Field Safety Inspection Form - duplicate

Title Page

Site Inspected
Conducted on
Prepared by
Location
Date Performed

Untitled Page

DETAILS
JOB NUMBER
JOB NAME
AUDITOR
SUB-CONTRACTOR
GENERAL CONTRACTOR
Scheduled safety meetings held
Adequate employee training - Medical Services, first aid and documented weekly. General and Specific. equipment and a qualified first aider available.
Site specific site plan posted and Accident reporting procedures Injury records maintained. list emergency telephone created, identified and numbers and directions. personnel trained.
HOUSEKEEPING AND SANITATION
Working areas neat
Sanitary facilities adequate and Potable water available for drinking.
Waste and trash regularly Waste containers provided and Disposable drinking cups and disposed. container for used cups provided.
FIRE PREVENTION
Fire instructions provided to Proper type and number of fire personnel.
Phone number of fire extinguishers, identified, checked department posted and accessible Hydrants clear, access open NO SMOKING signs posted and 10lb Fire extinguisher available enforced where needed every 3000 sq ft of building space.
Fuels tanks are stored in proper A minimum 5 lbs. fire extinguisher is attached to all equipment.
PERSONAL PROTECTIVE EQUIPMENT
Hard hats meeting at min ANSI
Clear Safety glasses meeting ANSI
Safety Footwear - sturdy steel or
Fall protection provided with safety nets, planked floors, or personnel restraint devices.
Hard hats worn as required.
Tools and materials secured from falling.
Fire hazards at rivet, forge, and welding operations eliminated.
Floor openings covered or barricaded.
Ladders, stairs, or other safe access provided.
Daily inspection of hoisting apparatus.
Employees prohibited from riding the ball or loads.
FALL PROTECTION/SRL's PRIORITY INSPECTED ITEMS
Fall Protection complies with OSHA 1926.502. Inspected daily, adjusted and worn appropriately.
Workers are protected from unprotected sides and edges more than 6' or more.
SRL's or lanyards are inspected daily and used for fall protection only and have never been load impacted.
Chest straps are at breast line, leg straps are secure and tightened properly. D ring is located between shoulder blades.
All fall protection equipment is connected to an adequate anchor point (5000lbs. min. capacity). Fall protection being used is designed for the type of work being performed.
INDUSTRIAL LIFT, RIGGING PRIORITY INSPECTED ITEMS
Equipment inspection has been performed and documented and is readily available.
All equipment safety devices are operable (seat belt, lights, back up alarm, mirrors, etc.).
Spotters are used for movement of all mobile powered equipment in congested areas.
Field Safety Audit & Inspection Form
Operator of any hoisting equipment does not leave the operators position while a load is suspended. (yes|no|not-applicable)
Any hoisting that requires rigging from a forklift is done so utilizing a seat belt. (yes|no|not-applicable)
No work is performed with ariel lifts in excess wind speeds of 28 mph. (yes|no|not-applicable)
Equipment operator is wearing a seat belt. (yes|no|not-applicable)
Wheels chocked when necessary. (yes|no|not-applicable)
Outriggers used if needed. (yes|no|not-applicable)
Power lines inactivated, removed, or at a safe distance. (yes|no|not-applicable)
Signal persons where needed. (yes|no|not-applicable)
All equipment properly lubricated and maintained. (yes|no|not-applicable)
Rigging is stored in a dry area. (yes|no|not-applicable)
Riggins is kept off ground at the end of each shift. (yes|no|not-applicable)
Screens and shields used when needed. (yes|no|not-applicable)
Electrical equipment grounded. (yes|no|not-applicable)
Fire extinguishers of proper type nearby. (yes|no|not-applicable)
Gas cylinders secured upright. (yes|no|not-applicable)
Cylinder caps in use. (yes|no|not-applicable)
Good housekeeping where tools are used. (yes|no|not-applicable)
All mechanical guards in use. (yes|no|not-applicable)
Double insulated tools used. (yes|no|not-applicable)
GFCI's are being used on all temporary power sources. (yes|no|not-applicable)
Tools and charges protected from unauthorized use. (yes|no|not-applicable)
Tools neatly stored when not in use. (yes|no|not-applicable)
All operators licensed. (yes|no|not-applicable)
Tools used only on recommended materials. (yes|no|not-applicable)