Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Subcontractors
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IC Project Manager
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IC Superintendent
Administration
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Independence Construction personnel have body temperatures less than 100.4 degrees
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Subcontractors report that their personnel have body temperatures less than 100.4 degrees
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All personnel are maintaining 6' distance from others as much as reasonably possible.
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All personnel are wearing Covid-19 face coverings?
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Is a properly trained supervisor on site?
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Is there an individual certified in first aid/CPR onsite?
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Is there a first aid kit available onsite?
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Is there a Site Specific Safety Plan?
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Are emergency/ safety team/ hotline numbers posted?
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Is a map to medical facility available/posted?
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OSHA Posters posted?
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State/Fed. posters posted in English/Spanish?
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Are safety manuals readily available?
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Have IC orientations been conducted/completed
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Are daily Subcontractor construction and sign-in logs being submitted daily by each sub-contractor?
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Superintendent performing safety inspections throughout the day?
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Are safety concerns being addressed and documented in the weekly job site meetings?
Aerial Lifts
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10' away from overhead power lines?
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Exceeding load limits?
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Properly using personal fall arrest system?
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Is gate or chain secured?
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Lift operating on a stable surface
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Is the operating surface free from holes or sudden changes in elevation?
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Overhead obstructions?
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Has the lift been modified?
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Occupants standing on the guardrails?
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Is the lift being used as a crane?
Concrete/Masonry
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No personnel under the concrete Bucket?
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Limited access zone during wall installation on unscaffolded side?
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All walls over 8' braced?
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limited access zone is wall height plus 4'?
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Limited access zone runs the length of the wall?
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Rebar caps in place?
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Concrete stakes made safe?
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Pump truck level and on solid surface, no utilities?
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Bull float handles away from electrical power source?
Confined Space
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Competent person?
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Are atmospheric conditions being monitored?
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Permit required confined space?
Cranes
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Exhibit F-Crane Safety Checklist completed?
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Is the load bearing capacity of the soil acceptable for hoisting operations?
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Have underground utilities located?
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Swing radius barricaded?
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No hoisting over personnel?
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Safe working distance from overhead power lines?
Electrical
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GFCI being used?
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Repaired cords?
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3-wire,12 gauge with ground pin in place?
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Temp lights suspended by power cords?
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Cords in the walkway?
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Workers exposed to open electrical panels?
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Signage warning of electrical hazards?
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LOTO being used correctly?
Excavations
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One call system used?
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Surface traffic exposure?
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Excavations > 20' engineered?
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Excavation 4'+ ladder within 25' or ramp?
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Excavations 5'+ proper protection in place?
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Spoils pile 2+ from edge of excavation?
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Perimeter properly protected?
Fall Protection
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Guardrails at 42" +/- 3"?
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Top-rail able to withstand 200lbs. of force?
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Midrail?
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Midrail able to withstand 150lbs. of force?
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Wall openings protected?
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Guardrail system for exposed edges 6'+?
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Is the full body harness worn properly?
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Will the anchorage point support at least 5,000 pounds?
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Is there a Rescue Plan?
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Are floor openings covered, secured, and marked hole?
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Cover able to support 4x weight?
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Are warning lines being used correctly?
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Is there a safety monitoring system?
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Overhead protection in place?
Fire Protection
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2A fire extinguisher on site?
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Fire extinguishers charged and Inspected?
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One for every 3,000 sqft of building?
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Travel distance not more than 100'?
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Clear access for emergency vehicles to hydrants?
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10B extinguisher < 25' not > 50' from 5+ gallons of fuel?
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Proper closed storage tanks/cans being used?
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More than 25 gallons stored outside of fire resistant cabinet?
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No smoking signs in place?
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Grounding on refueling tank?
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Proper barriers around refueling tank?
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Hot Work: Suitable fire extinguisher?
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Fire watch?
Hand and Power Tools
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Hand tools properly maintained?
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Impact tools mushroomed?
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Cracks in wooden handles?
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Power tools properly grounded?
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Guards in place?
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Powder actuated tool loaded left unattended?
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Worker using anti-kickback techniques for chain saws and cut-off saws?
House Keeping
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Protruding nails?
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Trip hazards?
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Combustible scraps and/or solvent waste?
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Is trash collected in proper containers?
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Flammable dust controlled?
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Disposal chute over 20' enclosed?
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Dropped debris w/o chute warning signs, 42" barricades 6' back?
Ladders
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Proper ladder for the job?
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Is ladder being used properly?
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Ladder labeling is in place?<br>
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Structural damage?
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Is ladder secured?
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Is extension ladder used on 4:1 pitch?
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Does ladder extend 3' or more above access point?
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Is the ladder footing on a level stable surface?
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3-points of contact maintained?
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Are access/egress areas free of debris/materials?
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Set up within 10’ of overhead power lines?
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Conductive material?
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Fixed ladder over 24’ PFAS?
Material Handling
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Equipment operating within 10’ of power lines?
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Operator paying attention?
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Damaged rigging?
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Tags in place?
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10 randomly broken wires in wire rope sling?
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5 broken wires in 1 rope strand in 1 rope lay?
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Dead horse saddled?
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Synthetic slings snagged, punctured, torn, cut, burned, or worn?
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Sling angle less than 45°?
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Softener needed?
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Self-closing hooks in place?
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Safe load limits on floor of storage area?
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Masonry stacked +6' tapered?
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Lumber not stacked +16'
Means of Egress
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Proper lighting?
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Exit signs visible?
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Exits free of obstructions?
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Exits maintained?
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Exits unlocked?
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Motorized Equipment
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Is operator working safely?
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Is machine operating at least 10' away from overhead power lines?
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Is proper operator protection in place ROPS?
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Does backup alarm function properly?
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Seat belts?
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Is flag man required/ present?
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Personnel working under suspended component?
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No riders on exterior of moving equipment?
Personal Protective Equipment
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Hard hats, Safety glasses, High Vis, Work boots, and Gloves?
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Hearing protection, Face shield?
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Visitor PPE available?
Scaffolds
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Erected within 10’ of overhead power lines?
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Fully planked?
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Working/walking surface 18”+ wide?
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Proper access when over 24” vertical and 14” horizontal?
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Climbing the X braces?
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Guardrails, Midrails, Toeboards, Mesh needed?
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Wheels locked on mobile scaffolds?
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Real scaffold plank being used?
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Plumb, level, and square?
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Base plates and mud sills?
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Ties after 4:1 base to height every 30’ horizontally?
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Are materials being loaded properly?
Silica
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Using Table 1?
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Dust controlled with water?
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Is the slurry being cleaned up while wet?
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Dust mask?
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Sweeping compound being used?
Site
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Is an adequate supply of drinking water available?
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Are sanitary facilities available, adequate, and clean?
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1 toilet per 20 workers or less on site?
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20 workers or more on site 1 toilet seat 1 urinal?
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Is there an Emergency Action Plan?
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Has a rally point be established?
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Has a site evacuation signal been established?
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Are excavations properly protected?
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Is falling object/overhead protection in place?
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Are perimeter fences installed?
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Are barricades installed properly?
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Is adequate lighting available?
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Is public protection signage necessary/present?
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Is traffic control plan in place?
Stairways
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Pan steps made safe?
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Stairways with 4 or more risers or more than 30” in height handrail on at least one side?
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Handrails between above tread 30”- 37”?
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Unprotected sides have a guardrail system?
Steel Erection
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15’+ and above PFAS?
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30’+ or 2 stories+ connectors PFAS?
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No personnel under suspended loads?
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At least 4 anchor bolts per column base?
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1 wrench tight bolt per column connection?
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Bar joist bolted before hoisting cable released?
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Bar joist bridging install before decking bundle is place on at least 3 joist?
Welding/Cutting
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Wrench in position on valve?
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Are cylinders upright, capped, and properly secured?
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Are torch hoses in good condition?
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Is proper PPE in use (FR clothing, gloves, burning shield, safety glasses)?
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Shielding workers from arch?
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Is welding machine properly ventilated?
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Are welding leads in good condition?
Conclusion
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I agree to address and abate the above issues prior to
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