Hogan Daily Worksite Safety Inspection

• Document No.

• Project Name

• Project Number

• Conducted on

  Date

• Prepared by

Fall Protection

• Project Management aware of Fall Safe Site Specific Plan and is implementing plan

  Yes

  No

  N/A

• Employees have received training on fall protection (Toolbox talks, safety meetings, JHA's)

  Yes

  No

  N/A

• Guardrails/ cables in - place and properly secured and flagged (Exposure to falls 6' or greater)

  Yes

  No

  N/A

• Employees secure from unprotected sides and edges with fall exposure more than 6'

  Yes

  No

  N/A

• Employees working on or near leading edges are protected from fall hazards 6' or more

  Yes

  No

  N/A

• Employees below protected from falling objects

  Yes

  No

  N/A

• All floor openings 2" or greater covered / Secured and Marked

  Yes

  No

  N/A

• All manholes are securely covered, marked as required

  Yes

  No

  N/A

• All wall openings on walking / working surfaces guarded - 30" x 18" or greater

  Yes

  No

  N/A

• Safety Harness and life lines inspected and used properly

  Yes

  No

  N/A

• Employees in Aerial lift are tied to the tie-off eyes

  Yes

  No

  N/A

Excavation

• Competent Person supervising all excavation work, competent person card is on file

  Yes

  No

  N/A

• Permit from Utility Protection Center (800 - 282 - 7411)

  Yes

  No

  N/A

• Crew has received training on the hazards (cracking, raveling, water, vibration, vehicular traffic)

  Yes

  No

  N/A

• Registered Engineered Design for all excavation 20' or greater

  Yes

  No

  N/A

• Excavation Inspected - Excavation Daily Inspection completed prior to shift starting and after rainstorms

  Yes

  No

  N/A

• Excavation sloped 1-1/2:1 & spoil piles stored at least 2' from trench edge

  Yes

  No

  N/A

• Shoring/ Shield Protection designed by Engineer (OSHA guidelines or Manufactures Tabulated Data- not job made)

  Yes

  No

  N/A

• Shoring/ Shield Protection installed with Manufacture's Tabulated Data (Boxes: max 2' above bottom of trench; 18" below toe of slope/box combo)

  Yes

  No

  N/A

• Water controlled and Hazardous Atmospheres Tested (Confined Space Requirements)

  Yes

  No

  N/A

• Stability of utilities and adjacent structure properly protected and shored

  Yes

  No

  N/A

• Employees protected from falling loads (not working below loads, wearing hard hats)

  Yes

  No

  N/A

Access / Egress

• A) Ladders, ramps or stairways provided & secured within 25 feet of employee in trench

  Yes

  No

  N/A

• B) Equipment Ramps and Stairway properly designed

  Yes

  No

  N/A

• Equipment is at a safe distance from edge of trench or excavation (at least as far away from the edge as the trench is deep)

  Yes

  No

  N/A

• Excavation Barricaded / Protected from Vehicular Traffic / Adequate lighting provided

  Yes

  No

  N/A

Scaffolding

• Employees below protected form falling objects

  Yes

  No

  N/A

• Competent Person supervising all scaffold work / certification on file

  Yes

  No

  N/A

• Has crew received required training / Documented

  Yes

  No

  N/A

• Scaffold inspection sheet completed / Tag system used

  Yes

  No

  N/A

• Erected on sound rigid footing, sills, base plates or screw jacks, frames plumb and square

  Yes

  No

  N/A

• All connections secured, braced and anchor as required

  Yes

  No

  N/A

• All frame components free of cracks or damage; multiple parts are compatible components

  Yes

  No

  N/A

• Proper ladder access provided

  Yes

  No

  N/A

• Proper access from another scaffold/building provided (within 14" horizontal; within 2' vertical)

  Yes

  No

  N/A

• Platform fully decked and free of debris / All planking must meet OSHA criteria (overlap supports 6"-12")

  Yes

  No

  N/A

• Secured to building properly (at 4 times the minimum base width; at both ends , every 30' horizontally, every 20' vertically with at least #9 wire or better)

  Yes

  No

  N/A

• Guardrails, Intermediate rails, and Toe-boards in place

  Yes

  No

  N/A

• Aerial Lift & Scissor Lift Training conducted for employees

  Yes

  No

  N/A

Electrical

• Ground fault circuit interrupters being used in temporary electrical systems

  Yes

  No

  N/A

• Ground fault circuit interrupters being used when plugging into permanent power supplies

  Yes

  No

  N/A

• Has lock out / tag out program been been established and in place

  Yes

  No

  N/A

• Receptacles equipped with required covers for the location / Protected from energized equipment

  Yes

  No

  N/A

• No materials stored within 30 inches of electrical enclosures

  Yes

  No

  N/A

• Live Panels Completely Covered & Locked to prevent Unauthorized Entry, Lock Out & Tag Out Procedures in Place, Electrical Room Door Locked

  Yes

  No

  N/A

• Power cords protected on all traffic and walk ways

  Yes

  No

  N/A

• Power cords inspected: Cord has Ground Prong/Strain Relief intact/Insulation is not damaged-no electrical tape/Cords away from water and cuts

  Yes

  No

  N/A

• All lamps for general illumination protected from accidental contact or breakage

  Yes

  No

  N/A

• Are electrical components being used in accordance with intended UL listed use

  Yes

  No

  N/A

• Signs, tags, and barricades provided to warn of overhead electrical lines

  Yes

  No

  N/A

• Are electrical lines at least 15' away from scaffolding or cranes or they are insullated

  Yes

  No

  N/A

Stairs and Ladders

• Employees trained in the proper use of ladders

  Yes

  No

  N/A

• Stairways or ladder provided at all personnel points with a break in elevation of 19 inches

  Yes

  No

  N/A

• Stairways having four or more risers or rising 30" or more requires handrail on all unprotected sides or edges

  Yes

  No

  N/A

• Poured concrete stairs are prevented from being used prior to stair pans being filled

  Yes

  No

  N/A

• Elevated work areas with 25 or more employees requires a double - cleated or two or more separate ladders

  Yes

  No

  N/A

• All job made ladder rungs cleated level and spacing not over 12" on center

  Yes

  No

  N/A

• All points of access clear to permit free passage (No material or trash at base of ladder or stairs)

  Yes

  No

  N/A

• Doors opening directly onto a stairway or platform shall have a platform 20" or more

  Yes

  No

  N/A

• Ladders and stepladders inspected prior to use / Defective equipment tagged and removed from service

  Yes

  No

  N/A

• Metal ladders not used around electrical hazards

  Yes

  No

  N/A

• Ladders secured to prevent slipping, sliding or falling and extended at least 36" above landing

  Yes

  No

  N/A

• All tools and materials are to be raised and lowered by rope or machine

  Yes

  No

  N/A

• Stepladders used in fully open position / Do not use top two rungs of stepladder

  Yes

  No

  N/A

Other

• Compliance with PPE: Hard Hats, Safety Glasses (100% of Time), Face Shield, Ear plugs, Dust Masks, Respirators, Eye Protection, Boots

  Yes

  No

  N/A

• Housekeeping: trip/slip/puncture hazards; clear stairways entrances and exits

  Yes

  No

  N/A

• Charged fire extinguishers throughout

  Yes

  No

  N/A

• Cranes: Proper cribbing under outriggers, swing radius barricaded, annual and weekly inspection, check slings, straps, chokers

  Yes

  No

  N/A

• Additional Safety Concerns

Concern

• Safety Concern

• Supervisor Responsibility