GC/CM Safety Inspection Report - Hampton

• Job Name and/or Job #

• Conducted on

  Date

• Inspection by

• Location
  Address

• Project Superintendent

GENERAL SITE

• Housekeeping

  Yes

  No

  N/A

• Office

  Yes

  No

  N/A

• Restrooms -lunch area

  Yes

  No

  N/A

• Smoking in approved areas only

  Yes

  No

  N/A

• First aid facilities

  Yes

  No

  N/A

• Safety Documentation (tool box talks)

  Yes

  No

  N/A

• SDS / GHS Poster - Access online information

  Yes

  No

  N/A

• Company wide safety program

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Safety Glasses

  Yes

  No

  N/A

• High Vis Vests or Shirts (required at all times)

  Yes

  No

  N/A

• Other clothing (pants, boots, etc)

  Yes

  No

  N/A

• Respirators

  Yes

  No

  N/A

• Dust mask

  Yes

  No

  N/A

• Hard Hats (Required at all times)

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

TOOLS

• General condition of tool(s)

  Yes

  No

  N/A

• Properly guarded

  Yes

  No

  N/A

MOTORIZED EQUIPMENT

• Cab free of foreign materials

  Yes

  No

  N/A

• Windows not distorted (dirty or broken)

  Yes

  No

  N/A

• Riders only where seats are provided

  Yes

  No

  N/A

• Bucket, blade, forks lowered when not in use

  Yes

  No

  N/A

• Fuel gas cylinders properly stored

  Yes

  No

  N/A

• Unsecured tools

  Yes

  No

  N/A

• Audible warning device

  Yes

  No

  N/A

• Ignition key removed when not in use

  Yes

  No

  N/A

• Proper signs & signals <br>Load capacity signs<br>Hand signals

  Yes

  No

  N/A

• Outer perimeter of swing protection provided

  Yes

  No

  N/A

FALL PROTECTION

• Openings covered

  Yes

  No

  N/A

• Adequately lighted

  Yes

  No

  N/A

• Guard rails in place<br>Toe board, 21", 42"

  Yes

  No

  N/A

• Shaft openings guarded

  Yes

  No

  N/A

• Body harness used properly

  Yes

  No

  N/A

STAIRS AND LADDERS

• Ladder(s) conditions

  Yes

  No

  N/A

• Stair railings in place

  Yes

  No

  N/A

• Ladder inspection documentation

  Yes

  No

  N/A

• Proper use of ladder

  Yes

  No

  N/A

• Stair pans filled in

  Yes

  No

  N/A

SCAFFOLDING

• Proper foundation

  Yes

  No

  N/A

• Toe boards

  Yes

  No

  N/A

• Lateral support

  Yes

  No

  N/A

• Railings

  Yes

  No

  N/A

• Work platforms/planks

  Yes

  No

  N/A

FIRE PROTECTION/PREVENTION

• Fire Extinguisher Inspected

  Yes

  No

  N/A

• Welding equipment inspected

  Yes

  No

  N/A

• Warning signs posted

  Yes

  No

  N/A

• Fuel stored in proper containers

  Yes

  No

  N/A

• Oxy/Acety tanks properly stored

  Yes

  No

  N/A

EXCAVATION/TRENCH SAFETY

• Sidewall protection

  Yes

  No

  N/A

• Ladders for egress

  Yes

  No

  N/A

• Banks sloped per soil type

  Yes

  No

  N/A

ELECTRICAL

• Circuits identified

  Yes

  No

  N/A

• Transformer area free of debris

  Yes

  No

  N/A

• Electrical cables buried properly

  Yes

  No

  N/A

• Lock Out used properly

  Yes

  No

  N/A

• Lock Out materials available

  Yes

  No

  N/A

• Enclosures 3' from transformers

  Yes

  No

  N/A

• Temporary Lighting

  Yes

  No

  N/A

• Overhead Power lines marked

  Yes

  No

  N/A

WELDING/CUTTING REPAIR

• Lock out procedures properly implemented

  Yes

  No

  N/A

• PPE worn

  Yes

  No

  N/A

• Fuel cylinders secured/caps on

  Yes

  No

  N/A

• Proper fire protection in close proximity

  Yes

  No

  N/A

• Proper vent/exhaust pipe in close proximity

  Yes

  No

  N/A

• No flammable liquids or electrical panels sin proximity

  Yes

  No

  N/A

• Proper warning signs displayed

  Yes

  No

  N/A

• Cutting torch nozzle clean

  Yes

  No

  N/A

• Only strikers used to light torch on fuel gas lines

  Yes

  No

  N/A

• Cylinders turned off when idle for a period of time and stored properly

  Yes

  No

  N/A

• Project Superintendent

  Sign

• Safety Inspector

  Sign