Information
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Job Site Name
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Conducted on
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Foreman
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Additional Attendance Besides Foreman
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Builder
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Document No.
Excavations / Power Lines
Power Lines
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Power Lines are 6 ft from people working near overhead lines (45)(H)(2)(c)
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Do you wish to examine Excavations on this safety walk?
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Hazard awareness barriers are in place as required (58)(C)(9)(14)
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Shoring/Shielding/Sloping is safe (58)(C)(3)
Fall Protection
Scaffolding - Personal Fall Protection (PFP)
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Was Scaffolding observed?
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PFP system is in place when a fall distance of 15 ft or greater during framing activities (65)(C)(3)(c)
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All Guardrails are installed on open sides and ends of platforms (122)(A)(10)
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Toeboards are required on all railed sides of work surfaces where employees work or pass below (122)(A)(11)
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Fall Protection was used properly by crew where applicable
Wall Openings - Personal Fall Protection (PFP)
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Wall Openings must be guarded if there is a drop of more than 4 ft and the bottom of the opening is less than 3 ft above the working surface (76)(B)(2)
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Top Rails at 42"-45" (2"x4" or larger) (75)(1)(a)
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Mid Rails (1"x6") halfway between top rail and floor are required when there is no wall or parapet wall is less than 21" high (75)(1)(b)
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Wood posts are not less than 2"x4" and spaced at 8 ft or closer intervals (75)(1)(d)
Personal Fall Arrest (PFA)
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Was PFA observed?
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Anchorage Points are correctly attached to the structure (64)(3)(c)
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Employees are connected at Anchor Points that do not allow them to free fall 6 ft or fall onto the lower level (64)(3)(b)
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Employees are wearing the correct size of safety harness (Can pass hand through leg strap not fist)
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Each employee is attached separately (64)(3)(d)(2)
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Safety Nets are installed correctly (65)(B)(5)
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Fall Protection was used properly by crew where applicable
Stairs / Stairways
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Employees are accessing 2nd floor using internal stairwells and temporary external stairwells (134)(C)
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Stairs are equipped with handrails at 34" - 36" that run the full length of the stairs (134)(H)
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Stairwells have fully installed Guardrails and toeboards (134)(J)
Ladders
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Employees are using ladders correctly and not climbing the building structure
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Ladders are well maintained and in good working condition (95)(I)(1)(b)
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Ladders have the manufacturer's safety labels (95)(I)(1)(b)
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Ladder set-up, base, and footing is to standard (95)(I)(3)(c)
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Ladders extended up to 32' high have a 36" minimum overlap and are tied off on the 4th rung from the top (94)(E)
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Employees are not reaching an excessive distance from their body while using ladders (96)(I)(3)(n)
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Employees are not carrying equipment or materials while on ladders that prevent them from using the ladder safely (96)(I)(3)(o)
Tools and Equipment
Ground-fault circuit interrupters (GFCIs)
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GFCIs are in use and in good working order (44)(G)(1)
Electrical Cords
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Tools cords and extension cords have no exposed wiring (137)(Item 1)
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Tool cords and extension cords are not missing ground wires (137)(Item 3)
Circular Saws
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Were Circular Saws observed?
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Properly equipped with blade guards above and below (140)(G)(1)(b)(c)
Pneumatic Tools
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Were Pneumatic Tools observed?
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Employees were observed carrying nail guns with fingers OFF the trigger mechanism
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Pneumatic Nailers and Staplers have a safety device that prevents the tool from operating when the muzzle is not in contact with work surface (142)(N)(2)
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Pneumatic Nailers and Staplers are unplugged from air hose when employee is out of sight of their tool.
Powder Actuated Tools (PATs)
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Were PATs observed?
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PATs were never left unattended (139)(4)(a)
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Warning signs that say POWDER-ACTUATED TOOLS IN USE are displayed within 50 ft of a PAT operation (139)(D)(5)(i)
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Only trained workers holding a valid operator's card may use a PAT (On Them) (138)(D)(1)
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PATs must be kept in lockable storage container (138)(D)(2)
Radial Arm (Horizontal Pull) Saws
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Were Radial Arm Saws observed?
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The upper half of the saw blade and arbor ends are completely covered (141)(J)(1)
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The sides of the lower exposed portion of the blade shall be guarded (141)(J)(2)
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Anti-kickback device must be used during ripping operations (141)(J)(3)
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Saws must return automatically to the tables back when released (141)(J)(4)
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Saws must have a stop provided to prevent the saw blade from passing the front edge of the table (141)(J)(5)
Silica Dust
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Were objects that could produce Silica Dust being worked on?
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Readily available Written Control Plan for Silica Dust Exposure (133)(G)
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Were masks observed being used by employees?
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Voluntary Respirator Request Signature for the employee wearing a mask (Company Policy)
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Are Circular Saws being used on items that could produce Silica Dust?
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Circular Saws have dust reducing blades with Vacuum Adapter (Engineering/Administrative Controls in Written Plan) (133)(B)
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Are Saws being used on items that could produce Silica Dust?
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Saws are equipped with integrated water systems (133)(B)
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Is Housekeeping being done around items that could produce Silica Dust?
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Employees are not dry sweeping these areas (133)(B)
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Vacuum Adapters are being properly emptied in the Concrete Wash Out Basin to contain Silica Dust (133)(B)
Housekeeping
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Walkways are free of debris and obstructions (90)(A)
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Holes have guardrails and toeboards or covers (76)(B)(1)(a)
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Floor Openings have guardrails and toeboards or covers (76)(B)(1)(a)
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Trip hazards (such as post tension cables) are painted for high visibility or sectioned off (90)(B)
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Nails in scrap material are bent down to prevent cut/laceration injury exposure (90)(D)
Personal Protective Equipment (PPE)
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Hard Hats worn by crew and in safe condition (108)(F)(4)
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Safety Glasses with Side Shields worn by crew and in safe condition (107)(A)
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Foot Protection worn by crew and in safe condition (107)(B)
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Hearing Protection is readily available and worn according to (108)(E)(Table 3)
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Suitable clothing for the job worn by crew (107)(D)
COVID 19
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Social Distancing (6 feet apart)
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Some form of Face Shield is being worn
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Soap or Hand Sanitizer readily available
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No workers are sharing tools
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No sick workers are present on job site
Heat Illness
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Sufficient amounts of clean, cool, water is available to all employees (82)(E)(1)
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Daily high temperature under 80 degrees?
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Shade available upon request (83)(F)(1)(a)
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Daily high temperature between 80-94 degrees?
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Employees can point out where shade is readily available for rest (83)(F)(2)(a)
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Foreman is encouraging employees to take 5 minute "cool down" breaks (83)(F)(9)
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Daily high temperature 95 degrees or higher?
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Supervisor conducted pre-shift meeting to reminding employees to drink plenty of water throughout the day (84)(2)(G)(9)
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Employees are trained and vigilant of signs and symptoms of heat illness (84)(2)(G)(3)
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Observation and regular contact with employees is being used by supervisor (84)(2)(G)(5)
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Supervisor is paying extra attention to employees that have less that 2 years of experience (84)(2)(G)(8)
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There are a suitable number of employees readily available to give First Aid (86)(2)(K)
First Aid / Fire Extinguishers
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Will you be checking Container Supplies on this visit?
First Aid
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First Aid Kit is readily available (69)(A)
Fire Extinguishers
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Fire Extinguishers are readily available (68)(A)(1)
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Fire Extinguishers have tags indicating that they have been inspected monthly (68)(C)(1)
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Fire Extinguishers have tags indicating that they have been serviced within the past 12 months or are under 1 year old (68)(C)(1)
Documentation
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Will you be checking Documentation on this visit?
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A "Tailgate" safety meeting was held at least once this week (21)(E)
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Fall Protection Inspection Sheet filled out each morning and readily available
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Readily Available Safety Binder Containing: Code of Safe Practices (21)(C), IIPP (90), HIPP (81), HAZCOM (77)(A), COVID Prevention Program (CPP)
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Readily Available (EMS) Emergency Medical Services Plan (69)(B), Certificate of Insurance, & Business License (Red Folder)
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Trained person in possession of current Red Cross First Aid Certificate (or equivelant) (On Foreman) (69)(B)
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Forklift Certification readily available (On Driver)
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POSTED Code of Safe Practices (21)(C), Labor Board Poster, Emergency Phone Numbers, "Safety and Health Protection on the Job" CalOSHA Poster, Powder Actuated Tools Poster
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Material Safety Data Sheets (MSDS) Book (Big Binder)
General Comments
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Add any additional relevant photos
Sign Off
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Name & Signature of Inspector