Information
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Document No.
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Project Number
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Project Name
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Conducted on
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Prepared by
Fall Protection
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Employees have received training on fall protection (Toolbox talks, safety meetings, JHA's)
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All floor openings 2" or greater covered / Secured / Marked and/or guardrails (skylights, stairwells, duct work block-out, trash chute, etc.)
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Employees secure from unprotected sides and edges with fall exposure more than 6' (windows, working on chillers, etc.)
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Employees with a fall exposure of 6' or more are protected by guardrails or PFA systems
Hand Tools
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Proper tool being used for each job
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Inspected and maintained / Damaged tools tagged and removed
Power Tools
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Proper training provided on tool use
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Inspected and maintained / Damaged tools tagged and removed
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Properly grounded (GFCI), cords and plugs in good condition
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All guards in use
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All hose connection on pneumatic power tools secured by positive connection
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Compressed air shall not be used for cleaning purposes except when reduced <30 PSI & chip guard used
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Proper personal protective equipment used
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Proper tool being used for job
Powder - Actuated Tools
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Building requirements for hours of use complied with
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Only employees properly trained on the tool application and use shall operate / Documented training on file
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Tool inspected each day and maintained per manufacturer / Damaged tools tagged and removed
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Tools shall not be loaded until intended firing time and charges protected from unauthorized use
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Fasteners shall not be driven into very hard or brittle materials
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Proper PPE being used with tool
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Shots properly monitored, misfires disposed of properly
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Driving into easily penetrating materials shall be backed to protect against fastener discharge
Scaffolding
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Competent Person supervising all scaffold work / certification on file
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Has crew received required training / Documented
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Perry Scaffold wheels are locked when in use
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Perry Scaffold wheels & platform secured properly
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All connections secured, braced and anchor as required
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All frame components free of cracks or damage; multiple parts are compatible components
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Platform fully decked and free of debris / All planking must meet OSHA criteria (overlap supports 6"-12")
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Guardrails, Intermediate rails, and Toe-boards in place
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Secured to building properly (at 4 times the minimum base width; Perry Scaffold: at 10')
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Aerial Lift & Scissor Lift Training conducted for employees
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Scissor Lift working area is flat and free of holes, changes in elevation
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Scissor Lift chain is used
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Employees in lift are not standing on the rails
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Working area for workers on stilts is clean
Electrical
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Ground fault circuit interrupters being used in temporary electrical systems
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Ground fault circuit interrupters being used when plugging into permanent power supplies
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Common areas protected from damage of floors / walls
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No materials stored within 30 inches of electrical enclosures
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Live Panels Completely Covered & Locked to prevent Unauthorized Entry, Lock Out & Tag Out Procedures in Place, Electrical Room Door Locked
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Power cords inspected: Cord has Ground Prong/Strain Relief intact/Insulation is not damaged-no electrical tape/Cords away from water and cuts
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All lamps for general illumination protected from accidental contact or breakage
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Are electrical components being used in accordance with intended UL listed use
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No cords in public walkways
Stairs and Ladders
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Employees trained in the proper use of ladders (toolbox talk)
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Stairways or ladder provided at all personnel points with a break in elevation of 19 inches
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All points of access clear to permit free passage (No material or trash at base of ladder or stairs)
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Doors opening directly onto a stairway or platform shall have a platform 20" or more
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Ladders and stepladders inspected prior to use / Defective equipment tagged and removed from service
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Metal ladders not used around electrical hazards
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Stepladders used in fully open position / Do not use top two rungs of stepladder
Other
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Compliance with PPE: Hard Hats, Safety Glasses (100% of Time), Face Shield, Ear plugs, Dust Masks, Respirators, Eye Protection, Boots
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Housekeeping: trip/slip/puncture hazards; clear stairways entrances and exits
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Charged fire extinguishers throughout
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Employees are aware of emergency exit procedures
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Employees are parking in appropriate locations
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Deliveries are being done in a way to protect the non-worksite areas
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Building manager as provided clearance for access to building after hours
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Sprinkler valve locations are known
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Water is shut down during demo and ceiling work, valve is locked out
Protection of the Public
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No smoking signs are posted
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Smoke detectors are not unduly disabled
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Public areas are free of debris and obstructions: aisles, stairs, floor, doorways, emergency exits
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Disposal of trash is conducted per building policy and on a regular basis
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Public rest rooms are kept clean by workers
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Access to work area is clear, adequately marked and secured when not being worked in
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Employees are using the freight elevator only
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Employees are appropriately dressed for an office worksite, no offensive clothing, torn, dirty, etc.
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Smoke detectors have been approved to be shut down during drywall sanding and have been reactivated immediately thereafter
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All return air filters are covered with temporary filters and security has been notified
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Security is aware of work hours, employees, and required internal building permits are on record
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After hours work and elevator time has been scheduled in advance
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Additional Safety Concerns
Concern
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Safety Concern
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Supervisor Responsibility
