Information
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Project Name
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Project Number.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Subcontractors On Site
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Name Of Subcontractor
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Name Of Subcontractor
JOB INFORMATION
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OSHA 300 forms complete and posted from February 1 - April 30?<br>
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OSHA and DOL posters posted?
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Emergency phone numbers posted?
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Tool box safety talks being done?
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MSDS filed?
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Work areas properly signed and barricaded?
HOUSEKEEPING
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Work areas neat?
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Projecting nails or screws bent over or removed?
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Waste containers provided and used?
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Passageways and walkways clear and Marked if needed?
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Cords and leads off the floor?
FIRE PREVENTION
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Adequate fire extinguishers, checked and accessible?
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Phone no. of Fire Department posted?
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"No Smoking" posted and enforced near flammables?
ELECTRICAL
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Extension wires with bare wires or missing ground prongs taken out of service?
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Ground fault interrupters being used?
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Terminal boxes equipped with required covers?
HAND, POWER & POWDER ACTUATED TOOLS
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Hand tools inspected regularly?
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Guards in place on machines?
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Correct tool being used for job at hand?
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Operators of powder actuated tools trained ?
FALL PROTECTION
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Safety rails and cables secured properly?
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Safety harnesses worn properly?
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Employees exposed to fall hazards tied off?
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Employees below protected from falling objects?
LADDERS
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Ladders extended at least 36" above landing?
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Ladders are secure to prevent slipping, sliding or falling?
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Ladders with split or missing rungs taken out of service?
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Stepladders used in fully open position?
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No step at top two rungs of stepladder?
SCAFFOLDING
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All scaffolding inspected daily?
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Erected on sound rigid footing?
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Tied to structure as required?
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Guardrails, intermediate rails, toe boards and screens in place?
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Planking is sound and sturdy?
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Proper access provided?
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Employees below protected from falling objects?
FLOOR & WALL OPENINGS
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All floor openings planked over or barricaded?
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Perimeter protection in place?
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Deck planks secure?
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Materials stored away from edge?
TRENCHES, EXCAVATION & SHORING
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Competent person identified and present?
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Excavations are shored and sloped back?
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Materials are stored at least 2' away from trench?
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Ladders provided every 25' in trench?
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Equipment is at a safe distance from edge of trench or excavation?
MATERIAL HANDLING
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Materials properly stored or stacked?
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Employees using proper lifting techniques?
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Tag lines used to guide loads?
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Proper number of workers for each operation?
WELDING AND BURNING
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Gas cylinders stored upright?
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Proper separating distances between fuels & oxygen?
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Goggles or shields used?
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Fire extinguishers readily available?
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Hoses in good condition?
CRANES
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Outriggers extended and swing radius barricade in place?
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Operator is familiar with load charts?
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Hand signal charts on crane?
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Crane operator logs up to date?
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Employees kept from under suspended loads?
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Chains and slings inspected and tagged as required?
CONCRETE CONSTRUCTION
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Impalement hazards covered?
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Dust Controls in Place?
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Exposed skin covered?
PERSONAL PROTECTIVE EQUIPMENT
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Hard hats being worn?
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Safety glasses being worn?
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Respirators used when required? Proper respirator documentation available?
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Hearing protection being worn when required?
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Traffic vests or high visibility clothing material being worn?
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Safety Manager
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Superintendent