I.D.I. Safety Inspection Report

• Job Site

• Job Site Address
  Address

• General Contractor

• Conducted on

  Date

• Employee Who Performed the Safety Inspection

• Personnel at Job Site

• I.D.I. Superintendent(s)

Toolbox Talk Sessions & 5-Minute Daily Safety Huddles

• Did a toolbox talk session occur this week?

  Yes

  No

  N/A

• Did a 5-minute daily safety huddle occur today?

  Yes

  No

  N/A

Personal Protective Equipment. (PPE)

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

  Yes

  No

  N/A

• Eye protection worn by all employees

  Yes

  No

  N/A

• Gloves / hand protection being used when required

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Face shield 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

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, de-energized, 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

• Being used in a safe appropriate manner within our company policies

  Yes

  No

  N/A

Mini-Perry Mobile Workstands

• In safe condition for use

  Yes

  No

  N/A

• Being used in a safe manner and within our company's policies

  Yes

  No

  N/A

Pipe or Frame scaffolding

• Is the scaffold set up in the correct manner and safe for employees to work on

  Yes

  No

  N/A

• Scaffold being used in a safe appropriate manner and within our company's scaffold policies

  Yes

  No

  N/A

Overhead Hazards

• Are I.D.I. employees protected from life threatening overhead hazards such as cranes on site in our work area, precast erection, structural steel erection, roof truss installation, bar joist or metal pan decking installation, floors being built above you and any others not mentioned above.

  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

• 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

• Was the fall arrest/restraint equipment inspected and in safe condition for use

  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 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

• 10' clearance from power lines

  Yes

  No

  N/A

• If using a boom lift, are safety harnesses 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 and within our company's policies

  Yes

  No

  N/A

Ladder Safety

• Are ladders in safe condition for use

  Yes

  No

  N/A

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

  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

• Are all tools being used the way they were intended to be used

  Yes

  No

  N/A

Back Injury or Lifting Related Hazards

• Are employees using safe lifting procedures

  Yes

  No

  N/A

Hazard Communication

• Are Safety Data Sheets (S.D.S.) readily available

  Yes

  No

  N/A

Health Hazards

• Are potential Silica, Lead or Asbestos hazards under control and employees not exposed

  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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