Field Safety Walk

• Project/Job #

• Project/Job

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

BEHAVIOR

• TSSP reviewed and signed?

  Safe

  At Risk

  N/A

• TSSP for each task?

  Safe

  At Risk

  N/A

• Mentors assigned?

  Safe

  At Risk

  N/A

• Task Hazard Control Boards

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

WORK AREAS

• General Housekeeping

  Safe

  At Risk

  N/A

• Walking - Working Surfaces

  Safe

  At Risk

  N/A

• Impalement Hazards

  Safe

  At Risk

  N/A

• Sanitary Facilities

  Safe

  At Risk

  N/A

• Water -- Trash Receptacles

  Safe

  At Risk

  N/A

• Material Storage/Lay Down

  Safe

  At Risk

  N/A

• Conex, Box 4 U, Gang Box

  Safe

  At Risk

  N/A

JOB SITE POSTERS

• All OSHA Required Posters

  Safe

  At Risk

  N/A

• Emergency Evacuations

  Safe

  At Risk

  N/A

• Emergency Contacts List

  Safe

  At Risk

  N/A

HEALTH/FIRST AID

• CPR/First AidTraining

  Safe

  At Risk

  N/A

• First Aid Kit (No Expired Items)

  Safe

  At Risk

  N/A

• Eye Wash Facilities in Field

  Safe

  At Risk

  N/A

• Access to Eye Wash

  Safe

  At Risk

  N/A

• AED inspected

  Safe

  At Risk

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Hard Hats

  Safe

  At Risk

  N/A

• Safety Glasses with Side Shields

  Safe

  At Risk

  N/A

• Face Shield / Goggles (If Required)

  Safe

  At Risk

  N/A

• Respiratory Protection (If Required)

  Safe

  At Risk

  N/A

• Hearing Protection (If required)

  Safe

  At Risk

  N/A

• Clothing (FRC etc. if required)

  Safe

  At Risk

  N/A

• Gloves

  Safe

  At Risk

  N/A

• Foot Protection

  Safe

  At Risk

  N/A

FALL PROTECTION

• Trained Personnel (Competent Person)

  Safe

  At Risk

  N/A

• Worn Properly

  Safe

  At Risk

  N/A

• Suitable Anchorage Points

  Safe

  At Risk

  N/A

• Inspected/Color Coded

  Safe

  At Risk

  N/A

• Stored Properly

  Safe

  At Risk

  N/A

• Emergency Rescue Plan

  Safe

  At Risk

  N/A

LADDERS

• Base/Footing/Set Up

  Safe

  At Risk

  N/A

• Inspections/Color Coded

  Safe

  At Risk

  N/A

• Proper Type for Task

  Safe

  At Risk

  N/A

TOOLS AND EQUIPMENT

• In Good Condition

  Safe

  At Risk

  N/A

• Inspected/Color Coded

  Safe

  At Risk

  N/A

• Whip-Checks

  Safe

  At Risk

  N/A

• Other:

  Safe

  At Risk

  N/A

EXCAVATIONS

• Trained Personnel (Competent Person)

  Safe

  At Risk

  N/A

• Access/Egress

  Safe

  At Risk

  N/A

• Soil Condition

  Safe

  At Risk

  N/A

• Water Accumulating

  Safe

  At Risk

  N/A

• Shoring/Shielding/Sloping

  Safe

  At Risk

  N/A

• Barricades

  Safe

  At Risk

  N/A

• Spoil Pile

  Safe

  At Risk

  N/A

• Air Monitoriing

  Safe

  At Risk

  N/A

• Emergency Rescue Plan

  Safe

  At Risk

  N/A

CONFINED SPACE

• Trained Personnel (Competent Person)

  Safe

  At Risk

  N/A

• Attendant Sign In Sheet

  Safe

  At Risk

  N/A

• Permit Required

  Safe

  At Risk

  N/A

• Permit Followed

  Safe

  At Risk

  N/A

• Air Monitoring

  Safe

  At Risk

  N/A

• Emergency Rescue Plan

  Safe

  At Risk

  N/A

ELECTRICAL

• G.F.C.I.'s

  Safe

  At Risk

  N/A

• Extension Cords

  Safe

  At Risk

  N/A

• Power Tools

  Safe

  At Risk

  N/A

• Lock Out/Tag Out

  Safe

  At Risk

  N/A

FIRE SAFETY

• Hot Work Permit (if required)

  Safe

  At Risk

  N/A

• Fire Watch Assigned (Competent Person)

  Safe

  At Risk

  N/A

• Fire Extinguisher/Inspected

  Safe

  At Risk

  N/A

• Combustibles removed/isolated

  Safe

  At Risk

  N/A

• Hot Work Barricade (if required)

  Safe

  At Risk

  N/A

• Gas Can(s)

  Safe

  At Risk

  N/A

RIGGING AND HOISTING

• Capacity Tags

  Safe

  At Risk

  N/A

• Hooks and Latches

  Safe

  At Risk

  N/A

• Tag Lines

  Safe

  At Risk

  N/A

• Inspected/Color Coded

  Safe

  At Risk

  N/A

• Designated Qualified Rigger

  Safe

  At Risk

  N/A

• Damage

  Safe

  At Risk

  N/A

SCAFFOLD

• Trained Personnel (Competent Person)

  Safe

  At Risk

  N/A

• Hand and Mid-rails, Toeboards

  Safe

  At Risk

  N/A

• Platform Decked/Secured

  Safe

  At Risk

  N/A

• Level Footing/Set up

  Safe

  At Risk

  N/A

• Access/Egress

  Safe

  At Risk

  N/A

• Away from Powerlines

  Safe

  At Risk

  N/A

• Barricades

  Safe

  At Risk

  N/A

• Inspection/Tagged Correctly

  Safe

  At Risk

  N/A

CRANE EQUIPMENT

• Crane Inspection

  Safe

  At Risk

  N/A

• Operator Manual

  Safe

  At Risk

  N/A

• Crane Setup

  Safe

  At Risk

  N/A

• Crane Swing Radius

  Safe

  At Risk

  N/A

• Flagman with Vest

  Safe

  At Risk

  N/A

• Operator Qualified and Certified

  Safe

  At Risk

  N/A

• Designated Qualified Signaller

  Safe

  At Risk

  N/A

• Fall Zone Procedures

  Safe

  At Risk

  N/A

• Lift Plan (if required)

  Safe

  At Risk

  N/A

EQUIPMENT

• Equipment Inspections

  Safe

  At Risk

  N/A

• Operator Qualified and Certified

  Safe

  At Risk

  N/A

• Operator Manual

  Safe

  At Risk

  N/A

• Flagman with Vest

  Safe

  At Risk

  N/A

• Proper setup and use

  Safe

  At Risk

  N/A

HAZCOM

• Training - Right to Know

  Safe

  At Risk

  N/A

• SDS on Site

  Safe

  At Risk

  N/A

• SDS for all Chemicals on Site

  Safe

  At Risk

  N/A

• Proper Storage of Chemicals

  Safe

  At Risk

  N/A

• Proper PPE for Handling Chemicals

  Safe

  At Risk

  N/A

OTHER

• A.

  Safe

  At Risk

  N/A

• B.

  Safe

  At Risk

  N/A

• C.

  Safe

  At Risk

  N/A

• D.

  Safe

  At Risk

  N/A

Comments/Recommendations

• Enter any corrective actions that will be undertaken

Sign Off

• Safety Representative

  Sign

• Production Leader

  Sign

• Construction Supervisor

  Sign

• Field Hourly Rep / Others

  Sign

• Field Hourly Rep / Others

  Sign

• Field Hourly Rep / Others

  Sign