Fortney & Weygandt

• Project

• Conducted on

  Date
• Location
  Address

• Superintendent

• Prepared by

JOB INFORMATION

• OSHA & DOL posters posted?

  Yes

  No

  N/A

• OSHA 300 Forms Posted? (Feb 1 - Apr 30)

  Yes

  No

  N/A

• First-aid kit fully stocked with non-expired items?

  Yes

  No

  N/A

• Safety Data Sheets filed and accessible?

  Yes

  No

  N/A

• Work areas neat?

  Yes

  No

  N/A

• Passageways and walkways clear?

  Yes

  No

  N/A

• Projecting nails and screws are removed or bent over?

  Yes

  No

  N/A

• Protruding steel is bent or capped to prevent impalement?

  Yes

  No

  N/A

• Containers clearly labeled?

  Yes

  No

  N/A

• Waste containers provided and being used?

  Yes

  No

  N/A

• Hard Hats being worn?

  Yes

  No

  N/A

• Safety glasses being worn?

  Yes

  No

  N/A

• Hearing protection being worn?

  Yes

  No

  N/A

• Proper clothing worn? (footwear, long pants, shirt w/ sleeves)

  Yes

  No

  N/A

• Task specific PPE worn as required?

  Yes

  No

  N/A

• Extension cords with bare wires or missing ground plug taken out of service?

  Yes

  No

  N/A

• Terminal boxes equipped with required covers?

  Yes

  No

  N/A

• GFCIs or double insulated tools being used?

  Yes

  No

  N/A

• Temporary lighting suspended correctly and in proper condition?

  Yes

  No

  N/A

• Hand tools inspected regularly?

  Yes

  No

  N/A

• Guards in place?

  Yes

  No

  N/A

• Right tool is being used at the job at hand?

  Yes

  No

  N/A

• Compressed cylinders stored properly?

  Yes

  No

  N/A

• Fuel storage is protected? (Impact / spills)

  Yes

  No

  N/A

• Adequate fire extinguishers provided?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Safety rails and cables secured properly?

  Yes

  No

  N/A

• Employees exposed to fall hazards tied off?

  Yes

  No

  N/A

• Harness worn properly?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Employees below protected from falling objects?

  Yes

  No

  N/A

• Floor openings planked over, secured, and labeled "hole" or barricaded?

  Yes

  No

  N/A

• Perimeter protection in place?

  Yes

  No

  N/A

• Materials stored away from the edge?

  Yes

  No

  N/A

• Ladders extended at least 36" above landing?

  Yes

  No

  N/A

• Ladders are secured to prevent slipping, sliding or falling?

  Yes

  No

  N/A

• Ladders with split or missing rungs taken out of service?

  Yes

  No

  N/A

• Stepladders used in fully open position?

  Yes

  No

  N/A

• No step at the top two rungs of stepladder?

  Yes

  No

  N/A

• Scaffolding inspected daily?

  Yes

  No

  N/A

• Erected on sound rigid footing?

  Yes

  No

  N/A

• Tied to structure as required?

  Yes

  No

  N/A

• Guardrails, mid-rails, and toe boards in place?

  Yes

  No

  N/A

• Planking sound and sturdy?

  Yes

  No

  N/A

• Proper access provided?

  Yes

  No

  N/A

• Employees below protected from falling objects?

  Yes

  No

  N/A

• Competent person identified and present?

  Yes

  No

  N/A

• Excavation is protected from cave-ins?

  Yes

  No

  N/A

• Means of egress provided every 25 feet?

  Yes

  No

  N/A

• Materials are stored at least 2 feet away from trench?

  Yes

  No

  N/A

• Equipment is at safe distance from edge of excavation?

  Yes

  No

  N/A

• Engineering control being used?

  Yes

  No

  N/A

• Area of silica producing activity is controlled and other subcontractors are not exposed to silica dust?

  Yes

  No

  N/A

• Equipment inspected and maintained?

  Yes

  No

  N/A

• Machinery equipped with back up alarm and functioning properly?

  Yes

  No

  N/A

• Operator trained for specific equipment?

  Yes

  No

  N/A

• Operators manual and warning labels in place?

  Yes

  No

  N/A

• Overhead hazards marked and proper clearance maintained?

  Yes

  No

  N/A

• Crane inspection complete and up to date?

  Yes

  No

  N/A

• Crane operator log up to date?

  Yes

  No

  N/A

• Operator is trained to use specific crane?

  Yes

  No

  N/A

• Employees are kept from suspended load?

  Yes

  No

  N/A

• Outriggers extended and swing radius is barricade is in place?

  Yes

  No

  N/A

• Taglines used to guide loads?

  Yes

  No

  N/A

• Chains and slings inspected and tagged as required?

  Yes

  No

  N/A

• COVID-19 Daily Questionnaire completed daily for all project personnel?

  Yes

  No

  N/A

• Social distancing is practiced?

  Yes

  No

  N/A

• Face covering worn when required?

  Yes

  No

  N/A

• Commonly touched surfaces are disinfected frequently?

  Yes

  No

  N/A

• Signage posted?

  Yes

  No

  N/A