I.D.I. Safety Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Personal Protective Equipment. (PPE)

• Hard hats / head protection worn by all employees<br>

  Yes

  No

  N/A

• Eye protection worn when required

  Yes

  No

  N/A

• Face shield being used when required

  Yes

  No

  N/A

• Gloves / hand protection being used when required

  Yes

  No

  N/A

• Hearing protection being used when required

  Yes

  No

  N/A

• Appropriate respirator being used when required

  Yes

  No

  N/A

• Work boots worn by all employees (no gym shoes, sandals, bare feet)

  Yes

  No

  N/A

Electrical

• Extension cords in safe condition for use (no cuts in outer insulation, no exposed wires, no missing ground prong)

  Yes

  No

  N/A

• Electrical cords compliant with our assured grounding program

  Yes

  No

  N/A

• GFCI being used if required by conditions or project requirement

  Yes

  No

  N/A

• Electrical panels appropriately covered or our employees protected from coming within 6' of a live exposed panel

  Yes

  No

  N/A

• 10' minimum clearance from live high voltage power lines

  Yes

  No

  N/A

• Temporary lights in our work areas guarded

  Yes

  No

  N/A

• Halogen light bulb guards in place

  Yes

  No

  N/A

• Proper use of temporary power boxes

  Yes

  No

  N/A

• Lock out / tag out procedures in place and being implemented if required

  Yes

  No

  N/A

• Are all energized electrical components protected to reduce employee exposures

  Yes

  No

  N/A

Housekeeping and Other

• Clear access to building, structure & work location

  Yes

  No

  N/A

• Are slip, trip & fall hazards in reasonable condition to minimize risk of injury

  Yes

  No

  N/A

• Impalement protection

  Yes

  No

  N/A

• Proper material storage

  Yes

  No

  N/A

• Fire extinguishers present and charged

  Yes

  No

  N/A

• Adequate lighting

  Yes

  No

  N/A

Mobile Baker Type Scaffolds

• Scaffolds in safe condition for use

  Yes

  No

  N/A

• Wheels / casters locked when required

  Yes

  No

  N/A

• Guardrails in place when required

  Yes

  No

  N/A

• Stabilizer outriggers in place when required when double stacking or higher

  Yes

  No

  N/A

• Scaffold being used within its rated weight capacity limits

  Yes

  No

  N/A

• Being used in a safe appropriate manner

  Yes

  No

  N/A

Mini-Perry Mobile Workstands

• In safe condition for use

  Yes

  No

  N/A

• No one working above 3rd rung level

  Yes

  No

  N/A

• If accessing 3rd rung level, are 3 platforms being used in stair-step fashion

  Yes

  No

  N/A

• Being used within rated weight capacity limits (4' model = 250 lbs, 5' model = 300 lbs per platform)

  Yes

  No

  N/A

• Overall, being used in a safe manner

  Yes

  No

  N/A

Pipe or Frame scaffolding

• All scaffold components free of damage and in safe condition for use

  Yes

  No

  N/A

• Cross braces in place at all levels

  Yes

  No

  N/A

• Safety toggle pins in place to prevent uplift of sections

  Yes

  No

  N/A

• Scaffold fully planked at working level

  Yes

  No

  N/A

• Scaffold wheels / casters locked when occupied

  Yes

  No

  N/A

• Guardrails in place when required (10' per OSHA or must follow G.C. rule if more stringent

  Yes

  No

  N/A

• Stabilizer outriggers being used or is scaffold secured to structure if higher than 4:1 height to width ratio

  Yes

  No

  N/A

Fall Protection (6' fall hazard exposures)

• Guardrails or barricades in place protecting our employees from falls of 6' or more to lower levels

  Yes

  No

  N/A

• Do guardrails meet OSHA requirements

  Yes

  No

  N/A

• Floor holes adequately covered within OSHA requirements (secured, demarcated, capable of supporting 2 x load)

  Yes

  No

  N/A

• If using fall arrest or restraint equipment, was it inspected and in safe condition for use

  Yes

  No

  N/A

• Proper 5,000 lb anchorage point

  Yes

  No

  N/A

• Roof edge or sharp edges protected from cutting our lifelines, lanyards, etc.

  Yes

  No

  N/A

• Is all fall arrest and/or restraint equipment being used in the correct appropriate manner

  Yes

  No

  N/A

• Is the employee's free fall distance limited to 6' or less

  Yes

  No

  N/A

• Are all employees protected from fall exposures of 6' or more to lower levels

  Yes

  No

  N/A

• If using metal pan roof anchors, are all baseplate holes filled in with 1 1/4" # 12 tek screws and using a retractable lanyard

  Yes

  No

  N/A

Aerial Lifts

• Aerial lifts in safe condition for use

  Yes

  No

  N/A

• Floor surface free of pits, holes & depressions which could cause tipping

  Yes

  No

  N/A

• Safety gate or chain closed

  Yes

  No

  N/A

• Feet on platform floor (no climbing or standing on safety rails)

  Yes

  No

  N/A

• Lift being used within rated weight capacity

  Yes

  No

  N/A

• 10' clearance from power lines

  Yes

  No

  N/A

• If using boom lift, safety harness worn by employees and are they tied off to manbasket's anchorage point

  Yes

  No

  N/A

• Overall, are aerial lifts being used in a safe appropriate manner

  Yes

  No

  N/A

Ladder Safety

• Are ladders in safe condition for use

  Yes

  No

  N/A

• Extension ladders being used to access higher levels extended 3' and secured

  Yes

  No

  N/A

• No standing on top 3 rungs of straight ladders & top 2 steps of portable A-frame ladders

  Yes

  No

  N/A

• Are portable A-frame ladders being used in the fully open position with the spreader arms locked

  Yes

  No

  N/A

• No one using make-shift ladders such as 5-gallon buckets to stand and work on

  Yes

  No

  N/A

• Ladders or stairs with handrails being used when access area has a > 19" break in elevation

  Yes

  No

  N/A

• Are ladders being used safely, appropriately and for their intended use

  Yes

  No

  N/A

Stairs

• Are stair treads filled in

  Yes

  No

  N/A

• Do stairs have handrails

  Yes

  No

  N/A

• Do stairways have adequate lighting

  Yes

  No

  N/A

• Are the stairs clear of debris, materials & equipment

  Yes

  No

  N/A

Stilt Safety

• Are stilts in safe condition for use

  Yes

  No

  N/A

• Floor conditions safe for stilt usage

  Yes

  No

  N/A

• Stilts being used in a safe manner

  Yes

  No

  N/A

• No stilt usage on computer floors

  Yes

  No

  N/A

Tool safety

• Are tools and cords in safe condition for use

  Yes

  No

  N/A

• Blade guard or machine guard in place and working appropriately

  Yes

  No

  N/A

• Ground prongs in place on tools and equipment that require them

  Yes

  No

  N/A

Back Injury or Lifting Related Hazards

• Are employees using safe lifting procedures

  Yes

  No

  N/A

Hazard Communication

• Are M.S.D.S. readily available

  Yes

  No

  N/A

Medical

• 1st aid kit accessible to employees

  Yes

  No

  N/A

• Occupational health clinic & emergency medical center established

  Yes

  No

  N/A

Other Employee Safety Issues

• Any other employee safety issues that are not noted above (unsafe acts, unsafe behavior, violating co. rules, Etc.)

  Safe

  At Risk

  N/A

Other Job Site Safety Issues

• Any other job site safety issues that are not noted above

  Safe

  At Risk

  N/A

• Safety Inspection Completed by Peter Graham, Safety Director for International Decorators, Inc.

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