GRSM SAFETY INSPECTION CHECKLIST

• Site conducted

  Select

• Prepared by

  Will Tedmon

• Conducted on

  Date

• Location

• Foreman

Personal Protective Equipment (PPE)

• Hard hats are being worn

  Yes

  No

  N/A

• Safety glasses are being worn

  Yes

  No

  N/A

• High-visibility vests are being worn

  Yes

  No

  N/A

• Proper clothing being worn; long pants, work boots, 4" sleeves

  Yes

  No

  N/A

• Necessary guards in place on grinding/cutting tools

  Yes

  No

  N/A

• Face-shields are being used as required

  Yes

  No

  N/A

Fall Protection

• Employees exposed to fall hazards are protected from falls

  Safe

  At Risk

  N/A

• Safety stands and ropes/cables are secured properly

  Yes

  No

  N/A

• Safety warning line system installed and used properly

  Yes

  No

  N/A

• Fall arrest body harness system used properly

  Safe

  At Risk

  N/A

• Floor openings are secured or barricaded

  Yes

  No

  N/A

Ladders

• Are externally-supplied ladders being used?

  Yes

  No

  N/A

• Ladders extend at least 36" above the landing if accessing upper level

  Yes

  No

  N/A

• Ladders are secured to prevent slipping, sliding or falling

  Yes

  No

  N/A

• Ladders are in good condition, no splits or missing rungs

  Yes

  No

  N/A

• Stepladders used in fully open position

  Yes

  No

  N/A

Scaffolding

• Is there scaffolding on site?

  Yes

  No

  N/A

• Scaffolding installed and inspected by a competent person

  Yes

  No

  N/A

• Erected on sound rigid footing

  Yes

  No

  N/A

• Guardrails, intermediate rails, toe boards & cross braces in place and good condition

  Yes

  No

  N/A

• Proper access provided

  Yes

  No

  N/A

Struck-by Protection

• No items on parapet walls

  Yes

  No

  N/A

• Not working under suspended loads

  Yes

  No

  N/A

Heavy Equipment

• Trained Operator/Rigger/Signal-person

  Yes

  No

  N/A

• All guards in place, back-up alarm functioning

  Yes

  No

  N/A

• Walk-around being performed with each use.

  Yes

  No

  N/A

Electrical

• Extension cords are in good condition, no bare wires or missing ground prongs

  Yes

  No

  N/A

• Ground fault circuit interrupters (GFCI) being used

  Yes

  No

  N/A

Housekeeping

• Are walkways free of debris & obstruction

  Yes

  No

  N/A

• Are work surfaces clear of clutter

  Yes

  No

  N/A

Fire Protection

• Adequate fire extinguishers, inspected and accessible

  Yes

  No

  N/A

• Flammable materials stored properly

  Yes

  No

  N/A

Special

• Employees were exposed to imminent danger

  Safe

  At Risk

  N/A

• Was the hazardous condition/behavior corrected immediately?

  Compliant

  Non-Compliant

  N/A

• NOTES