risk

  N/A

• Are all HVAC / Other Openings Covered?

  Safe

  At Risk

  N/A

• Other/Miscellaneous

  Safe

  At Risk

  N/A

Ladders / Stairs

• Are Ladders free from damage?

  Safe

  At Risk

  N/A

• Are employees using Ladders properly?

  Safe

  At Risk

  N/A

• Are Extension ladder at 4:1 pitch, secured and extend 3' above landing?

  Safe

  At Risk

  N/A

• Are Handrails/guardrails installed at stairs & landings?

  Safe

  At Risk

  N/A

• Are Stairs pans & landings filled before being used?

  Safe

  At Risk

  N/A

• Other/Miscellaneous<br>

  Safe

  At Risk

  N/A

Motorized Equipment

• Are Back Up Alarms Functioning Properly?

  Safe

  At Risk

  N/A

• Are operators wearing their Seat Belts?

  Safe

  At Risk

  N/A

• Other/Miscellaneous

  Safe

  At Risk

  N/A

PPE

• Is everyone wearing Hard Hats?

  Safe

  At Risk

  N/A

• Are all employees wearing Safety Glasses?

  Safe

  At Risk

  N/A

• Are face shields being used while cutting with a chop saw or grinding?

  Safe

  At Risk

  N/A

• Are employees wearing gloves when handling sharp metal?

  Safe

  At Risk

  N/A

• Are respirators being used when exposed to hazardous chemicals/Silica Dust?

  Safe

  At Risk

  N/A

• Are all employees wearing a Hi-Vis shirt/Vest?

  Safe

  At Risk

  N/A

• Other/Miscellaneous

  Safe

  At Risk

  N/A

Scaffolding

• Is Scaffold tagged and inspected daily?

  Safe

  At Risk

  N/A

• Bracing, Pins, Base Plates, Mud Sills are in Place?

  Safe

  At Risk

  N/A

• Are all Guardrails in Place at 6' and higher, including toe boards?

  Safe

  At Risk

  N/A

• Is the scaffold Properly Secured to Structure?

  Safe

  At Risk

  N/A

• Is there Proper Ladder Access to Platforms?

  Safe

  At Risk

  N/A

• Are Scaffold Planks in good condition?

  Safe

  At Risk

  N/A

• Do all scaffold planks extend a minimum of 6" past the frame?

  Safe

  At Risk

  N/A

• Guardrails are installed at 4' on Baker/Perry Scaffolds?

  Safe

  At Risk

  N/A

• Are Wheels locked on mobile scaffolds that are in use?

  Safe

  At Risk

  N/A

• Other/Miscellaneous

  Safe

  At Risk

  N/A

Scissor / Boom Lifts

• Is the Gate or Chain Secured?

  Safe

  At Risk

  N/A

• Are employees wearing Harness while in Boom Lift?

  Safe

  At Risk

  N/A

• Employees standing on platform? (not on rails, boxes, etc)

  Safe

  At Risk

  N/A

• Operating on flat surface free from holes / drop-offs?

  Safe

  At Risk

  N/A

• Other/Miscellaneous

  Safe

  At Risk

  N/A

Site / Public Protection

• Adequate Public protection Signage is posted?

  Safe

  At Risk

  N/A

• Perimeter Fences are secure?

  Safe

  At Risk

  N/A

• Are Barricades Installed Properly?

  Safe

  At Risk

  N/A

• Are Street / Sidewalk Closure Identified?

  Safe

  At Risk

  N/A

• Overhead / Falling Object Protection is in place where needed?

  Safe

  At Risk

  N/A

• Other/Miscellaneous

  Safe

  At Risk

  N/A

Miscellaneous

• Other Comments

  Safe

  At Risk

  N/A

• Other Comments

  Safe

  At Risk

  N/A

• Other Comments

  Safe

  At Risk

  N/A

• Other Comments

  Safe

  At Risk

  N/A

• Other Comments

  Safe

  At Risk

  N/A