HardHat Job Site Safety Evaluation (Renewables) 1.0

• Site conducted

  Select

• Document No.

• Completed by

• Date

  Date

• Customer name

• Job site name

• Job site address
  Address

Job Site Information

• Supervisor's name and contact number.

• General Contractor on job site.

• Supervisors & employees understand HardHat's injury reporting policy.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Safety meetings/toolbox talks being conducted by the customer.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Please list the current work tasks being performed.

Employee Interaction

• Number of HardHat employees on the job site.

• Number of HardHat new hires on the job site.

• Number of HardHat employees interacted with on job site.

• List safety topics discussed.

• Safety concerns reported by employees.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Required PPE worn (hard hat, glasses, gloves and vest/t-shirt).

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Condition of PPE.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Employees using proper lifting methods.

  Acceptable

  Addressed

  Attention Needed

• undefined

• Proper number of employees for each operation.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

Housekeeping

• Overall cleanliness of the job site.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Slip, trip, and fall hazards.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Silica (dust) engineering controls in-place.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Availability of fire extinguishers on the job site.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Job site materials are stored securely to prevent falling, sliding, or collapse.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

Electrical

• "No energized work!", emphasized to employees and supervisors.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Condition of extension cords.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Ground fault circuit interrupters being used.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Known electrical hazards identified.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

Hand, Power & Powder Actuated Tools

• Are hand, power, or powder actuated tools being used?

  Yes

  No

• Hand and power tools inspected regularly and in good working condition.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Power tool safety guards.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

Fall Protection

• Are employees working at heights greater than 6ft. or on lifts?

  Yes

  No

• Employees working more than 6' above a lower level are protected by guardrails or personal fall arrest system.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Harnesses and lanyards fitted and used properly.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

Ladders

• Are employees using ladders?

  Yes

  No

• Employees using at least 3 points of contact while ascending and descending.<br>

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Ladders are secured on firm ground to prevent slipping, sliding, or falling?

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• A-frame ladders in the fully open position.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• No stepping on top two rungs of stepladder.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

Heavy Equipment

• Is any heavy equipment being operated by our employees on the job?

  Yes

  No

• Operators are certified.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Equipment is inspected before use.

  Acceptable

  Addressed

  Attention Needed

• Please describe

  please list

• Seat belts used.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

  please list

Trenches, Excavation & Shoring

• Are any trenches on the job site?

  Yes

  No

• Competent person on hand and inspecting daily.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Linespot complete and underground lines flagged.

  Acceptable

  Addressed

  Attention Needed

• undefined

• Ladder access, steps, or ramp in trenches 4ft. or deeper and located every 25ft.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Excavations 5ft. or deeper are sloped back or protected inside with shields.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Material, equipment, and spoil pile are 2ft.+ from trench edge.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

Review of Findings

• Hazards & concerns addressed with employees and supervisors.

  Acceptable

  Addressed

  Attention Needed

• Please describe.

• Does the site require a follow-up or re-inspection?

  Yes

  No

• Re-inspect before

  Date

• Today's date

  Date

• Type name & sign name below

  Sign