Google TI Daily Safety Inspection Report

• Conducted on

  Date

• Prepared by

• Job Name and Number:

• Project Manager:

• Superintendent:

• Foreman:

Job Office Requirements

• Substance abuse testing

  Yes

  No

  N/A

• Posting requirements (AGC all-in-one)

  Yes

  No

  N/A

• Signage (emergency plan + evacuation route)

  Yes

  No

  N/A

• SDS Manual

  Yes

  No

  N/A

• New hire & visitor orientations completed

  Yes

  No

  N/A

Power Distribution and Tools

• Power tools and cords in serviceable condition

  Yes

  No

  N/A

• Protective equipment (guards present and operational)

  Yes

  No

  N/A

• Lock Out/Tag Out (procedures known and followed)

  Yes

  No

  N/A

• Temp Power plan in place

  Yes

  No

  N/A

• Temp Power elevated off floor per plan

  Yes

  No

  N/A

• Extension cords (elevated or covered at egress crossings, cords not in use rolled up, cords in good condition)

  Yes

  No

  N/A

Personal Protective Equipment

• Personal clothing (proper sleeve length, proper footwear)

  Yes

  No

  N/A

• Hard hats, safety glasses, hi-vis and hearing protection in use

  Yes

  No

  N/A

Fire Protection

• Extinguishers on site (minimum 10lb every 3,00 sq, ft. and at every stair well)

  Yes

  No

  N/A

• Extinguishers tested and inspected, extinguisher stands serviceable

  Yes

  No

  N/A

• Hot work (permit, dedicated extinguisher and fire watch)

  Yes

  No

  N/A

Housekeeping

• Access/Egress and Stairs (free of trip hazards, carts, materials, unattended lifts and swept clean)

  Yes

  No

  N/A

• Floors (swept, garbage picked up and removed)

  Yes

  No

  N/A

• Materials (properly stored, tidy)

  Yes

  No

  N/A

• Lighting (all access/egress pathways and stairwells lit)

  Yes

  No

  N/A

Safe Practices

• Reporting (injuries, accidents, incidents, near misses)

  Yes

  No

  N/A

• Hazardous Material Storage (proper containers and labeling)

  Yes

  No

  N/A

• Access/Egress, Floor Levels and Ramps (clearly marked, rails if needed)

  Yes

  No

  N/A

• Drinking Water (sufficient supply and readily available)

  Yes

  No

  N/A

First Aid/CPR

• Certified provider on site

  Yes

  No

  N/A

• First Aid Kits (serviced and suitable size for crew)

  Yes

  No

  N/A

• Eye Wash

  Yes

  No

  N/A

• First responder kit/Red Bag available

  Yes

  No

  N/A

Fall Protection

• Plan in place (responsibilities defined)

  Yes

  No

  N/A

• Fall Hazards protected (Rails, toeboards, openings covered, holes covered)

  Yes

  No

  N/A

• Fall Protection gear (inspected and serviceable)

  Yes

  No

  N/A

Subcontractors

• Site Specific Safety Plan on file

  Yes

  No

  N/A

• Fall Protection Plan reviewed and on file

  Yes

  No

  N/A

• Violation history (risk assessment performed)

  Yes

  No

  N/A

Public Safety

• Proper Lighting around outside of site

  Yes

  No

  N/A

• Signs (Danger, No Trespassing, Site Information)

  Yes

  No

  N/A

• Comments:

• Site Safety:

  Sign