Information
-
Jobsite/Number
-
Conducted on
-
Prepared by
-
Foreman/General Foreman
Section 1
-
Tool Box Meetings Done/Documented
-
Explain in detail what corrective actions have been taken.
-
Emergency Action Plan known by employees
-
Explain in detail what corrective actions have been taken.im
-
Drinking water available and clean
-
Explain in detail what corrective actions have been taken.im
-
JSA's done correctly
-
Explain in detail what corrective actions have been taken.im
-
Are 1st aid kits in all foreman's lock up areas
-
Explain in detail what corrective actions have been taken.im
-
Housekeeping
-
Explain in detail what corrective actions have been taken.
-
Proper Personal Protective Equipment available and used
-
Explain in detail what corrective actions have been taken.
-
GFCI on all temporary power
-
Explain in detail what corrective actions have been taken.
-
Condition/Use of extension cords
-
Explain in detail what corrective actions have been taken.
-
LOTO done correctly and documented
-
Explain in detail what corrective actions have been taken.
-
Temporary Lighting adequate
-
Explain in detail what corrective actions have been taken.
-
Excavation sloping/shoring adequate
-
Explain in detail what corrective actions have been taken.
-
Excavation access/egress need to have a ladder or ramp every 25' if over 4' deep
-
Explain in detail what corrective actions have been taken.
-
Excavations inspected daily
-
Explain in detail what corrective actions have been taken.
-
Adequate fall protection at 6 feet
-
Explain in detail what corrective actions have been taken.
-
Are lanyards and harnesses being inspected daily
-
Explain in detail what corrective actions have been taken.
-
Proper anchor points being used for fall protection
-
Explain in detail what corrective actions have been taken.
-
Perimeter Protection available
-
Explain in detail what corrective actions have been taken.
-
Floor holes/trip hazards properly covered
-
Explain in detail what corrective actions have been taken.
-
All scaffolds correctly built, used, and green tagged
-
Explain in detail what corrective actions have been taken.
-
Scaffold access provided
-
Explain in detail what corrective actions have been taken.
-
Scaffold fall protection adequate
-
Explain in detail what corrective actions have been taken.
-
Scaffold users trained
-
Explain in detail what corrective actions have been taken.
-
All tools in good condition
-
Explain in detail what corrective actions have been taken.
-
Ladders in good condition/properly used and have proper stickers
-
Explain in detail what corrective actions have been taken.
-
Ladders being inspected daily
-
Explain in detail what corrective actions have been taken.
-
Are AWP's being inspected daily <br>
-
Explain in detail what corrective actions have been taken.
-
Are confined spaces being done and permitted properly
-
Explain in detail what corrective actions have been taken.
-
Are employees properly trained and have certification cards in possession <br>
-
Explain in detail what corrective actions have been taken.
-
Are lift work areas being inspected daily before use (Ramps/ Overhead/ Surroundings)<br>
-
Explain in detail what corrective actions have been taken.
-
Are there any other safety observation not listed above
-
Explain in detail what corrective actions have been taken.
-
Foreman/General Foreman Signature
