ICG Safety and Health Inspection

• Subsidiary and branch office

• Project name

• Project number

• Client

• Project supervisor

• Location of project
  Address

• Inspection Conducted on

  Date

• Prepared by

Project Description

General Project Safety

• Are emergency numbers posted in a conspicuous place including the plant emergency number, if applicable

  Yes

  No

  N/A

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• Are first aid supplies readily available including eye wash kits?

  Yes

  No

  N/A

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• Is at least one member of the crew current in First Aid and CPR certification?

  Yes

  No

  N/A

• Are all employees and supervisors aware of the incident reporting policy?

  Yes

  No

  N/A

Safety Planning

• Is the Project Safety Plan complete and does it adequately identify all high risk activity?

  Yes

  No

  N/A

• Have all employees attended orientation and reviewed the PSP?

  Yes

  No

  N/A

• Are thorough Task Safety Analyses conducted by each crew?

  Yes

  No

  N/A

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Personal Protective Equipment (PPE)

• Is standard issue PPE in use by all employees (hard hat, safety glasses, cut resistant gloves, and safety toe boots)?

  Yes

  No

  N/A

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• Is task specific PPE used as required? List any task specific PPE

  Yes

  No

  N/A

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• Is customer required PPE used as required? List customer required PPE

  Yes

  No

  N/A

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Site Conditions

• Good housekeeping maintained in our work areas?

  Yes

  No

  N/A

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• Walkways, exits, and stairs kept clear?

  Yes

  No

  N/A

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• Are materials and equipment stored properly?

  Yes

  No

  N/A

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Work at Heights

• Are employees working at heights properly protected?

  Yes

  No

  N/A

• Are personal fall arrest systems (PFAS) being used properly

  Yes

  No

  N/A

• Have employees been trained in the use of PFAS?

  Yes

  No

  N/A

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• Is fall protection equipment used, inspected, and maintained properly?

  Yes

  No

  N/A

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• Are the anchorage points suitable?

  Yes

  No

  N/A

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• Are horizontal lifelines being used properly

  Yes

  No

  N/A

• Have they been installed and used in accordance with an engineered design?

  Yes

  No

  N/A

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• Are temporary guardrail systems adequate?

  Yes

  No

  N/A

• Are guardrail systems built in accordance with OSHA requirements for height, strength, and component size and spacing?

  Yes

  No

  N/A

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• Are toe boards provided when falling objects pose a hazard to workers below?

  Yes

  No

  N/A

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• Are scaffolds safe

  Yes

  No

  N/A

• Has a competent person inspected and tagged all scaffolds?

  Yes

  No

  N/A

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• Is fall protection provided on all working levels?

  Yes

  No

  N/A

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• Is the scaffold structurally sound including the foundation, braces, and guys and ties to secure the scaffold?

  Yes

  No

  N/A

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• Are all platforms fully decked with no holes or gaps?

  Yes

  No

  N/A

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• Are ladders being used safely?

  Yes

  No

  N/A

• Have the proper ladders been selected based on type, capacity, and size?

  Yes

  No

  N/A

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• Are all ladders inspected and free of defects?

  Yes

  No

  N/A

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• Are all other ladder safety rules being followed?

  Yes

  No

  N/A

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• Are aerial lifts being used safely?

  Yes

  No

  N/A

• Are lift operators trained on the type of lift being used?

  Yes

  No

  N/A

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• Have lift inspections been performed and documented?

  Yes

  No

  N/A

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• Are work areas and travel ways safe for lift operation?

  Yes

  No

  N/A

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Electrical Safety

• Are all extension cords in good condition?

  Yes

  No

  N/A

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• Are all cords at least 14/3 AWG or lager?

  Yes

  No

  N/A

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• Are all cords plugged into GFCIs?

  Yes

  No

  N/A

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• Are all cords inspected as part of an Assured Equipment Grounding Conductor Program and marked with the appropriate color coded electrical tape?

  Yes

  No

  N/A

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• Are receptacles, switches, panels, and other electrical equipment in good condition?

  Yes

  No

  N/A

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Hazard Communication

• Are all containers of hazardous materials properly labeled including secondary containers?

  Yes

  No

  N/A

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• Are MSDSs available for all hazardous materials?

  Yes

  No

  N/A

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• Have employees been trained in the use of hazardous materials including protective measures, work practices and emergency procedures?

  Yes

  No

  N/A

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Hazardous Materials

• Is asbestos being removed following safe work practices and control measures?

  Yes

  No

  N/A

• Are employees qualified to perform asbestos work including training certification, license, asbestos physicals, and respirator fit tests?

  Yes

  No

  N/A

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• Is the proper protective equipment and respiratory protection being used?

  Yes

  No

  N/A

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• Is exposure sampling being conducted properly?

  Yes

  No

  N/A

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• Are employees properly protected from lead exposure?

  Yes

  No

  N/A

• Are employees qualified to perform lead work including training certification, physical exam and blood work, and respirator fit test?

  Yes

  No

  N/A

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• Is the proper protective equipment and respiratory protection being used?

  Yes

  No

  N/A

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• Are the proper work practices and control measures being used?

  Yes

  No

  N/A

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• Are employees protected from exposure to crystalline silica?

  Yes

  No

  N/A

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• Have employees working in facilities covered by the Process Safety Management standard received the required training?

  Yes

  No

  N/A

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Fire Prevention

• Are fire extinguishers readily available and up to date with annual and monthly inspections?

  Yes

  No

  N/A

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• Is garbage and debris removed regularly?

  Yes

  No

  N/A

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• Are flammable and combustible liquids and gases stored properly?

  Yes

  No

  N/A

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• Are temporary heaters installed and used properly including clearance around combustible materials?

  Yes

  No

  N/A

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• Has a hot work permit permit been obtained, where applicable, and all permit conditions met?

  Yes

  No

  N/A

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Hand and Power Tools

• Are all hand and power tools being used correctly?

  Yes

  No

  N/A

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• Are all guards, handles, and other safety features in place?

  Yes

  No

  N/A

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• Are knives and other sharp tools properly sheathed or stored to prevent injury?

  Yes

  No

  N/A

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• Are electric power tools grounded (three prong plug) or double insulated?

  Yes

  No

  N/A

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• Are the air hoses on pneumatic power tools secured to prevent disconnection?

  Yes

  No

  N/A

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• Are operators of powder actuated tools licensed?

  Yes

  No

  N/A

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Ergonomic Risk Factors

• Do employees recognize and avoid ergonomic risks including heavy lifting, excessive force, awkward postures, or contact stress?

  Yes

  No

  N/A

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• Is stretch and flex information available to employees?

  Yes

  No

  N/A

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Temperature Extremes

• Are employees protected from extreme heat environments?

  Yes

  No

  N/A

• Is water provided for employees and are they encouraged to stay hydrated?

  Yes

  No

  N/A

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• Is shade or air conditioning available for employees to take breaks?

  Yes

  No

  N/A

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• Is heat stress monitoring being conducted and a work-rest regiment developed?

  Yes

  No

  N/A

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• Are other engineering or work practice controls adequate to protect employees?

  Yes

  No

  N/A

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• Are employees protected from extreme cold environments?

  Yes

  No

  N/A

• Are warm areas available for breaks?

  Yes

  No

  N/A

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• Are employees dressed appropriately for the conditions?

  Yes

  No

  N/A

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Heavy Equipment

• Is heavy equipment being operated in a safe manner?

  Yes

  No

  N/A

• Are equipment operators properly trained?

  Yes

  No

  N/A

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• Have equipment inspections been performed and documented?

  Yes

  No

  N/A

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• Are work areas and travel ways safe for equipment operation?

  Yes

  No

  N/A

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Other Information

• General inspection notes

• Other project photos

  Media