Field Site Inspection Report

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Date/Time

  Date

• Project Name and/or Number #

• Contractor

• Location/Area of Audit

A. Jobsite Information

• A1. Is there a copy of the company’s SSSP, IIPP, JHRA, and SDS accessible?

  Yes

  No

  N/A

• a. Have the required TM's signed off on the Fall Protection Work Plan?

  Yes

  No

  N/A

• b. Has the power line and overhead obstruction location diagram been completed?

  Yes

  No

  N/A

• A2. Are numbers for the nearest medical center posted/accessible?

  Yes

  No

  N/A

• A3. Have all site specific safe work plans been reviewed and signed off?

  Yes

  No

  N/A

• A4. Do the JTA’s cover appropriate hazards for the current work being conducted and signed off by all involved?

  Yes

  No

  N/A

• A5. Is there a current copy of the Monthly Toolbox calendar available and that days topic annotated on the sign-in sheet?

  Yes

  No

  N/A

• A6. Are the emergency procedures and contact information available?

  Yes

  No

  N/A

• A7. Are there any Mentee's on the job today?

  Yes

  No

  N/A

• a. Has the Mentee been oriented and assigned a Mentor?

  Yes

  No

  N/A

• A8. Has the foreman completed the weekly inspection?

  Yes

  No

  N/A

B. Slab Decks / Formwork

• B1. Has the Deck/Core/Wall inspection been completed and documented by a competent person?

  Yes

  No

  N/A

C. Access/Egress

• C1. Is there sufficient access/egress to work area accessible and identified?

  Yes

  No

  N/A

D. Stair Towers / Ladders / Scaffolding

• D1. Have all stair towers/scaffolds been tagged and inspected?

  Yes

  No

  N/A

• D2. Are ladders secured against movement top and bottom at a 4:1 ratio, 3’ past landing, 3’ lap?

  Yes

  No

  N/A

• D3. Are there guardrails in place with top, mid rail and toe board?

  Yes

  No

  N/A

E. Housekeeping

• E1. Is the job site well maintained and free from excessive material, debris, and trash?

  Yes

  No

  N/A

F. PPE

• F1. Is PPE properly stored and maintained?

  Yes

  No

  N/A

• 15. Is required PPE worn by all team mates?

  Yes

  No

  N/A

G. Excavations

• G1. Are we performing work in excavations/trenches?

  Yes

  No

  N/A

• a. Have the excavations/trenches been inspected by a competent person?

  Yes

  No

  N/A

• b. Is there proper access/egress points (ladders every 25’ of unrestricted travel)

  Yes

  No

  N/A

H. Rigging / Hoisting

• H1. Has the vertical lift plan been reviewed and signed off by two supervisors? ( 1-Creator of plan and 2 - Supervisors)

  Yes

  No

  N/A

• H2. Is all rigging and hoisting equipment properly maintained and stored? (All damaged rigging destroyed/removed from service)

  Yes

  No

  N/A

• H3. Are taglines being used as required?

  Yes

  No

  N/A

• H4. Are adequate warnings given for overhead work/loads?

  Yes

  No

  N/A

• H5. Is a proper means of communication being used?

  Yes

  No

  N/A

I. Fall Protection

• H1. Are all exposed dowels properly protected? (orange cap, trough, goal post min every 8')

  Yes

  No

  N/A

• H2. Are proper anchor points available and used?

  Yes

  No

  N/A

• H3. Has Fall Protection/Specialized equipment been inspected and documented?

  Yes

  No

  N/A

• H4. Has the Fall Protection work plan been completed?

  Yes

  No

  N/A

• a. Have required teammates signed the fall protection work plan?

  Yes

  No

  N/A

• H5. Is there a copy of the vertical work, bracing and tying plan with JTA in work area?

  Yes

  No

  N/A

J. Tools / Equipment

• J1. Are all tools in proper working order? (proper guarding, damaged/defective tools removed from service)

  Yes

  No

  N/A

• J2. Are tools and equipment properly stored?

  Yes

  No

  N/A

• J3. Are there adequate inspected fire extinguishers on-site?

  Yes

  No

  N/A

• J4. Are first aid kits available, adequately stocked and inspected?

  Yes

  No

  N/A

• J5. Storage/High-Vis Marking/Use of hands free tools?

  Good

  Fair

  Poor

  N/A

K. Hot Work

• K1. Is there hot work being performed?

  Yes

  No

  N/A

• a. If required is a hot work permit completed?

  Yes

  No

  N/A

• b. Is there a inspected fire extinguisher/chop saw bag in the affected area?

  Yes

  No

  N/A

Additional Comments and Photos

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  Media

Site Representative/Auditor

• Site Representative

• Inspection Conducted by: