Information
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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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Personnel
Fall Protection
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Fall protection present at 6' or above?
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Fall protection plan present?
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Guardrails at 42"/21" +/- 3"?
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Have users been trained and documented in fall protection?
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Has fall protection equipment been inspected prior to use?<br> Safety harness<br> SRL<br> Anchor points
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Is impalement protection in place?
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Are floor and wall openings protected, covered, and marked?<br> Are covers adequate, secured, and labelled?
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Is protection present for changes in elevation?
Ladders/Stairs
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Is ladder free of defects?
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Is ladder being used properly?
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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 landing?
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Is ladder a safe work distance from hazard?
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Have slip/trip exposures on ladder been eliminated?
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Are access/egress areas free of debris/materials?
Excavations
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One-Call system used?
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Surface traffic exposure?
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Is there a competent person present?
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Are daily inspections documented?
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Are excavations > 20' engineered?
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Water entering excavation?
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Is excavation >5' deep properly sloped, benched, or shored?
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Is a ladder present in excavation over 4' deep and within 25' of workers?
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Spoils > 2' from edge?
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Surface encumbrances present within 2' of edge?
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Perimeter properly protected?
Confined Space
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Are atmospheric conditions being monitored?
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Is Permit required?
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Area secured/ signage posted?
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Are rescue plans, emergency numbers, maps readily available?
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Is training documentation readily available?
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Are regular periodic inspections, including monitoring, taking place?
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Is ventilation adequate?
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Are electrical and/or fire hazards present?
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Attendant/Entrant communication sufficient?
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Is harness and extraction equipment inspected and in proper working condition?
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Is respiratory equipment in proper working condition?
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Is entry supervisor/ monitor present and properly trained?
Motorized Equipment
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Is operator working safely?
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Is machine operating at least 20' away from overhead power lines?
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Is proper operator protection in place (ROPS, cage, screen, etc.)?
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Are seat belts being used?
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Does backup alarm function properly?
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Is fire extinguisher present with current inspection?
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Is flag man present?
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Is glass free of obstructions?
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Does horn function properly?
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Are operator training documents current and available?
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Is daily equipment inspection form completed?
Electrical
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Is electrical equipment properly grounded?
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Are GFCI's being utilized?
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Are appropriate cords being used and in good condition?<br>- 3-wire type cords<br>- no exposed wires, cuts in rubber <br>- ground pin in place
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Are cords protected from traffic?
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Are energized parts and equipment protected?
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Are LOTO procedures in use?
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Is signage present warning of electrocution hazards? (Where applicable)
Hand and Power Tools
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Proper tool for the job?
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Tool in good condition? Guards in place? Info label on tool?
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Cord in good condition? Ground prong in place? GFCI's in use?
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Auto shut-off/ safety switches operational?
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Anti-whip attached to pressurized lines?
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Strain relief functioning properly?
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Proper PPE? (face shield, chaps, gloves, etc.)
Manual Material Handling
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Proper lifting technique? (Lifting in "power zone," no twisting, no over-reaching)
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No manual lift over 50 lbs
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Lifts over 50 lbs get aid or assistance
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Use of mechanical aid? (if applicable)
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Clear and planned path?
PPE
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Hard hats
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Safety glasses (goggles where applicable)
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Face shields
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Hearing protection
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Respiratory protection
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Appropriate clothing for the task (hi-vis, chaps, fire retardant, etc.)
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Gloves
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Work boots
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Visitor PPE available?
Fire Protection
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Extinguishers charged and inspections current?
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Extinguishers at least 25' from fuel station, not more than 75'?
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Temporary fuel station properly protected (signs, barricades, ground pin, locks, etc)?
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Flammables stored properly (vented, labelled, containers 25' away from other unlike flammables)?
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Flammables stored away from structures?
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Clear access for emergency vehicles, hydrants?
Housekeeping
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First Aid equipment onsite and accessible?
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Is trailer access/egress hazard free?
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Are sanitary facilities available, adequate, and clean?
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Is an adequate supply of drinking water available?
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Are slip, trip, and fall hazards present in or around work areas?
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Is material storage adequate and utilized properly?
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Is trash collected in protected containers?
Medical/Emergency
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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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Are emergency numbers posted?
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Are project emergency/crisis management plans available/posted?
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Are safety team numbers available/posted?
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Is a map to medical facility available/posted?
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Is eyewash available?
HAZCOM
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Are employees trained?
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Site specific SDS (MSDS) available?
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Copy of program readily available?
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Containers properly labelled and inventory listed?
Environmental
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Are airborne contaminants properly controlled/eliminated?
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Is HazMat storage, use, and disposal adequate/appropriate?
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Is spill containment adequate/appropriate?
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Is concrete cut wet and/or vacuumed?
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Is nuisance dust controlled/ eliminated?
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Is SWPPP plan available?
Site/Public Protection
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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?
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Is street closure properly identified?
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Is a company rep. present?
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Is security system in place?
Administration
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OSHA Posters posted/OSHA 300 log available?
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State/Fed. posters posted in English/Spanish?
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Safety manual readily available?
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Trench box tabulated data readily available?
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Orientations conducted/completed?
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Has a JHA been submitted for each trade?
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Are frequent/regular safety inspections taking place?
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Documentation of corrective actions taken since last audit.
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Are subs OSHA 30 certified?
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Is SDS (MSDS) manual readily available?
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Are Toolbox talks being conducted and recorded weekly?
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Are Pre-con meetings documented?
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Is visitor sign in form available and up to date?
Welding/Cutting
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Fire extinguisher present; properly charged, inspected?
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Are flash arresters present on torches?
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Is flash protection available?
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Are gauges working and adjusted properly?
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Is burn permit in use and properly filled out?
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Are bottles 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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Is welding machine properly ventilated?
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Are welding leads in good condition?
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Are unused cylinders stored properly?
Aerial Lifts
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Are operator training records readily available including fall protection training?
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Are PFAS (Personal Fall Arrest Systems) in use during operation?
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Is gate or chain secured?
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Is lift operating on stable surface?
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Is operating surface free of holes, sudden changes in elevation?
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Are safe work distances addressed and maintained?
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Is anything present in basket to increase workers height (box, bucket, stool, etc)?
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Is equipment loaded properly (not to exceed manufacturers weight limit including operator, tools, and equipment)?
Cranes and Hoisting Equipment
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Annual inspection current?
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Are operator, signaler/rigger training records readily accessible?
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Is crane properly supported and level?
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Are safe work distances from power lines being adhered to?
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Fire extinguisher present; properly charged, inspected?
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Is a lift plan on file, readily accessible?
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Is the proper load chart posted?
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Are outriggers properly extended, supported, cribbed?
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Are loads properly rigged by trained, certified rigger?
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Does operator appear competent, comfortable?
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Has the weight of the load been field verified?
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Has rigging been properly rated and inspected?
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Are safety latches present and being used?
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Has swing radius been properly barricaded?
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Are tag lines being used properly?
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Are effective means of communication in use?
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Is anti-two block device in place and working properly?
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Is boom angle indicator in place and working properly?
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Is operator's manual present in crane?
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Are daily inspections performed and current?
Scaffolds
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Is a competent person present?
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Are scaffolds inspected daily and documented?
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Are scaffold user training records readily available?
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Are all appropriate guard rails in place?
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Are all wheels locked?
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Are compatible components used?
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Are outriggers necessary and installed properly?
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Are bracing and pins placed properly?
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Is scaffold properly secured to structure?
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Is proper access to platforms present?
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Is proper height to base ratio maintained?
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Are materials being loaded properly?
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Have safe work distances been addressed and maintained?
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Are sills, plates, and jacks properly installed?
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Is work surface in safe condition?
Conclusion
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I agree to address and abate the above issues prior to
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