JCC Site Safety Inspection

• Monthly Site Safety Inspection

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Was excavation performed this week?

  Yes

  No

  N/A

• Were utilities crossed this week?

  Yes

  No

  N/A

1: Jobsite general compliance

• A: Current First Aid/CPR/AED certificaion

  Yes

  No

  N/A

• B: First Aid kit and eyewash bottles on site

  Yes

  No

  N/A

• C: JCC HASP, Treatment Plant HASP on site

  Yes

  No

  N/A

• D: Supplemental EWST HASP on site for EWST jobs

  Yes

  No

  N/A

• E: JCC MSDS on site

  Yes

  No

  N/A

• F: JCC guide for trench shield usage on site

  Yes

  No

  N/A

• G: Field Worksheet for Trenching/Excavation Safety checklist completed daily

  Yes

  No

  N/A

• H: Energized electrical work permit being complted for all electrical "hot" work

  Yes

  No

  N/A

• I: Hot work permits completed daily for all hot work

  Yes

  No

  N/A

• J: Confined space entry permits completed daily for all confined space work

  Yes

  No

  N/A

• K: Signal person qualification on site for all qualified signal persons

  Yes

  No

  N/A

• L: Certified riggers being used for rigging?

  Yes

  No

  N/A

• M: Secondary containment provided and labeled for fuel storage

  Yes

  No

  N/A

2: Jobsite information

• A: Jobsite posters posted?

  Yes

  No

  N/A

• B: Federal and State posters (PA, MD, DE, VA, NJ)

  Yes

  No

  N/A

• C: Jobsite injury record posted (OSHA 300 and 300A)

  Yes

  No

  N/A

• D: Safety meetings/ Toolbox talks conducted each week?

  Yes

  No

  N/A

• E: Rescue baskets on site for all excavations and below grade work

  Yes

  No

  N/A

• F: Emergency information and hospital directions posted (Emergency number, Hospital, physicians panel)

  Yes

  No

  N/A

3. Housekeeping (1926 subpart D)

• A. Work area neat and clean of debris, clear walkways

  Safe

  Unsafe

  N/A

  Sub Compliant

• B. Regular disposal of waste and trash

  Safe

  Unsafe

  N/A

  Sub Compliant

• C. Passageways, walkways and stairs clear

  Safe

  Unsafe

  N/A

  Sub Compliant

• D. Adequate lighting

  Safe

  Unsafe

  N/A

  Sub Compliant

• E. Adequate ventilation

  Safe

  Unsafe

  N/A

  Sub Compliant

• F. Adequate toilet facilities

  Safe

  Unsafe

  N/A

  Sub Compliant

• G. Tools properly stored, organized and secured

  Safe

  Unsafe

  N/A

  Sub Compliant

• H. Materials organized and secure

  Safe

  Unsafe

  N/A

  Sub Compliant

• I. Slippery surfaces maintaned

  Safe

  Unsafe

  N/A

  Sub Compliant

• J. Trailers clean, organized and well maintaned

  Safe

  Unsafe

  N/A

  Sub Compliant

3. Fire protection (1926 Subpart F)

• A. Fire extinguishers identified, checked, accessible.

  Safe

  Unsafe

  N/A

  Sub Compliant

• B. Proper type of fire extinguishers

  Safe

  Unsafe

  N/A

  Sub Compliant

• C. Hydrants clear and accessible

  Safe

  Unsafe

  N/A

  Sub Compliant

• D. Work area free of combustibles

  Safe

  Unsafe

  N/A

  Sub Compliant

• E. No Smoking signs posted and enforced where required

  Safe

  Unsafe

  N/A

  Sub Compliant

• F. Flammable liquids properly stored

  Safe

  Unsafe

  N/A

  Sub Compliant

• G. All fuel cans are safety cans

  Safe

  Unsafe

  N/A

  Sub Compliant

• H. All chemical containers labeled

  Yes

  No

  N/A

• I. Hot-work permits used for all cutting and welding activities

  Safe

  Unsafe

  N/A

  Sub Compliant

• J. Fuels and oxidizers stored separately

  Yes

  No

  N/A

• K. Fuel tanks protected from site traffic and have vents installed

  Safe

  Unsafe

  N/A

  Sub Compliant

4. Scaffolds (1926 Subpart L)

• A. Competent person overseeing erection?

  Safe

  Unsafe

  N/A

  Sub Compliant

• B. Working and walking surfaces fully planked?

  Safe

  Unsafe

  N/A

  Sub Compliant

• C. Inspected daily?

  Safe

  Unsafe

  N/A

  Sub Compliant

• D. Toeboards and handrails properly installed?

  Safe

  Unsafe

  N/A

  Sub Compliant

• E. Erected on solid surface with scaffold feet

  Safe

  Unsafe

  N/A

  Sub Compliant

5. Handling and Storage of Materials (1926.250)

• A. Materials properly stored or stacked?

  Safe

  Unsafe

  N/A

  Sub Compliant

• B. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  Safe

  Unsafe

  N/A

  Sub Compliant

• C. Lifting plan used for critical lifts?

  Safe

  Unsafe

  N/A

  Sub Compliant

• E. Cranes have current inspection/certified operator?

  Safe

  Unsafe

  N/A

  Sub Compliant

• F. Daily inspections performed?

  Safe

  Unsafe

  N/A

  Sub Compliant

• J. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

  Safe

  Unsafe

  N/A

  Sub Compliant

• K. Lifting equipment labels intact and legible?

  Safe

  Unsafe

  N/A

  Sub Compliant

• L. Certified operators for forklifts?

  Safe

  Unsafe

  N/A

  Sub Compliant

6. Fall Protection Harness and Equipment (1926 Subpart M,Q)

• A. Competent person on site?

  Safe

  Unsafe

  N/A

  Sub Compliant

• B. Fall protection in place above 6ft? (10' for scaffolds)

  Safe

  Unsafe

  N/A

  Sub Compliant

• C. Harnesses and lanyards inspected each shift?

  Safe

  Unsafe

  N/A

  Sub Compliant

• D. Approved anchors points being used?

  Safe

  Unsafe

  N/A

  Sub Compliant

• E. Handrails and toe boards properly built?

  Safe

  Unsafe

  N/A

  Sub Compliant

• Top rail 42" +/- 3" above work surface. Support 200 lb: 2x4

  Safe

  Unsafe

  N/A

  Sub Compliant

• Posts are 2x4's 8' on centers

  Safe

  Unsafe

  N/A

  Sub Compliant

• Midrails half dist. of top rail (21”+/-) supt 150lb: 1x6 or 2x4

  Safe

  Unsafe

  N/A

  Sub Compliant

• Toeboards reqd if falling obj. are a hazard. Withstand 50 lbs: 1x4 (1926.502(J)(2))

  Safe

  Unsafe

  N/A

  Sub Compliant

• Falling obj. prot: Mesh from top rail to floor capable of holding 150lbs (1926.502(j))

  Safe

  Unsafe

  N/A

  Sub Compliant

• If Pipe railing: All 2” Sch 40 Steel

  Safe

  Unsafe

  N/A

  Sub Compliant

• If Steel railing: 2x2x3/8 angle

  Safe

  Unsafe

  N/A

  Sub Compliant

• F. Stairs and elevated work areas properly guarded?

  Safe

  Unsafe

  N/A

  Sub Compliant

• J. Fall restraints/harnesses in good condition?

  Safe

  Unsafe

  N/A

  Sub Compliant

• K Holes covered, secured, and labeled "hole"?

  Safe

  Unsafe

  N/A

  Sub Compliant

• L. Fall protection used for all roof work.

  Safe

  Unsafe

  N/A

  Sub Compliant

• M. Rebar caps properly installed. (1926.701(b)) 2x4 runners or 4" caps on vertical bars. (Small caps for horizontal bars only)

  Safe

  Unsafe

  N/A

  Sub Compliant

• N. Leading edge work - Static lines properly constructed

  Safe

  Unsafe

  N/A

  Sub Compliant

• O. 100% tie-off capability - retractable or double lanyards.

  Safe

  Unsafe

  N/A

  Sub Compliant

7. Ladders (1910.25, 1926.26, 1926.27, 1926 Subpart X)

• A. Ladders inspected and in good condition?

  Safe

  Unsafe

  N/A

  Sub Compliant

• B. Positioned safely with a 4:1 climbing angle and tip 36" above landings?

  Safe

  Unsafe

  N/A

  Sub Compliant

• C. Ladder properly secured to prevent slipping, sliding, falling?

  Safe

  Unsafe

  N/A

  Sub Compliant

• D. Right ladder used for job? (e.g. non-conductive ladder used for electrical work)

  Safe

  Unsafe

  N/A

  Sub Compliant

• E. Lifeline of other approved fall restraint for fixed ladders over 24 ft tall?

  Safe

  Unsafe

  N/A

  Sub Compliant

8. Hand Tools (1926 Subpart I)

• A. Proper tool being used?

  Safe

  Unsafe

  N/A

  Sub Compliant

• B. Tools inspected and maintained?

  Safe

  Unsafe

  N/A

  Sub Compliant

• C. Mechanical safeguards in place?

  Safe

  Unsafe

  N/A

  Sub Compliant

• D. Right tool being used for the job?

  Safe

  Unsafe

  N/A

  Sub Compliant

• E. GFCI being used for power tools?

  Safe

  Unsafe

  N/A

  Sub Compliant

• F. Power cords in good condition and not missin prongs?

  Safe

  Unsafe

  N/A

  Sub Compliant

9. Emergency Response

• A. Employees trained in and aware of emergency response plan?

  Safe

  Unsafe

  N/A

  Sub Compliant

• B. Emergency procedures displayed at site?

  Safe

  Unsafe

  N/A

  Sub Compliant

• C. Supervisors have current first-aid/CPR training?

  Safe

  Unsafe

  N/A

  Sub Compliant

• D. First Aid kits up to date and stocked?

  Safe

  Unsafe

  N/A

  Sub Compliant

10. Motor Vehicles (1926.601)

• A. All equipment has had regular inspections and scheduled maintenance perfromed?

  Safe

  Unsafe

  N/A

  Sub Compliant

• B. Only qualified operators running equipment?

  Safe

  Unsafe

  N/A

  Sub Compliant

• C. Required service scheduled with Larry Jones?

  Safe

  Unsafe

  N/A

  Sub Compliant

11.Personal Protective Equipment (1910 Subpart I)

• A. Face Protection Required? (all cutting or grinding activities)

  Safe

  Unsafe

  N/A

  Sub Compliant

• B. Proper respiratory protection being used (if required)?

  Safe

  Unsafe

  N/A

  Sub Compliant

• C. Propper hand protection being utilized?

  Safe

  Unsafe

  N/A

  Sub Compliant

• D. High viz vests being worn if requried?

  Safe

  Unsafe

  N/A

  Sub Compliant

• E. Appropriated hearing protection being used?

  Safe

  Unsafe

  N/A

  Sub Compliant

• F. Hard hats and eye protecion used 100%?

  Safe

  Unsafe

  N/A

  Sub Compliant

12.Confined Spaces (1910.146)

• A. Competent Person on site?

  Safe

  Unsafe

  N/A

  Sub Compliant

• B. Confined space program being followed?

  Safe

  Unsafe

  N/A

  Sub Compliant

• C. Permits completed as required?

  Safe

  Unsafe

  N/A

  Sub Compliant

• D. Air monitoring and ventilation is adequate?

  Safe

  Unsafe

  N/A

  Sub Compliant

13.Electrical Hazards (1926 Subpart K)

• A. Daily inspection of electrical leads?

  Safe

  Unsafe

  N/A

  Sub Compliant

• B. Overhead electrical lines evaluated?

  Safe

  Unsafe

  N/A

  Sub Compliant

• C. Overloading outlets?

  Safe

  Unsafe

  N/A

  Sub Compliant

• D. Leads placed on ground or on metal structures?

  Safe

  Unsafe

  N/A

  Sub Compliant

• E. GFCI used for all power tools?

  Safe

  Unsafe

  N/A

  Sub Compliant

• F. Electrical leads neat and out of the way?

  Safe

  Unsafe

  N/A

  Sub Compliant

• G. Lock-out/tag-out (LOTO) procedures followed for electrical equipment?

  Safe

  Unsafe

  N/A

  Sub Compliant

• H. Energized electrical work completed each shift for all work on energized equipment? (NFPA 70E)

  Safe

  Unsafe

  N/A

  Sub Compliant

14.Excavations (1926 Subpart P)

• A. Soil Classifiied by Competent Person?

  Yes

  No

  N/A

• Tap to Enter Soil Type:

• B. Excavation protections in use?

  Yes

  No

  N/A

• Tap to enter excavation protection method:

• C. Excavation inspetion perfromed daily or when conditions change?

  Safe

  Unsafe

  N/A

  Sub Compliant

• D. Excavation safety sheets completed daily?

  Safe

  Unsafe

  N/A

  Sub Compliant

• E. Excavations secured at the end of each shift?

  Safe

  Unsafe

  N/A

  Sub Compliant

• F. Tabulated data or engineered design on site?

  Safe

  Unsafe

  N/A

  Sub Compliant

• G. Excavation barricaded at the end of the shift to eliminate fall hazards?

  Safe

  Unsafe

  N/A

  Sub Compliant

• H. Excavations over 20 ft deep have engineered design on site?

  Safe

  Unsafe

  N/A

  Sub Compliant

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• On site representative

  Sign

• JCC Auditors signature

  Sign