Hausmann Safety Inspection Report

• HCI -

• Conducted on

  Date

• Doug Schneider

• Location
  Address

• Superintendent

OSHA & Emergency Posters

• Are all required OSHA posters present?

  Yes

  No

  N/A

• Emergency Action Plan Posted?

  Yes

  No

  N/A

• Emergency Services Maps Posted?

  Yes

  No

  N/A

• SDS/MSDS Information Available?

  Yes

  No

  N/A

Sub-Contractor Safety Programs - On Hand

• Sub-Contractor weekly safety talks available? JHA's up to date for site specific task?

  Yes

  No

  N/A

• Sub-Contractor SDS - On Hand

  Yes

  No

  N/A

• Hausmann Weekly Safety Meeting Held

  Yes

  No

  N/A

Personal Protective Equipment

• Proper eye protection being used?

  Yes

  No

  N/A

• Hardhats on all personnel?

  Yes

  No

  N/A

• Proper Hi-Vis being worn?

  Yes

  No

  N/A

• Hearing protection?

  Safe

  At Risk

  N/A

Housekeeping

• Housekeeping acceptable?

  Yes

  No

  N/A

Fall Protection

• Is fall protection being used when required?

  Yes

  No

  N/A

• Are guardrails properly installed?

  Yes

  No

  N/A

• Is the guardrail cable at proper tension (+/- 3 inches)

  Safe

  At Risk

  N/A

G.F.C.I / Extension Cords

• Extension cords suitable?

  Yes

  No

  N/A

• Are GFCI's being utilized?

  Yes

  No

  N/A

Electrical Equipment

• Temp panels properly secured and labeled?

  Yes

  No

  N/A

• Are any live wires/circuits exposed?

  Yes

  No

  N/A

• Are the temp lights in good condition?

  Yes

  No

  N/A

Power Lines & Utilities

• Power Lines (above & below round) & utilities marked and identified?

  Yes

  No

  N/A

Excavations / Competent Person

• Have HCI required daily trench sheets been filled out?

  Yes

  No

  N/A

• Cave-in protection?

  Bench

  Shor Jacks

  Trench Box

  Combo, bench & box or jacks

  Other Means

• Has proper access/egress been provided?

  Yes

  No

  N/A

• If water is present in trench, is it being properly handled?

  Yes

  No

  N/A

Scaffolding / Guardrail

• Has scaffold been inspected?

  Yes

  No

  N/A

• Have guardrails/endrails been installed when required?

  Yes

  No

  N/A

• Scaffold setup?

  Safe

  At Risk

  N/A

• Have the braces & pins been properly installed?

  Yes

  No

  N/A

• Is proper access provided?

  Yes

  No

  N/A

Flammable Liquids

• Flammable material storage?

  Safe

  At Risk

  N/A

Compressed Gas Cylinders

• Compressed gas cylinders properly stored?

  Safe

  At Risk

  N/A

• Compressed gas cylinders secured while in use?

  Yes

  No

  N/A

Fire Extinguishers

• Fire extinguishers present, serviced, and operable?

  Yes

  No

  N/A

Welding Equipment / Hot Work

• Hot Work meets Hausmann requirements?

  Yes

  No

  N/A

• Fire extinguisher close by?

  Yes

  No

  N/A

Crane / Hoist Operations

• Crane inspections being done daily?

  Yes

  No

  N/A

• is the crane operator properly certified?

  Yes

  No

  N/A

• Opinion - crane operation?

  Safe

  At Risk

  N/A

Rigging Inspections

• Rigging inspections completed?

  Yes

  No

  N/A

• Does the rigging in use appear to be in good condition?

  Yes

  No

  N/A

Equipment Operations

• Does the heavy equipment appear to be functioning properly?

  Yes

  No

  N/A

• Are the backup alarms functioning properly?

  Yes

  No

  N/A

• Opinion - Operator(s) behavior?

  Safe

  At Risk

  N/A

• Rollover protective systems installed?

  Yes

  No

  N/A

Traffic Controls / Signage

• Traffic Control / Signage present when needed?

  Yes

  No

  N/A

• Traffic Control / Signage clearly visible?

  Yes

  No

  N/A

Forklift Operators Certified

• Forklift operators certified?

  Yes

  No

  N/A

• Any observable forklift related safety issues?

  Yes

  No

  N/A

• Any observable forklift modifications?

  Yes

  No

  N/A

• Forklift attachments properly secured to forklift?

  Yes

  No

  N/A

Chemicals / Labeling

• Hazardous materials properly labeled?

  Yes

  No

  N/A

• Are proper precautions being followed per label?

  Yes

  No

  N/A

• Any concerns regarding exposure to chemicals?

  Safe

  At Risk

  N/A

Hand / Power Tools

• Hand tools have proper guards installed?

  Yes

  No

  N/A

• Power tools have proper guards installed?

  Yes

  No

  N/A

Ladders / Stairways

• Ladders in good condition

  Yes

  No

  N/A

• Ladders being used properly?

  Yes

  No

  N/A

• Access ladder extend 3ft above landing surface?

  Yes

  No

  N/A

• When required, are ladder(s) properly secured?

  Yes

  No

  N/A

Rebar Protection

• Rebar protection present?

  Yes

  No

  N/A

• No other site issues that need addressed, Is this correct?

  Yes

  No

  N/A