GF M+W 2 person daily inspection

• M+W TWO-PERSON DAILY INSPECTION of CRITICAL and HIGH RISK ACTIVITIES
  
  SAF051_GF_R3_05-14-2013

  

• Date & Time

  Date

• Project Name / Number

  11F

  11J

  TDC

• Work Location Observed

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Work Activity Description

• Contractor Undertaking Work

  Select TFSE TFSM Gross Jersen AAA Reinforcing Tetra Tech Postler & Jaeckle Gomez Electric Rosetti CME Ovivo Midwest Steel Selby & Smith Rozell

  • TFSE
  • TFSM
  • Gross
  • Jersen
  • AAA Reinforcing
  • Tetra Tech
  • Postler & Jaeckle
  • Gomez Electric
  • Rosetti
  • CME
  • Ovivo
  • Midwest Steel
  • Selby & Smith
  • Rozell

• M+W Construction Team Observer

  Sign

• Construction Team Observer

  Sign

FALL PROTECTION / WORK AT HEIGHTS

• Is 100% Fall Protection in place for all work at heights

  Yes

  No

  N/A

• Are Job Hazard Analysis (JHA, PTP) in place?

  Yes

  No

  N/A

• Is are fall protection (guardrails) given priority over personal (active) fall protection

  Yes

  No

  N/A

• Are harness lanyards tied-off to suitable anchor points with adequate load capacity per person

  Yes

  No

  N/A

• Are mobile scaffolds used in preference to extension and step ladders

  Yes

  No

  N/A

• Are scaffolds tagged and inspected prior to use by a competent person

  Yes

  No

  N/A

• Are access points to work platforms on scaffolds / mobile towers protected by a gate, hinged hatch or trap door

  Yes

  No

  N/A

• Are scaffolds fitted with a top and mid rail, toeboards and fully boarded? Free from rubbish?

  Yes

  No

  N/A

• Are harnesses with restraint lanyards attached to safe ancorage points within mobile lift

  Yes

  No

  N/A

FALLING OBJECTS / OVERHEAD ACTIVITIES

• Are public / site personnel protected (spotters, guards/fans, walkways, 'no lift zones') from overhead hazards

  Yes

  No

  N/A

• Are lifting plans in place approved by M+W for work involving lifting of equipment and materials? Is a PTP in place?

  Yes

  No

  N/A

• Are test and inspection records on file for all lifting appliances and lifting equipment (cranes, slings)

  Yes

  No

  N/A

• Are lifting operations being undertaken by Competent Personnel using appropriate communication means

  Yes

  No

  N/A

• Are all loads made secure before lifting i.e. steel banding to timber, banding to blocks, brick cages

  Yes

  No

  N/A

• Are all floor openings securely covered or protected by barriers with toe boards to prevent falling objects

  Yes

  No

  N/A

• Are safety nets suspended beneath roofing activities to capture falling personnel, materials or tools

  Yes

  No

  N/A

EXCAVATIONS AND TRENCHES

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

ENERGIZED ELECTRICAL WORK

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

CONFINED SPACE (including raised metal floor)

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

CHEMICALS AND GASES

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

CONTROL OF HAZARDOUS ENERGIES (COHE)

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

Corrective Action

• Location

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Contractor

  Select TFSE TFSM Gross Jersen AAA Reinforcing Tetra Tech Postler & Jaeckle Gomez Electric Rosetti CME Ovivo Midwest Steel Selby & Smith Rozell

  • TFSE
  • TFSM
  • Gross
  • Jersen
  • AAA Reinforcing
  • Tetra Tech
  • Postler & Jaeckle
  • Gomez Electric
  • Rosetti
  • CME
  • Ovivo
  • Midwest Steel
  • Selby & Smith
  • Rozell

• Person Responsible for Corrective Action

• Observation

• Action Taken

• Insert Column Location or other Comments Here for Clarification

  Yes

  No

  N/A

• Number of Employees Observed (optional)

Any Marked "At Risk" Must Include Details

• Face / Eye PPE

  Safe

  At Risk

  N/A

• Foot PPE

  Safe

  At Risk

  N/A

• Hand / Arm PPE

  Safe

  At Risk

  N/A

• Head PPE

  Safe

  At Risk

  N/A

• Hearing PPE

  Safe

  At Risk

  N/A

• Respiratory PPE

  Safe

  At Risk

  N/A

• Fall Protection

  Safe

  At Risk

  N/A

• Mobile Lifts

  Safe

  At Risk

  N/A

• Electrical / GFCI

  Safe

  At Risk

  N/A

• Lockout / Tagout

  Safe

  At Risk

  N/A

• Work Permits

  Safe

  At Risk

  N/A

• Excavations

  Safe

  At Risk

  N/A

• Hot Work

  Safe

  At Risk

  N/A

• Storage Area

  Safe

  At Risk

  N/A

• Body Position

  Safe

  At Risk

  N/A

• Ladders

  Safe

  At Risk

  N/A

• Scaffolds

  Safe

  At Risk

  N/A

• Access / Egress

  Safe

  At Risk

  N/A

• Aerial Lifts

  Safe

  At Risk

  N/A

• Barricades / Signage

  Safe

  At Risk

  N/A

• Slips / Trips / Falls

  Safe

  At Risk

  N/A

• Lifting / Rigging

  Safe

  At Risk

  N/A

• Confined Space

  Safe

  At Risk

  N/A

• Equipment / Tools

  Safe

  At Risk

  N/A

• Housekeeping

  Safe

  At Risk

  N/A

• Lighting

  Safe

  At Risk

  N/A

• Chemical

  Safe

  At Risk

  N/A

• Material Handling

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Pre-Task Plan (PTP) Audit

• All of job steps identified

  Yes

  No

  N/A

• All hazards identified

  Yes

  No

  N/A

• All controls identified

  Yes

  No

  N/A

• Crew and Foreman signatures

  Yes

  No

  N/A

• Observed work activities match PTP

  Yes

  No

  N/A

• Acceptable PTP

  Yes

  No

  N/A

• Comments or Corrective Actions