Information

  • Job Name

  • Conducted on

  • On-Site Superintendent(s)

  • Prepared by

MEDICAL AND FIRST AID

  • Are First-Aid Kits accessible and identified?

  • Are Bloodborne Pathogen kits available?

  • Are daily logs for First-Aid present and up to date?

  • Are First-Aid kits inspected weekly?

HAZARD COMMUNICATION

  • Are SDS books on-site and available?

  • Do all employees know where the SDS books are located?

SITE SAFETY PLAN

  • Is a site map available?

  • Site plan is posted?

  • Are emergency phone numbers posted?

FEDERAL POSTERS

  • Are posters located in a conspicuous location?

  • Minimum wage

  • OSHA Health and Safety

  • Equal Employment Opportunity

  • OSHA 300 Summary ( February 1st - April 30th only)

EMERGENCY PLAN

  • Have muster points be established?

  • Do all employees know the location of muster points?

  • Has an emergency signal been established?

  • Are proper exit signs and routes available and posted?

PERSONAL PROTECTIVE EQUIPMENT

  • Have levels of personal protective equipment been established?

  • Do all employees know their level of protection?

  • Are there sufficient quantities of PPE on-site?

TASK HAZARD ANALYSIS

  • Has a THA be filled out?

  • Has the THA been filled out properly?

  • Has a THA been filled out with thought in each step of the task?

  • Does the THA cover all task to be performed?

  • Has the THA been reviewed and signed by each employee?

  • Is the THA reviewed after lunch and necessary changes made?

FIRE PREVENTION

  • Smoking prohibited in restricted areas?

  • Flammable storage containers available?

  • Fire extinguisher located near flammable storage?

  • Is flammable storage properly marked?

FIRE PROTECTION

  • Are sufficient fire extinguishers available?

  • Do all employees know the location of fire extinguishers?

  • Are fire extinguishers inspected and in proper working order?

  • Are flammable and combustable materials segregated from ignition sources?

WELDING AND CUTTING

  • Are fire extinguishers present at welding and cutting operations?

  • Has a hot work permit been obtained?

  • Are proper helmets, glasses, and gloves being used for welding and cutting?

  • Are welding machines properly grounded?

  • Are only trained employees permitted to operate welding and cutting equipment?

HAND AND POWER TOOLS

  • Are tools inspected before each use?

  • Are tools being used properly?

  • Are all required guards and covers in place?

  • Is proper PPE being used for the tool?

MATERIALS HANDLING

  • Are materials stacked and stored as to prevent sliding or collapsing?

  • Are all containers labeled as to their contents?

  • Are all chemicals, flammables, and combustibles stored in approved containers?

  • Are all flammables and combustibles stored in non-smoking areas?

  • Are mechanical means utilized to move material when necessary?<br>

  • Are tripping and puncture hazards identified and labeled?

ELECTRICAL

  • Are warning signs exhibited on high voltage equipment?

  • Is electrical equipment and wiring properly guarded?

  • Are extension cords and cables guarded and maintained in good condition?

  • Are extension cords and temporary power cords kept out of wet areas?

  • Are cords protected from traffic?

  • Are proper lockout/tagout procedures in place?

  • Are GFCI's being used properly?

  • Are energized electrical parts protected?

WALKING AND WORKING SURFACES

  • Are access-ways, stairs, ramps, and ladders clean of ice, mud, snow, or debris?

  • Are stairways and floor openings properly guarded?

  • Do all guardrails meet OSHA standards?

  • Are ladders inspected and properly secured?

  • Is housekeeping in good order and up to site standards?

SCAFFOLDING

  • Is scaffolding placed on a flat, firm surface?

  • Are scaffold planks free of mud, ice, grease, etc?

  • Is scaffolding inspected before each use (brandt competent person)?

  • Does scaffold planking overlap a minimum of 12 inches?

  • Are all pins in place and wheels locked?

EXCAVATIONS

  • Has soil been properly classified?

  • Are ladders used in trenches over 4 feet deep?

  • Are trenches/excavations deeper than 5 feet properly sloped, benched, or shored?

  • Are spoil piles placed, at a minimum, 24 inches from the trench/excavation?

  • Has the operator received competent person excavation training?

  • Are guardrails or fences placed around trenches/excavations near pedestrian or vehicle thoroughfares?

HEAVY EQUIPMENT

  • Is equipment being operated only by trained operators?

  • Has a daily inspection been performed?

  • Are back-up alarms installed and working properly?

  • Is equipment being operated in a safe manner?

  • Is equipment shut down before fueling or maintenance?

CONFINED SPACE ENTRY

  • Has the space been properly classified?

  • Are only trained personnel working as a supervisor, entrant, or attendent?

  • Has all equipment been inspected prior to use?

  • If permit required, is a safety representative on-site?

  • Have all air monitors been calibrated and have a certificate of calibration?

  • Are spaces ventilated and checked for atmospheric hazards prior to entry?

  • If permit required, is the permit filled out properly and authorized?

RIGGING AND FLAGGING

  • Have all employees involved been trained and have a Rigging and Flagging certification card?

  • Has a lift plan been prepared, including THA and BIPP?

  • Has the lift plan been reviewed with all involved employees?

  • Have yearly/daily crane inspections and operators certification been verified with copies made and retained?

  • Has all rigging material been inspected prior to use?

  • Are slings padded or protected from sharp edges?

  • Do employees keep clear of suspended loads?

  • Is a tag line used on each load?

COMPRESSED GAS CYLINDERS

  • Are cylinders stored in well-ventilated areas?

  • Are no smoking signs posted in the cylinder storage areas?

  • Are all cylinders stored and secured in an upright position?

  • Are cylinders protected from damage?

  • Are all cylinder caps in place when stored?

  • Are regulators removed and replaced with the cap if not used in a 24 hour period?

  • Are fuel gas and o2 cylinders stored a minimum of 20 feet apart or by other approved methods?

EQUIPMENT INSPECTION

  • Has all equipment( scissor lift, boom lift, fork lift) been inspected prior to use?

  • Is equipment clean, and in good working order?

  • Has the operator been trained and has a current certification card?

ADDITIONAL INFORMATION

  • What is the current phase of the job?

  • Employees are working how many hours per week?

  • How many Brandt employees are on this job?

  • How many sub contract employees are on this job?

  • Superintendent Signiture

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