Title Page
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Conducted on
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Prepared by
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Project #
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Location
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JSA Complete
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Proper permits in place
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Heavy equipment checklist complete
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Lift inspection complete
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Crane inspection complete
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SDS on site
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Emergency phone numbers available
Job site perimeter
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Adjacent structures and public protected
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Perimeter warnings clearly posted
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CAZ complete with tags and not confusing
General safety
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Adequate light level in work area
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Temporary lights are safely installed and guarded
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Emergency access is maintained
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Shafts, floor holes, and slab edges are guarded
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100% use of hard hat and eye protection
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Fall arrest or restraint properly used
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Hearing, feet, hands,faces, arms, and other parts protected
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Toilet facilities adaquate
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Drinking water available
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First aid kits and eye wash stations
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All containers are clearly marked and labeled
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Hand tools
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Power tools and cords inspected and have proper guards in place
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Proper pressures and safeguards for pneumatic tools
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GFCI used and cords have ground
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Electric panels are clearly marked
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Dust and silica is controlled
Heavy equipment and trucking
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Does equipment have a safe area to operate with spotter
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Using proper PPE to change attachments
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Trucks don't have any debris hanging off or on tailboard
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Loads are properly covered with secured tarp
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Equipment is chained down and secured for transport
Fire safety and fire watch
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Extinguishers inspected annually and monthly
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Flammable fuels stored in proper containers
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Fire watch trained and has extinguisher and water hose as needed
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Combustibles removed from area of hot work
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Equipment protected as needed with fire blanket or other means
Cranes and rigging
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Crane operator has certification
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Counterweight and swing radius is protected
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Proper clearance from electric and object contact
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Safety features are in place and functioning
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Trained rigger and signal person
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Rigging has been inspected before every use and is tagged and marked
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Hooks on rigging and crane have keepers in place and functioning
Ladders
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Ladder inspection
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Ladder has proper angle, 3 ft above landing, tied off, and is used properly
Torching and burning
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Condition of cables, hoses, gauges, proper torches, ect
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Cylinders properly stored and separated when not in use
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Flash-back arrestors used
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Burners in FR coveralls, respirator, shaded face shield, and burning gloves
Confined Space
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Proper signage
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Written plan and documented training
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Proper permits and enforced
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Adequate rescue measures available
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Testing equipment calibrated and used
Compressors and generators
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Exhaust issues addressed
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Safety features and safeguard requirements verified ( grounding)
LOTO/Air Gap
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Equipment being removed is been airgapped and verified by a joint walk
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LOTO procedure is being followed completely if being used
Excavation
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Utilities clearly marked
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Daily reports and inspections by Competent person
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Perimeter warnings are clearly posted and barricaded and tagged
Worker safety training
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Weekly tool box talks
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New worker orientations complete
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All employees have been trained to task
Other
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Other
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Other
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Other