Title Page
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Conducted on
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Prepared by
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Location
Personal Protective Equipment
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Safety glasses being used?
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Face shield used for Grinding, Chipping, Blowing?
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Hand protection used as required?
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Safety toe boots worn?
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Hearing protection worn where required?
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Hard hats worn correctly?
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Respirators used as required?
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High visibility vest worn as needed?
Electrical Safety
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GFCI's used for all portable electrical hand tools?
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LO/TO is being used for appropriate tasks?
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No exposed electrical parts?
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Electrical cords inspected and have all prongs intact?
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Electrical power tools are double insulated or grounded?
Compressed Gasses
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Compressed gas cylinders stored upright and secured?
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Oxygen/acetylene torch units have flash back arrestors?
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Compressed gas cylinders not in use have caps in place?
Excavation
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Ladders if >4ft deep? Extended 3ft? 50ft apart?
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Protection from caveāins for >4ft?
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Sloping, shoring, benching evaluated?
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Daily inspection?
Hand Tools/Power Tools
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Grinders have guards in place?
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Pneumatic power tools have hoses secured?
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Circular/table saws equipped with protective guards?
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Unsafe hand tools are removed from service?
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Impact tools, hammers kept free of splinters/mushrooms?
Haz Com
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SDS available to all employees?
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Flammable liquids are in approved safety cans?
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Flammable liquids containers labeled properly?
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All hazardous containers labeled appropriately?
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Supplies on hand for accidental chemical spills?
Ladder/Stair Safety
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Ladders are safe and inspected?
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Stairs or ladder provided for access points >19" high?
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Extension ladders extend 3' beyond landing and secured?
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Stepladders are only used in open position?
Confined Space
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Confined space entry work sign posted?
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Retrieval device in place and utilized?
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Permit for confined spaces?
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Fire/Rescue notified for confined space entry?
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Air monitoring?
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Training in place?
Material Handling
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Rigging is free of hazardous defects?
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Crane setup and use is done by qualified operator?
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Hooks used for lifting have safety latch in place?
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Storage areas are well maintained?
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Use and practice by workers is acceptable?
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"Free rigging" from forks not observed?
Emergency/First Aid
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Emergency phone numbers posted?
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Emergency eyewash units accessible?
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First aid kit available at work site?
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Fire extinguishers readily available?
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Fire extinguishers inspected?
General Safety
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General housekeeping is neat and orderly?
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Wall and floor openings are covered or guarded?
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Rebar caps used for protruding bars?
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Concrete work is completed wet or with dust collection?
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Scaffolding guardrails used at 6' or greater?
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Competent person on site?
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Scaffold design by qualified person?
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Monitoring of personnel and/or atmosphere as required?
Other
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Permits in place (critical lift, hot work, lockout/tagout, excavation, confined space entry, working at heights?
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Toolbox talks conducted and documented?
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Signs/signals/barricades in place?
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Training conducted and documented?
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THA completed and reviewed with workers?
Confirmation
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General Comments:
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Inspection Completed By: