Forte TAP Site Safety Inspection

• Site conducted

• Conducted on

  Date

• Prepared by

• Location
  Address

Housekeeping

• Is debris secured and/or removed from floors?

  Yes

  No

  N/A

• Is lighting adequate for workers?

  Yes

  No

  N/A

• Are materials stored and secured in a safe manner?

  Yes

  No

  N/A

• Are all vertical rebar/impalement hazards capped?

  Yes

  No

  N/A

Access/Egress Paths

• Are exits clearly marked?

  Yes

  No

  N/A

• Are the egress passageways and stairs and doors adequate/unobstructed?

  Yes

  No

  N/A

• Are all access/egress pathways at least three feet wide?

  Yes

  No

  N/A

• Are all access/egress pathways clear of equipment, material and debris?

  Yes

  No

  N/A

• Are all access/egress pathways free of tripping hazards?

  Yes

  No

  N/A

Scaffolds/Stair Towers

• Is the scaffold competent person (CP) on site when scaffolds are in use?

  Yes

  No

  N/A

• Was the daily inspection performed and is the inspection tag signed by CP

  Yes

  No

  N/A

• Is the scaffold in plumb and level?

  Yes

  No

  N/A

• Are guard rails in place?

  Yes

  No

  N/A

• Is the working platform fully planked and secured?

  Yes

  No

  N/A

• Is the working platform free of tripping hazards, excess material and debris?

  Yes

  No

  N/A

• Where required, is netting installed, secured to scaffold and free of tears?

  Yes

  No

  N/A

Fire Protection/Prevention

• Are all barricades built with fire retardant wood?

  Yes

  No

  N/A

• Is the FR stamp visible?

  Yes

  No

  N/A

• Is a fully charged 20 lb. ABC fire extinguisher within the barricaded area?

  Yes

  No

  N/A

• Are all fire extinguishers inspected monthly?

  Yes

  No

  N/A

• Are all fire extinguishers fully charged?

  Yes

  No

  N/A

• Are all first aid kits and eyewashes inspected monthly?

  Yes

  No

  N/A

• Are all first aid kits and eyewashes fully stocked?

  Yes

  No

  N/A

• Is any hot work (welding, burning or producing sparks) being performed?

  Yes

  No

  N/A

• Is the hot work permit available?

  Yes

  No

  N/A

• Is there a fire guard with a valid FDNY F-60 certificate?

  Yes

  No

  N/A

• Does the torch operator have a valid FDNY G-60 certificate?

  Yes

  No

  N/A

• Are welding shield in place to protect other workers and the public?

  Yes

  No

  N/A

• Is there a fully charged fire extinguisher within 35 feet of the hot work operation?

  Yes

  No

  N/A

• Is the area free of combustibles?

  Yes

  No

  N/A

• Does the welder/torch operator have the correct PPE?

  Yes

  No

  N/A

• Does the fire guard have the correct PPE?

  Yes

  No

  N/A

• Are compressed gasses/fuel/paint stored in proper containers?

  Yes

  No

  N/A

• Are compressed gasses/fuel/flammables stored in UL approved cabinets?

  Yes

  No

  N/A

• Is there an approved FDNY storage permit?

  Yes

  No

  N/A

Compressed Air (use N/A if there are no compressed air in use)

• Are whip checks being used?

  Yes

  No

  N/A

• Are hoses free of defects?

  Yes

  No

  N/A

• Is an OSHA safety device on compressor lines greater than ½” I.D.?

  Yes

  No

  N/A

• Is a fully charged and inspected fire extinguisher within 25 feet of compressor?

  Yes

  No

  N/A

Fall Protection

• Is the leading edge adequately protected?

  Yes

  No

  N/A

• Are loads along perimeter secured?

  Yes

  No

  N/A

• Are holes in the floors covered and marked?

  Yes

  No

  N/A

• Are guard rails properly set up with top rail, mid rail, toe board?

  Yes

  No

  N/A

• Are PFAS Harnesses used when exposed to 6-foot fall exposure?

  Yes

  No

  N/A

• Are PFAS Harnesses worn properly?

  Yes

  No

  N/A

• Is the PFAS Harness tie off point adequate?

  Yes

  No

  N/A

• Are Control Access Zones (CAZ) being used, where required?

  Safe

  At Risk

  N/A

• Is CAZ properly marked out?

  Yes

  No

  N/A

• Is CAZ monitor in place?

  Yes

  No

  N/A

• Are proper warning signs in place?

  Yes

  No

  N/A

Excavations/Trenches (use N/A if there are no excavations/trenches)

• Was 811 called?

  Yes

  No

  N/A

• Are utility mark outs in place?

  Yes

  No

  N/A

• Are adjacent buildings undermined or in danger of being undermined?

  Yes

  No

  N/A

• Was the daily inspection by the competent person performed?

  Yes

  No

  N/A

• Are materials/equipment located away from unprotected trench?

  Yes

  No

  N/A

• Is there shoring installed if excavation/trench is deeper than 5 feet?

  Yes

  No

  N/A

• Is the shoring adequate?

  Yes

  No

  N/A

• Is there adequate egress from excavation/trench?

  Yes

  No

  N/A

• Is there fall protection (required at > 6 feet)?

  Yes

  No

  N/A

Electrical Safety

• Are GFCI’s in use?

  Yes

  No

  N/A

• Are all extension cords free of defects?

  Yes

  No

  N/A

• Are all tool cords free of defects?

  Yes

  No

  N/A

• Are ground pins on cords in place and not missing?

  Yes

  No

  N/A

• Are electrical panels and boxes closed or otherwise protected?

  Yes

  No

  N/A

• Are LO/TO procedures being used correctly?

  Yes

  No

  N/A

• Are electrical lines and facilities being protected from contact?

  Yes

  No

  N/A

Construction Equipment

• Is the swing radius barricaded?

  Yes

  No

  N/A

• Are the backup warning devices working?

  Yes

  No

  N/A

• Is there roll over protection?

  Yes

  No

  N/A

• Is there a fire extinguisher on vehicles?

  Yes

  No

  N/A

• Was the daily inspection performed?

  Yes

  No

  N/A

• Is the equipment parked/safeguarded when not in use?

  Yes

  No

  N/A

Ladders

• Are all ladders in use inspected daily?

  Yes

  No

  N/A

• Are ladders in good shape and free of defects?

  Yes

  No

  N/A

• Are ladder permits being issued (for new DB projects)?

  Yes

  No

  N/A

• Are ladders properly set up on level surface?

  Yes

  No

  N/A

• Are A-frame ladders being used fully open?

  Yes

  No

  N/A

• Are extension ladders not separated?

  Yes

  No

  N/A

• Are ladders footed or cleated at bottom?

  Yes

  No

  N/A

• Are ladders secured from movement at top?

  Yes

  No

  N/A

• Do ladders extend 3 feet past the landing area?

  Yes

  No

  N/A

Confined Space

• Are confined spaces properly marked?

  Yes

  No

  N/A

• Is the confined space entry program in place?

  Yes

  No

  N/A

• Is a confined space permit posted at entry point?

  Yes

  No

  N/A

• Is the attendant on duty at entry point?

  Yes

  No

  N/A

• Is a calibrated gas meter available and in use at entry point?

  Yes

  No

  N/A

• Is the rescue tripod properly set up?

  Yes

  No

  N/A

• Are there any hazards not identified on the confined space permit?

  Yes

  No

  N/A

PPE

• Are all workers wearing hard hats?

  Yes

  No

  N/A

• Are all workers wearing reflective vests?

  Yes

  No

  N/A

• Are all workers wearing safety glasses?

  Yes

  No

  N/A

• Are all workers wearing work boots with safety toe?

  Yes

  No

  N/A

• Are workers using or near high noise tools wearing hearing protection?

  Yes

  No

  N/A

• Are workers who are using grinders, chipping hammers or other tools creating flying debris wearing face shields?

  Yes

  No

  N/A

Street Operations/MPT

• Is MPT properly set up per drawings/permit?

  Yes

  No

  N/A

• Are DOT permits up to date and available?

  Yes

  No

  N/A

• Are certified flaggers being used as needed to move equipment?

  Yes

  No

  N/A

• Are concrete jersey barricades in use against traffic (for new DB projects)?

  Yes

  No

  N/A

• Is MPT set up to keep pedestrians out work area?

  Yes

  No

  N/A

• Are proper traffic warning and directional signs set up?

  Yes

  No

  N/A

• Are there signs to direct pedestrians?

  Yes

  No

  N/A

• Is the entry to MPT area closed when not moving equipment/material in or out?

  Yes

  No

  N/A

• Is a 5-foot-wide pedestrian walkway maintained?

  Yes

  No

  N/A

• Are working warning devices mounted on traffic side of street MPT?

  Yes

  No

  N/A

• Are MPT barriers, barricades, fences and netting in good working order?

  Yes

  No

  N/A