JMCC Daily Audit 3.0

• Job Number

• Project Name

General Project Informaton

• Is a Safety Manager assigned to this project? (List Safety Manager(s) assigned)

  Yes

  N/A

• Site hours of operation

• List Sub-Contractors and Competent Persons per sub.

• Prepared by

• Conducted on

  Date

• Weather Conditions

• Location
  Address

1. General

• 1a. Have all employees been orientated specifically to project?

  Yes

  No

  N/A

• 1b. Are all required Job Posters, Ethics Notifications, and Emergency Numbers conspicuously posted?

  Yes

  No

  N/A

• 1c. Is Site Safety Program and SDS / MSDS Manuals readily available?

  Yes

  No

  N/A

• 1d. Has the First Aid kit been inspected and all contents current (not expired)?

  Yes

  No

  N/A

• 1e. Is site access clear and identified?

  Yes

  No

  N/A

• 1f. Did you attend any Staff, Owner, Sub-Contractor or Schedule Meeting Today?

  Yes

  No

  N/A

• 1g. List Supervision on site:

2. Safety Training

• 2a. Are there any project specific training requirements?

  Yes

  No

  N/A

• 2b. Is on the job training for specific task required? (if yes, list examples.)

  Yes

  No

  N/A

• 2c. Are Pre-Task meetings held daily and as tasks change?

  Yes

  No

  N/A

• 2d. Are weekly Tool-Box Talks held and copies provided? List Topic

  Yes

  No

  N/A

• 2e. Scan or list competent person training accomplishments:

• 2f. Weekly Tool Box Schedule

  Date

3. Sub-Contractor Compliance

• 3a. Are SUB-CONTRACTORS working on site today?

  Yes

  No

  N/A

• 3b. Are all insurance requirements current and in place?

  Yes

  No

  N/A

• 3c. Have all Sub-Contractor Employees completed site specific orientation?

  Yes

  No

  N/A

• 3d. Are weekly safety briefings and pre-task planning meetings being conducted? Copies provided?

  Yes

  No

  N/A

• List person conducting meeting and topic:

• 3e. If Sub-Contractor is using any kind of equipment, are all inspections available & all employees have proof of training for equipment being used?

  Yes

  No

  N/A

• 3f. Is Sub-Contractor PPE supplied, and utilized by their employees?

  Yes

  No

  N/A

4. Personal Protective Equipment (PPE)

• 4a. Is all company supplied PPE on site (stocked) and readily available?

  Yes

  No

  N/A

• 4b. Is personal protective equipment (PPE) provided and are all employees trained to use PPE as needed to protect against injury?

  Yes

  No

  N/A

• 4c. Are gloves provided for hand protection utilized?

  Yes

  No

  N/A

• 4d. Are reflective vests / clothing being worn at all times?

  Yes

  No

  N/A

5. Respirator Program

• 5a. Will work that requires use of a respirator be performed today?

  Yes

  N/A

• 5b. Do you conduct assessments of the workplace to ensure that the written respiratory protection program is being properly implemented, and consult employees to ensure that they are using respirators properly?

  Yes

  No

  N/A

• 5c. Do you have a written respiratory protection program with required worksite-specific procedures and elements for required respirator use?

  Yes

  No

  N/A

• 5d. Is training provided for use, cleaning and hygiene (no facial hair) to employees who are required to use respirators?

  Yes

  No

  N/A

• 5e. Are all employee's that are assigned respirators medically cleared & FIT tested?

  Yes

  No

  N/A

• 5f. Are all respirators used in routine situations inspected before each use, and during cleaning?

  Yes

  No

  N/A

6. Hygiene

• 6a. Is a written industrial hygiene plan in place?

  Yes

  No

  N/A

• 6b. Is Industrial Hygiene testing being performed as required, Including retesting when applicable.

  Yes

  No

  N/A

• 6c. Are record keeping documents and corrective actions up to date?

  Yes

  No

  N/A

• 6d. Do the amount of PORT A POTTIES on the project meet requirements and standards? And regularly maintained? (ie. 1 unit per 10 workers for 40 hours)

  Yes

  No

  N/A

7. Fall Prevention

• 7a. Is there a comprehensive Fall Protection Program in place?

  Yes

  No

  N/A

• 7b. Is all fall arrest equipment, such as harnesses, in good working order and within their typical shelf life (ie....5 years or less), and been inspected?

  Yes

  No

  N/A

• 7c. Have all Harness', Lanyards, RTL's, and Anchor points been inspected and documentation retained?

  Yes

  No

  N/A

• 7d. Have all "FALL FROM HEIGHT" hazards been addressed and eliminated?

  Yes

  No

  N/A

• 7e. Have all FALL ARREST Anchorage points been installed on core wall forms, exterior columns and where applicable?

  Yes

  No

  N/A

• 7f. Is perimeter protection (guard rails, netting, cables, & flagging) devices in place and built according to standard requirements?

  Yes

  No

  N/A

8. Scaffolding

• 8a. Is scaffolding being used on this project?

  Yes

  N/A

• 8b. Is there a specific scaffold plan?

  Yes

  No

  N/A

• 8c. Have all employee's that are using scaffold to perform work been trained with valid certification card readily available? (Copies on file)

  Yes

  No

  N/A

• 8d. Is McHugh responsible for the installation & maintenance of scaffolding?

  Yes

  No

  N/A

• List contractor responsible for scaffolding including competent person.

• 8e. Will swing stage scaffold be utilized?

  Yes

  No

  N/A

• 8e I. Has scaffolding and components been inspected by the competent person regularly and prior to use?

  Yes

  No

  N/A

• 8e II. Has all SWING STAGE scaffolding been inspected?

  Yes

  No

  N/A

• 8e III. Are all VERTICAL LIFE LINES properly installed, correctly anchored?

  Yes

  No

  N/A

• 8e IV. Are all TIE-BACKS properly anchored and secured?

  Yes

  No

  N/A

9. Building Project

• 9a. Is this project a building?

  Yes

  N/a

• 9b. Is perimeter fence in place, with clear and identified entrance and exit points?

  Yes

  No

  N/A

• 9c. Are all entries and exits clearly marked, and have sufficient lighting?

  Yes

  No

  N/A

• 9d. Is lighting sufficient through out building?<br>

  Yes

  No

  N/A

• 9e. Are shanties provided for work force, properly ventilated, and clean?

  Yes

  No

  N/A

• 9f. Have all holes greater than 2" been securely covered and marked HOLE?

  Yes

  No

  N/A

• 9g. Has all vertical rebar been capped to avoid impalement?

  Yes

  No

  N/A

• 9h. Have any other sources of an impalement hazard been identified and corrected?<br>(ie. conduit, plumbers pipe, threaded rod etc..)

  Yes

  No

  N/A

• 9i. Have all fire prevention and protection measures been taken?

  Yes

  No

  N/A

• 9j. Is debris netting installed, maintained and in good condition?

  Yes

  No

  N/A

• 9k. Are there hand wash stations available through out project to meet standards & requirements?

  Yes

  No

  N/A

• 9l. Are all electrical outlets GFCI protected, and all sources protected, clearly marked with voltage content, and covered properly?

  Yes

  No

  N/A

• 9m. Have all framing forms been cleaned of loose debris before hoisting to work location?

  Yes

  No

  N/A

• 9n. Are all access to ladders / stairs clean and clear of materials and debris?

  Yes

  No

  N/A

• 9o. Are Certified Flaggers posted at entrance & exit to assist with concrete and other misc. deliveries?

  Yes

  No

  N/A

• 9p. Are Self Climbing Wall forms / decks clean and clear of debris?

  Yes

  No

  N/A

• 9q. Is all decking on CORE STRUCTURE installed and perimeter protected?

  Yes

  No

  N/A

• 9r.Are all elevator shaft covers in place and in good working order?

  Yes

  No

  N/A

• 9s. Are exits marked by readily visible signage?

  Yes

  No

  N/A

• 9t. Is every door, passage, or stairway that could be mistaken for an exit or a way of exit access, identified by a sign reading "Not an Exit, Door Opens Outward" or similar designation?

  Yes

  No

  N/A

• List corrective actions taken for this section:

10. Tower - Mobile Cranes - Hoisting Equipment

• 10a. Is there hoisting equipment including cranes on site today?

  Yes

  N/a

• 10b. Is communication system in place and in good working order?

  Yes

  No

  N/A

• 10c. Are there any critical lifts scheduled for the day? ie .. In excess of 75% of crane capacity?

  Yes

  N/A

• 10d. Have all critical lift plans been submitted to safety department for review?

  Yes

  N/A

• 10e. Are inspections current and a copy obtained daily?

  Yes

  No

  N/A

• 10f. Are signal persons and riggers qualified with proof readily available?

  Yes

  No

  N/A

• 10g. Are all 'HOOK SAFETY LOCKS' in working order?

  Yes

  No

  N/A

• 10h. Are Navigation lights required, and functioning? (Boom Lights)

  Yes

  No

  N/A

• 10i. Is crane positioned at the REQUIRED Safe distance from over-head power lines?

  Yes

  No

  N/A

• 10j. Are the out-riggers correctly cribbed & padded? (ground bearing pressure addressed)

  Yes

  No

  N/A

• 10k. Are access ladders and steps protected, in good condition and easily accessible?

  Yes

  No

  N/A

• 10l. Is the Operator licensed according to Job, City, Federal & State requirements?

  Yes

  No

  N/A

• 10m. Is all rigging tagged, with legible tags, and regularly inspected?

  Yes

  No

  N/A

• 10n. Have chain falls been inspected for defects and deformed chains?

  Yes

  No

  N/A

• 10o. Have all safety mechanisms been inspected? (ie. directional locks, anchor points etc...?

  Yes

  No

  N/A

• 10p. Are all weight capacities available, identifiable and observed?

  Yes

  No

  N/A

11. Equipment usage ( ie. Aerial lift, Lull, Skid steer, Loader, Backhoe, Fork lift etc.)

• 11a. Will motorized equipment be used?

  Yes

  N/A

• 11b. Was equipment inspected prior to use?

  Yes

  No

  N/A

• 11c. Are all employees that intend to use equipment trained? Are records readily available, with copies obtained?

  Yes

  No

  N/A

• 11d. Do all motion alarms function?

  Yes

  No

  N/A

• 11e. Are all fall protection requirements being followed? ( ie. harness, lanyard, mid rail chain on scissor lift etc.)

  Yes

  No

  N/A

• 11f. Are areas free of holes, debris and obstructions for safe movement of equipment?

  Yes

  No

  N/A

• 11g. Is machine shut off, keys removed and secure when unattended?

  Yes

  No

  N/A

• 11h. Are safety restraint belts in place and being used?

  Yes

  No

  N/A

• 11i. Are load capacities being observed and followed?

  Yes

  No

  N/A

12. Roads - Bridges & Railroads (Infrastructure)

• 12a. Does this project consist of Road - Bridge - Railroad work?

  Yes

  N/A

• 12b. Are all permits in place and current?

  Yes

  No

  N/A

• 12c. Are all employees and sub contractors assigned to the project, familiar with project limits prior to starting work?

  Yes

  No

  N/A

• 12d. Are all employee's badged according to contract - owners requirements?

  Yes

  No

  N/A

• 12e. Has all demolition work been identified?

  Yes

  No

  N/A

• 12f. Have all soils to be removed been tested for foreign contaminants?

  Yes

  No

  N/A

• 12g. Have all painted metals been tested for LEAD?

  Yes

  No

  N/A

• 12h. All piping and insulation tested for ASBESTOS?

  Yes

  No

  N/A

• 12i. Any work beyond contract scope of work?

  Yes

  No

  N/A

• 12j. Have these areas been tested for suspect contaminants?

  Yes

  No

  N/A

• 12k. Is there an abatement plan in place for removal of contaminants prior to start of project?

  Yes

  No

  N/A

• 12l. All traffic control devices in place according to TRAFFIC CONTROL PLAN and in compliance with MUTCD?

  Yes

  No

  N/A

• 12m. Who is responsible for Traffic Control Devices? Placement, maintenance, inspections, & Corrective actions...

  Yes

  No

  N/A

• 12n. All construction equipment and vehicles kept inside of barricades?

  Yes

  No

  N/A

• 12o. Does all moving equipment have MOTION ALARMS (back-up beepers)?

  Yes

  No

  N/A

• 12p. Will there be work over water?

  Yes

  No

  N/A

• 12p I. Is work being performed on navigable waters? (Boat traffic commercial or recreational)

  Yes

  No

  N/A

• 12p II. Are work area protection devices required and in place? (if yes, describe)

  Yes

  No

  N/A

• 12p III. Are rescue buoys in place?

  Yes

  No

  N/A

• 12p IV. Is rescue boat on site, in water, and supplied with correct equipment to perform rescue?

  Yes

  No

  N/A

• 12p V. Are floatation devices supplied, inspected and used correctly? (zipped up, straps connected etc..)

  Yes

  No

  N/A

• 12q. Will work be performed within 25' of the track?

  Yes

  No

  N/A

• 12q I. Have employees and sub-contractors completed RWP Roadway Worker Protection training?

  Yes

  No

  N/A

• 12q II. Is Rail Road Flagger on site, & Safety Briefing Given?

  Yes

  No

  N/A

• Identify Rail Road Provided Flagger:

• 12q III. Have all workers specific to Rail Road attended the job briefing?

  Yes

  No

  N/A

• 12q IV. Were any hazards communicated during on track safety briefing? If yes please describe:

  Yes

  No

  N/A

• 12q V. Are the Rail Road tracks live while work is being performed?

  Yes

  No

  N/A

• Define all track protection provided for workers.

• 12q VI. Are Flaggers and look-outs positioned according to requirements?

  Yes

  No

  N/A

• 12q VII. If the Rail Road track is INACTIVE, are all LOCK OUT - TAG OUT methods in place?

  Yes

  No

  N/A

13. Excavations

• 13a. Will excavation work be performed today?

  Yes

  N/A

• 13b. Has an excavation Corporate Safety Program been submitted to Superintendent?

  Yes

  No

  N/A

• Name the Competent Person for excavation work?

• 13c. Is there an excavation plan with associated 'DIG' numbers reviewed and approved?

  Yes

  No

  N/A

• 13d. Are safety restraint belts in place and being used?

  Yes

  No

  N/A

• 13e. Are "BACK UP or other motion alarms in place and functioning at 90 decibels or greater?

  Yes

  No

  N/A

• 13f. Is traffic control required, and in place according to traffic control plan?

  Yes

  No

  N/A

• 13g. Are Flagger's required?

  Yes

  No

  N/A

• 13h. Have all OPEN excavations been protected?

  Yes

  No

  N/A

• 13i. Is contaminated material being handled according to plan and disposed of properly in accordance with EPA requirements?

  Yes

  No

  N/A

• 13j. Is erosion control in place? ie.. silt fence, drain screen, pump sock, filter bag etc...

  Yes

  No

  N/A

• 13k. Has all earth work been inspected by the Competent Person prior to entering?

  Yes

  No

  N/A

• 13l. Are precautionary measures in place for dewatering excavations?<br>

  Yes

  No

  N/A

• 13m. Have ALL proper permits been acquired prior to digging?

  Yes

  No

  N/A

• 13n. Has the soil been tested by the competent person to determine classification? What means of testing was used?

  Yes

  No

  N/A

• 13o. Is benching, shoring, sloping, or shielding required?

  Yes

  No

  N/A

• 13p. Is shoring designed by structural engineer?

  Yes

  No

  N/A

• 13q. Is any special insurance required, if so, has it been obtained? (RR Protective, etc..)

  Yes

  No

  N/A

• 13r. Are dust control and Street Sweeping equipment being used?

  Yes

  No

  N/A

• 13s. Have any atmospheric hazards been identified?

  Yes

  No

  N/A

• 13t. Are access & egress points in place no further than 25 feet of travel, and clear of material & debris according to standards?

  Yes

  No

  N/A

14. Interior Demolition / Rehabilitation

• 14a. Is this project Interior Rehab / Addition?

  Yes

  N/A

• 14b. Have all Employee's, Sub-Contractors, & Owners / Reps been orientated to work area and expectations?

  Yes

  No

  N/A

• 14c. Are all work areas contained / sealed off as to not affect adjacent or existing public operations?

  Yes

  No

  N/A

• 14d. Have all suspect contaminants been tested, identified, and removed by qualified personnel?

  Yes

  No

  N/A

• 14e. Do public walkways go through work area?

  Yes

  No

  N/A

• 14f. Are public walkways through area properly barricaded and clearly marked as such?

  Yes

  No

  N/A

• 14g. Any work beyond contract scope of work?

  Yes

  No

  N/A

• 14h. Have all painted metals been tested for LEAD?

  Yes

  No

  N/A

• 14i. All piping and insulation tested for ASBESTOS?

  Yes

  No

  N/A

• 14j. Has all demolition work been identified?

  Yes

  No

  N/A

• 14k. Is there an abatement plan in place for removal of contaminants prior to start of project?

  Yes

  No

  N/A

15. Permit Required Confined Spaces

• 15a. Will confined space work be performed on project today?

  Yes

  N/A

• 15b. Has the Safety Dept. been notified of intended Permit Required Confined Space Work?

  Yes

  No

  N/A

• 15c. Have Permit Required Confined Spaces been identified in the written Confined Space Plan?

  Yes

  No

  N/A

• 15d. Has a rescue plan been developed, communicated and distributed to all parties involved?

  Yes

  No

  N/A

• 15e. Has the atmosphere been tested and accepted by the competent person?

  Yes

  No

  N/A

• 15f. Does the attendant" stationed at the space have the ability to keep in communication with those in the confined space at all times?

  Yes

  No

  N/A

• 15g. Has the space been "declassified" to NON-PERMIT REQUIRED prior to entry using such techniques as lockout or forced air?

  Yes

  No

  N/A

• 15h. Has the gas meter been fully calibrated within the last 6 month period?

  Yes

  No

  N/A

• 15i. Is the meter used during the entry and re-entry (breaks & lunch) to work area assuring that the conditions remain safe?

  Yes

  No

  N/A

• 15j. Is the person using the gas meter well trained in its use?

  Yes

  No

  N/A

• 15k. Has the training been provided in the past 12 months for those that work with the confined spaces?

  Yes

  No

  N/A

• 15l. Is all record keeping documentation, including corrective actions available?

  Yes

  No

  N/A

• 15m. Are danger signs posted (or other equally effective means of communication) and maintained to inform employees about the existence, location, and dangers of permit-required confined spaces?

  Yes

  No

  N/A

16. Electrical

• 16a. Have all extension cords been inspected for faults in insulation, missing pins, or deformity?

  Yes

  No

  N/A

• 16b. Have all power tools been inspected at beginning of shift for faulty triggers, guards, cords, and physical damage?

  Yes

  No

  N/A

• 16c. Do all breaker boxes have secure doors and clearly marked / labeled with voltage contents?

  Yes

  No

  N/A

• 16e. Are all "Knock outs" in electrical boxes covered, protected or sealed?

  Yes

  No

  N/A

• 16e. Have all exposures to high voltage equipment been eliminated?

  Yes

  No

  N/A

• 16f. Are switches, receptacles, etc., provided with tight-fitting covers or plates?

  Yes

  No

  N/A

• 16g. Are all electrical outlets GFCI protected and tested according to standard?

  Yes

  No

  N/A

• 16h. Are all power cords / lines for temp lighting secured, contiguous, and above 8 feet from walking surface?

  Yes

  No

  N/A

17. Fire Prevention

• 17a. Inventory: Flammable Liquids are kept to a 1 day supply in production areas.

  Yes

  No

  N/A

• 17b. Are "NO SMOKING" signs posted?

  Yes

  No

  N/A

• 17c. Are Hot Work Permits completed correctly and valid?

  Yes

  No

  N/A

• 17d. Is there a designated 'fire watch person' for all hot work operations?

  Yes

  No

  N/A

• 17e. Is an annual maintenance check performed on fire extinguishers?

  Yes

  No

  N/A

• 17f. Do Flammable Liquid Containers have a spring loaded closure device and flame arresters?

  Yes

  No

  N/A

• 17g. Are Flammable Liquids stored in an approved flammable storage cabinet when not in use?

  Yes

  No

  N/A

• 17h. Are storage cabinets used to hold flammable liquids labeled "Flammable--Keep Fire Away"?

  Yes

  No

  N/A

• 17i. Are fire extinguishers placed according to plan through out project and inspected regularly?

  Yes

  No

  N/A

18. Welding

• 18a. Will welding or torch work be performed today?

  Yes

  N/A

• 18b. Are only authorized and trained personnel permitted to use welding, cutting, or brazing equipment?

  Yes

  No

  N/A

• 18c. Is a check made for adequate ventilation in and where welding or cutting is performed?

  Yes

  No

  N/A

• 18d. Is grounding of the machine frame and safety ground connections of portable machines checked periodically?

  Yes

  No

  N/A

• 18e. Are compressed gas cylinders kept away from sources of heat?

  Yes

  No

  N/A

• 18f. Are fire watchers assigned when welding or cutting is performed in locations where a serious fire might develop?

  Yes

  No

  N/A

• 18g. Are signs reading "DANGER NO SMOKING, MATCHES, OR OPEN LIGHTS" or the equivalent, posted in welding areas?

  Yes

  No

  N/A

• 18h. All fire extinguishing equipment that is available in work areas where welding, cutting, or heating is being performed maintained in a state of readiness for instant use?

  Yes

  No

  N/A

19. Compressed Gas Cylinders

• 19a. Are cylinders legibly marked to clearly identify the gas contained?

  Yes

  No

  N/A

• 19b. Are all valve protectors always placed on cylinders when the cylinders are not in use or connected for use?

  Yes

  No

  N/A

• 19c. Are cylinders located or stored in a manner to prevent them from creating a hazard by tipping, falling, or rolling?

  Yes

  No

  N/A

• 19d. Are valves closed off before a cylinder is moved, when the cylinder is empty, and at the completion of each job?

  Yes

  No

  N/A

• 19e. Do the high pressure compressed gas cylinders have the correct pressure relief valves (I.e....with relief holes)?

  Yes

  No

  N/A

• 19f. Are Oxygen bottles stored at least 20' (minimum) away from other combustible / flammable liquids or gases?

  Yes

  No

  N/A

• 19g. Are all gas cylinders transported in an upright position?

  Yes

  No

  N/A

20. Ergonomics

• 20a. Are stretch & flex exercises conducted at beginning of shift?

  Yes

  No

  N/A

21. Hazard Communication / Safety Data Sheets (SDS)

• 21a. Do you have a material safety data sheet for each hazardous material that you use?

  Yes

  No

  N/A

• 21b. Are SDS available to all employees at all times?

  Yes

  No

  N/A

22. Housekeeping

• 22a. Were any House Keeping issues observed?<br>

  Yes

  No

  N/A

• 22b. Were there any specific areas that have house keeping deficiencies? List areas and photo's

  Yes

  No

  N/A

• 22c. Are all materials neatly stacked away from walkways?

  Yes

  No

  N/A

• 22d. Is all debris removed from work areas and placed in appropriate trash containers?

  Yes

  No

  N/A

• 22e. Are containers stored, stacked, blocked, and limited in height so they are stable and secure?

  Yes

  No

  N/A

• 22f. Are aisle ways designated, permanently marked, and kept clear to allow unhindered passage?

  Yes

  No

  N/A

• 22g. Describe all corrective actions taken for house keeping improvements:

23. Ladders

• 23a. Are all ladders inspected prior to use, for damage, defects, or unusual wear?

  Yes

  No

  N/A

• 23b. Are unsafe or damaged ladders destroyed, discarded and removed from site?

  Yes

  No

  N/A

• 23c. Are all ladders that are in use correctly positioned and secured?

  Yes

  No

  N/A

• 23d. Are job made ladders built according to ANSI standard?

  Yes

  No

  N/A

• 23e. Are INSTRUCTIONS, WARNING LABLES & CAPACITIES conspicuously located and legible on Extension and Step Ladders?

  Yes

  No

  N/A

• 23f. Are all job built ladders and wooden guard rails assembled without using double head nails?

  Yes

  No

  N/A

24. Site Access & Security

• 24a. Is site fenced in to prevent unauthorized entry?

  Yes

  No

  N/A

• 24b. Are entry locations clear of equipment, material and debris?

  Yes

  No

  N/A

• 24c. Are gates closed or manned during operational hours?

  Yes

  No

  N/A

• 24d.Do public pathways be it road or side walk, have correct signage and barricades in place to identify designated routes?

  Yes

  No

  N/A

• 24e. Is all equipment (pick up trucks, machines, etc) locked and keys removed when not in use?

  Yes

  No

  N/A

25. Incident Reporting

• 25a. Any incidents, accidents, near misses or injuries to report today?

  Yes

  N/A

• 25b. Include pictures

  Media

• 25c. List all NEAR MISSES, INCIDENTS, ACCIDENTS, INJURIES and any EMERGENCY RESPONSES ASSOCIATED with the project.

• 25d. Have all injuries been reported in 24 hours or less - initial.

  Yes

  No

  N/A

• 25e. View Point Reference Number:

26. Corrective Actions

• 26a. List corrective actions that were taken:

• 26b. Add corrective photo's:

  Media

• Signature

  Sign