Field Safety Inspection

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. General Areas/ Site Compliance/ House Keeping

• 1.1 - Traffic Control- Are vehicles parked on one side of the street or obeying posted signs?

  Yes

  No

  N/A

• 1.2. Job Hazard Analyzes- Was a JHA conducted by on site crew prior to the start of work?

  Yes

  No

  N/A

• 1.3. Trash- Is the job site clear of trash?

  Yes

  No

  N/A

• 1.4. Material Storage- Are materials organized, consolidated, and not blocking exits?

  Yes

  No

  N/A

• 1.5. Streets & Sidewalks- Is the street & sidewalks swept from Pin to Pin?

  Yes

  No

  N/A

• 1.6. SES- Is the Service Entrance door locked while lot has construction(temp) power

  Yes

  No

  N/A

• 1.7. IIPP- Is the Trade Partner company IIPP (Safety Manual) on site?

  Yes

  No

  N/A

• 1.8. MSDS- Is the Trade Partners company MSDS on site?

  Yes

  No

  N/A

• 1.9. Labeling- Are all cups and containers properly labeled?

  Yes

  No

  N/A

2. PPE

• 2.1. Hard Hats- Are hard hats being worn?

  Yes

  No

  N/A

• 2.1A. Site safety sticker present?

  Yes

  No

  N/A

• 2.1B. No visible damage?

  Yes

  No

  N/A

• 2.1C. Hard hat manufactured date less than 3 years old?

  Yes

  No

  N/A

• 2.2. Eye Protection- Is eye protection worn when required? (Eye protection is to be used when the manufacturer of a piece of equipment requires it).

  Yes

  No

  N/A

• 2.3. Ear Protection- Is ear protection used when required? (Ear protection is to be used when the manufacturer of a piece of equipment requires it)

  Yes

  No

  N/A

• 2.4. Respirators/ Dusk Mask/ Face Shields- Is the proper protective equipment being used when a manufacturer or product calls for it?

  Yes

  No

  N/A

• 2.5. Safety Vest- Are safety vest worn around heavy equipment?

  Yes

  No

  N/A

• 2.6. Footwear- Are hard sole shoes being worn when task warrant?

  Yes

  No

  N/A

• 2.7. Gloves- Are gloves properly used when a manufacturer of equipment or product requires?

  Yes

  No

  N/A

3. Ladders

• 3.1. Is the ladder Type 1 or 1A?

  Yes

  No

  N/A

• 3.2. Is the ladder in good condition?

  Yes

  No

  N/A

• 3.3. Is the ladder set up with the proper 4:1 lean ratio?

  Yes

  No

  N/A

• 3.4. Is the ladder tied off?

  Yes

  No

  N/A

• 3.5. Is the ladder extended 3 feet above landing?

  Yes

  No

  N/A

• 3.6. Are all A frame ladders properly used? (Fully extended, level surface, and top & top step not used)

  Yes

  No

  N/A

4. Tools & Cords

• 4.1. Are all tools in good working condition?

  Yes

  No

  N/A

• 4.2. Are all tool guards in place and not motified?

  Yes

  No

  N/A

• 4.3. Do all power cords have ground pins and in good working condition?

  Yes

  No

  N/A

• 4.4. Are Generators/ Compressors in good working condition?

  Yes

  No

  N/A

• 4.5. Are all air houses in good working condition?

  Yes

  No

  N/A

5. Fall Protection

• 5.1. Fall protection plan on site?

  Yes

  No

  N/A

• 5.2. Was the fall protection equipment inspected prior to use?

  Yes

  No

  N/A

• 5.3. Is the fall protection equipment being used according to the manufactures requirements?

  Yes

  No

  N/A

• 5.4. Are all holes and openings covered?

  Yes

  No

  N/A

• 5.5. Are guard rails in place at all stair ways, balconies, and wall openings

  Yes

  No

  N/A

6. Scaffolding

• 6.1. Is the scaffolding set up level?<br>

  Yes

  No

  N/A

• 6.2. Are the work platforms fully planked with good scaffold planks?

  Yes

  No

  N/A

• 6.3. Are base plates installed on all horizontal pieces?

  Yes

  No

  N/A

• 6.4. Are mud sills installed under all base plates if required?

  Yes

  No

  N/A

• 6.5. Are access ladders supplied to all work levels of the scaffold platforms?

  Yes

  No

  N/A

• 6.6. Is all bracing installed at each scaffold segment?

  Yes

  No

  N/A

• 6.7. Are the side and end rails (top & mid) installed at the 10' trigger height and higher?

  Yes

  No

  N/A

• 6.8. Is the scaffold structure secured to the building every 12' in height and 20' of length?

  Yes

  No

  N/A

• 6.9. Are implement hazards protected against

  Yes

  No

  N/A

• 6.10. Is the scaffolding no more than 18" away from the structure?

  Yes

  No

  N/A

7. Trenching & Exavation

• 7.1. Are the excavations that are 2' or deeper marked with warning tape?

  Yes

  No

  N/A

• 7.2. Are ladders used to access the excavation if its 4' or deeper?

  Yes

  No

  N/A

• 7.3. Are spoil piles a minimum of 2' from the excavation edge?

  Yes

  No

  N/A

• 7.4. Are shield boxes used at all excavations that are 5' or deeper?

  Yes

  No

  N/A

• 7.5. Are benched soils done correctly (only allowed in Type B Soils & pool excavations)?

  Yes

  No

  N/A

• 7.6. Are soils sloped correctly (Type C soils-1 1/2:1 ratio only)?

  Yes

  No

  N/A

• 7.7. Are implement hazards protected against?

  Yes

  No

  N/A

• 7.8. Are rebar protective covers in place?<br>

  Yes

  No

  N/A

8. Motorized Equipment

• 8.1. Was the equipment inspected prior to use?

  Yes

  No

  N/A

• 8.2. Is the driver qualified to operate the equipment?

  Yes

  No

  N/A

• 8.3. Does the mobile equipment have audible back up alarms or a designated spotter (tractors are not required to have audible alarm)?

  Yes

  No

  N/A

• 8.4. Unsuitable storage containers? (unlabeled or stored in food containers)

  Yes

  No

  N/A

• 8.5. Are workers wearing vest or bright shirts around the equipment?

  Yes

  No

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

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