Information
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Document No.
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Title
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Client / Site
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Conducted on
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Prepared by
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Location
HOUSEKEEPING
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General orderliness
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Area clean of debris and trash
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Walkways/pathways clear
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Trash containers provided an emptied
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Nails removed or bent down
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Materials properly stored or stacked
LADDERS
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Secured to prevent slipping or falling
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Siderails 36 inches above landing
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Stepladders fully open when in use
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Non-slip safety feet
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Correct use habits
PERSONAL PROTECTIVE EQUIPMENT
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Eye protection
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Face shields
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Respiratory protection
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Hard hats
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Hearing protection and noise control
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Personal fall arrest system
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Foot protection
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Protective clothing
ELECTRICAL & LASER
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Tools in good condition
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Cords in good condition
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Mechanical guards in use
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Laser signs as needed
FIRE PREVENTION
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Fire extinguishers marked and inspected
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Fire hydrants clear 15 foot radius
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Gas cylinders secured up right
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Gas/diesel fuel in proper safety cans
SCAFFOLDING
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Connections secure
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Scaffold tie into structure
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Solid base, plumb and square
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Workers protected from falling objects
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Rolling scaffold
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Guard rails, mid-rails, toe boards, open ends
LIFTS
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Guard rails, closed ends
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Lift in good operating condition
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Operators manual
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Fire extinguisher
BARRICADES
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Floor and wall openings
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Stair and elevator shafts
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Adequate lighting
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Signs as required
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COMMENTS
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JOB SITE PICTURES
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Justin Beck
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Forman