Information
-
Conducted on
-
Job/Customer name
-
Inspected by/Title
-
# of Helmkamp employees working on this project
-
Superintendent
-
Project Manager
Paperwork and other Postings
-
OSHA posters?
-
Emergency phone number and medical provider provided for this project
-
Toolbox Talks completed weekly (1926.21)
-
Daily Pre-Task JSA conducted on this project
-
Weekly safety audit is being performed on this project
General
-
Safe access to work area
-
Adequate lighting is provided in work area
-
Housekeeping is acceptable and reasonably maintained in work areas and combustible scrap construction debris is removed at regular intervals (1926.25)
-
Barricades/debris protection
-
Eye wash available
-
Fire extinguisher; Good condition; current inspection tag
-
First Aid kit and certified employees
-
Trucks; safe/good condition; DOT regulation compliance
PPE
-
ANSI approved eye protection is used as required (1926.102)
-
Hardhats are worn as required (1926.100)
-
Appropriate hand protection worn as required (1926.28)
-
Hearing protection (engineering controls, double protection for high noise areas, rotation of employees) (1910.95)
-
Appropriate safety footwear worn as required (1926.96)
-
Full face shield being used with abrasive wheel use or other task requiring full face protection
-
High visibility clothing is worn as required (1926.28)
-
Fall protection in use
-
Respirators/face masks in good condition and used as required (Medical evaluation and fit test)
Tools and Equipment
-
Employees using right tool for the job
-
Guards are in place and functional on power tools (1926.300)
-
The work piece is secured to allow two hands on power tool
-
Employee observed using proper footing and body positioning while operating power tools
-
Wooden handles are free of cracks/splinters and kept tight in tool (1926.301)
-
Hand and power tools are maintained in safe operating condition and in compliance with HCC tool tape program (1926.300)
Heavy Equipment/Aerial Lifts
-
Daily inspection completed
-
Moving parts/pinch points are identified and protected
-
Fire extinguisher mounted and in good condition
-
Seatbelt worn during operation
-
Backup alarm operable/guide used
-
Workers always standing firmly on the floor of the basket, and not allows to sit or climb on the edge of the basket or use planks, ladders or other devices for work position. 1926.453(b)(2)(iv) <br>
-
Work platforms are kept reasonably clear of debris
-
Mid rail chain/gate used when working in aerial lifts
-
Workers in LJG BOOM LIFTS are 100% tied off and the operator has training certificate on file
Cranes/Rigging
-
Workers are not allowed to stand or pass under a suspended load (1926.1425)
-
Power lines are de-energized and grounded and/or 20 foot clearance is maintained and/or crane, line and load maintain clearance requirements listed in table A section 1926.1408 (1926.1407-1408)
-
Accessible areas around the crane's rotating superstructure (counter weights) is ribboned off to prevent employees from entering "danger swing crush zone"
-
Rigging equipment has lift capacity clearly marked with legible identification markings prescribed by the manufacturer (do NOT exceed working load limits) 1926.251(c)(1)
-
Eyes in wire rope bridles, slings, or bull wires are not formed by wire rope clips or knots (1926.251(c)(4)(iii)
-
Rigger(s) are properly trained and qualified and authorized to perform rigging duties (1926.1425)
-
Signal person(s) have been trained, qualified and authorized to perform standard crane signal duties (1926.1428)
-
Current crane inspections are on file (daily and annual inspection required)
Fall Hazards!
-
Floor and wall openings are guarded/covered
-
Roof edges are guarded or protected with the approved fall protection system/warning line or other approved system
-
Fall protection equipment inspected and in safe condition
Ladders
-
Ladders have been inspected and no visible defects (1926.1053)
-
Ladders are set up on a firm and level base (1926.1053)
-
Ladders in good condition; tied back to prevent side shift; extended 3 ft. beyond landing (1926.1053)
-
Workers observed working safely from ladders, three point contact while descending/ascending never over reaching or standing on top two steps.
Scaffolding
-
Proper footing in mud sills are provided
-
Properly erected, braced, and fully planked
-
Railings and toeboards are provided when over six-foot high
-
Do scaffold planks extend past there end supports not less than 6 inches and not more than 12 inches?
-
Access ladder is provided on scaffolding
-
Are scaffolds with a height to base width (including outriggers if used ) ratio of more than four to one (4:1) restrained from tipping by guying, tying, or bracing. 1926.451 (c)(1)
Electrical
-
Extension cords have ground pin attached (1926.403)
-
GFCI used on 120 V single phase, 15 and 20 amp receptacle outlets (1926.404)
-
Extension cords are in good condition not worn or frayed (1926.416)
-
Cords protected and are kept clear of walkways (1926.416)
-
Electrical panels/circuits are effectively enclosed (1926.405)
-
All live electrical components are covered and protected i.e receptacles and switches
-
Lock out tag out stored energy
-
Temporary lighting is guarded
Welding and Cutting
-
Suitable fire extinguishing equipment readily available (1910.252)
-
Eye protection suitable for welding hazard (1910.252)
-
Welding curtains used as required (1910.252)
-
Oxygen cylinders are separated from fuel gas cylinders (1910.253)
-
Valves/couplings/hoses are free of oily greasy substances (1910.253)
-
Gas cylinders are used and stored with valve end up and valve caps are replaced when not in use (1910.253)
-
Cables and hoses are protected and in good repair
-
Flashback arresters are installed
-
The area is ventilated
Concrete work
-
Rebar caps are in place
-
Workers are assisted with heavy lifting or to eliminate awkward body positioning while setting forms
-
Protruding nails have been removed from wrecked forms
-
Other observations?
Excavations
-
Proper slope bench or showing
-
Spoil piles are removed at least 2 feet away from the edge
-
Barricades are in place
-
Access and egress provided
-
Underground utilities have been identified and marked
Confined Space Entry
-
The proper confined space permit is completed and on file
-
Designated attended and entrant have been trained
-
Four gas monitor used and atmospheric conditions have been documented
-
Rescue operations present or notified
Hazardous Chemicals/Air Contaminants
-
Hazard communication-right to know written program on job
-
List of hazardous materials on job
-
Safety Data Sheets are readily available to employees
-
Employees are familiar with program
-
Proper containers in use with correct labels
