Hardrock Concrete Placement

• Job Name/ Job Number

• Project Superintendent

• Project Manager

Job site Info

• Is the superintendent on site?

  Yes

  No

  N/A

• Who is the competent person on site?

• Was toolbox topic on PTP?

  Yes

  No

  N/A

• Work area properly signed and barricaded?

  Yes

  No

  N/A

Electrical Safety

• Are crews using Generator?

  Yes

  No

  N/A

• Is a Fire Extinguisher within 5' to 10' of the generator?

  Yes

  No

  N/A

• Is Generator maintained properly?

  Yes

  No

  N/A

• Cords free from visible damage?

  Yes

  No

  N/A

Fire Prevention

• Are fire extinguishers, checked and accessible?

  Yes

  No

  N/A

Housekeeping

• Work area clean and neat?

  Yes

  No

  N/A

• Protruding nails properly bent over or removed?

  Yes

  No

  N/A

• Waste container provided and used?

  Yes

  No

  N/A

Hand and Power tools

• Are hand and power tools being used on job at this time?

  Yes

  No

  N/A

• Tools inspected regularly as required/necessary?

  Yes

  No

  N/A

• Guards in place on tools?

  Yes

  No

  N/A

• Correct tool being used for job at hand?

  Yes

  No

  N/A

Fall Protection

• Is fall protection needed for task(s) being performed?

  Yes

  No

  N/A

• Safety cables and rails secured properly?

  Yes

  No

  N/A

• Safety harnesses worn properly?

  Yes

  No

  N/A

• Employees exposed to falls hazards 6' or greater are 100% tied off?

  Yes

  No

  N/A

• Employees below protected from falling objects?

  Yes

  No

  N/A

Ladders

• Are ladders being used on project?

  Yes

  No

  N/A

• Ladders are secure to prevent slipping, sliding or falling (tied off)?

  Yes

  No

  N/A

• Ladders extended at least 36" above landing?

  Yes

  No

  N/A

• Ladders with split or missing rungs taken out of service?

  Yes

  No

  N/A

• Stepladders used in fully open position?

  Yes

  No

  N/A

Trenching and Excavations

• Are there any Excavations on this project?

  Yes

  No

  N/A

• Are Trenches and Excavations 100% Barricaded?

  Yes

  No

  N/A

• Excavations are benched or sloped as required?

  Yes

  No

  N/A

• Materials stored at least 2' away from excavation?

  Yes

  No

  N/A

• Ladders provided as required (Deeper than 4')

  Yes

  No

  N/A

• Equipment is at a safe distance from edge of excavation?

  Yes

  No

  N/A

Material Handling

• Material properly stored or stacked?

  Yes

  No

  N/A

• Employees using proper lifting techniques?

  Yes

  No

  N/A

Cranes

• Is there a crane on site?

  Yes

  No

  N/A

• Crane operator logs up to date?

  Yes

  No

  N/A

• Hand signal charts on crane?

  Yes

  No

  N/A

• Outriggers extended and swing radius barricade in place?

  Yes

  No

  N/A

• Employees kept from under suspended loads?

  Yes

  No

  N/A

• Flaggers/riggers certifications current and documented?

  Yes

  No

  N/A

• Chains and slings inspected and tagged as required?

  Yes

  No

  N/A

• Tag lines used to guide loads?

  Yes

  No

  N/A

Concrete Construction

• Employees are protected from cement dust?

  Yes

  No

  N/A

• Exposed skin covered?

  Yes

  No

  N/A

• Proper PPE used while pouring? (Tyvek suits, rubber gloves)

  Yes

  No

  N/A

• Exposed rebar ends are protected?

  Yes

  No

  N/A

Personal Protective Equipment

• Employees wearing proper PPE?

  Yes

  No

  N/A

Mobile Equipment

• Are there any type of mobile equipment on site?

  Yes

  No

  N/A

• Is the Owners Manual on the Forklift?

  Yes

  No

  N/A

• Do all operators of powered lifts, forklifts and/or heavy equipment have appropriate and current licensing to operate that equipment?

  Yes

  No

  N/A

• Daily equipment inspections completed?

  Yes

  No

  N/A

• Are seatbelts being worn as required?

  Yes

  No

  N/A

• Are fire extinguishers in equipment as required?

  Yes

  No

  N/A

• Does equipment have backup alarms as required?

  Yes

  No

  N/A

• Are load charts in equipment as required?

  Yes

  No

  N/A

Wall and Floor Openings

• Are all wall openings secured?

  Yes

  No

  N/A

• Are all floor holes covered properly?

  Yes

  No

  N/A

General Safety Observations

• Is the work area sufficiently lighted as required?

  Yes

  No

  N/A

• Is Conex or Gang Box in good condition and Clean?

  Yes

  No

  N/A

Comments

• Comments/Concerns?

  Yes

  No

  N/A

Signatures

• Auditors name

  Sign