JMCC Daily Audit 3.1

• Date, Initials and Job Number

• Project Name

General Project Informaton

• List Safety Representative Assigned to Project:

• Management / Supervision:

• Site hours of operation

• Conducted on

  Date

• Prepared By:

• Weather:

• Location
  Address

1. General

• 1a. Have all employees, sub-contractor employees, & visitors completed orientation specifically to project and job sticker issued?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 1c. Is the Site Safety Program and SDS 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 entrance and exit clearly identified with warning / informational signs posted?<br>(i.e. PPE Requirements, office location, etc..)

  Yes

  No

  N/A

• 1f. Do the amount of Facilities / Port-a-potties on project meet requirements & OSHA standards? (i.e. 1 unit per 10 workers for 40 hrs.)

  Yes

  No

  N/A

• List any Schedule, Progress, Staff, Owner or Sub-Contractor meetings attended today:

• General description of tasks to be performed for shift work today:

• Photo's of work areas:

  Media

2. Safety Training

• 2a. Are there employees on site that have current First Aid / CPR training? (please list)

  Yes

  No

  N/A

• 2b. Have all employees been trained to use tools required for tasks assigned?

  Yes

  No

  N/A

• 2c. Are Pre-Task / Take 5 meetings held daily or as tasks change?

  Yes

  No

  N/A

• 2d. Are weekly safety briefings / tool box talks provided, and documented?

  Yes

  No

  N/A

• 2e. List person or persons and job title conducting meeting:

• 2f. Weekly Tool Box Schedule

  Date

• 2g. Were any disciplinary actions taken and or documented for shift work today?

  Yes

  N/A

• List Person or entity issuing discipline:

• Discipline issued to JMCC Employee? (List Name and Action)

  Yes

  No

  N/A

• Discipline Issued to Sub-Contractor Employee? (List Name & Action)<br>

  Yes

  No

  N/A

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. Is Sub-Contractor Supervision on site? (If yes list) <br>

  Yes

  No

  N/A

• 3d. Did Sub-Contractor provided copies of Documented Safety Training?<br>(I.e. Pre-Task, Take 5, Weekly Safety Briefing/Tool Box Talk)

  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 following PPE Requirements? (ie. Stock, Provide to employees, utilized by employee's)

  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, utilized 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

  No

  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

• 5g. Is a written industrial hygiene plan in place?

  Yes

  No

  N/A

• 5h. Is Industrial Hygiene testing being performed as required, Including retesting when applicable.

  Yes

  No

  N/A

• 5i. Are record keeping documents and corrective actions up to date?

  Yes

  No

  N/A

6. LOOK-OUT Inspection / Observation

• 6a. Are Look-out platforms utilized on project?

  Yes

  No

  N/A

• 6bI. Have all structural installation plans been reviewed, approved and followed for installation?

  Yes

  No

  N/A

• 6bII. Are all guard rails, toe-boards, and debris netting in place and meet Corporate Policy requirements?

  Yes

  No

  N/A

• 6bIII. Are retractibles in place on all LOOK-OUTS?

  Yes

  No

  N/A

• 6bIIII. Are LOOK-OUT platforms clean and clear of any loose debris?

  Yes

  No

  N/A

• 6bV. Are all WARNING, CAPACITY, AND ALLOWABLE ACCESS signs posted, secured, and in good condition?

  Yes

  No

  N/A

7. Fall Prevention

• 7a. Are all employee's familiar with the JMCC Fall Prevention / Protection section of the Corporate Safety Manual? <br>

  Yes

  No

  N/A

• 7b. Is all fall arrest equipment, such as harnesses, in good working condition

  Yes

  No

  N/A

• 7c. Have all Harness', Lanyards, SRL's (Self Retracting Lifelines), and Anchor points been inspected and documentation retained?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 7e. Have all necessary FALL ARREST Anchorage points been installed where needed?

  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

• 7g. List person (s) working on, or assigned to maintain guard rail system / perimeter protection:

• 7h. Are all holes that are greater than 2" securely covered, & clearly marked 'HOLE'?

  Yes

  No

  N/A

8. Scaffolding

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

  Yes

  No

  N/A

• 8b. List scaffold type and purpose:

• 8c. Was scaffold system erected according to manufacturer specification by a Competent Person?

  Yes

  No

  N/A

• 8d. 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

• List person whom provided daily inspection

• 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

  No

  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 and work areas?<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. Have all exterior RE-SHORING DEVICES (pole shores) been secured, tied back, and tightened?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  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 secured and in good condition?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 9t. Are all means of access / egress clearly identified with signage or similar notification?

  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

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 10c I. Will outrigger experience more than 48,000 lbs of force?

  Yes

  No

• 10c II. Has ground penetrating radar been performed (GPR)? If YES, by whom?

  Yes

  No

  N/A

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

  Yes

  No

• 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, deformed chains and hooks?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 10p. Is Load Chart in Cab or on Equipment?

  Yes

  No

  N/A

11. Heavy / Motorized Equipment ( ie. Aerial lift, Lull, Skid steer, Loader, Backhoe, Fork lift, scoot crete, stacker etc.)

• 11a. Will motorized equipment be used?

  Yes

  No

  N/A

• 11b. Was equipment inspected prior to use?

  Yes

  No

  N/A

• List equipment that is used and operator:

• 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 Safety Zones around equipment established and communicated?<br>

  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

• 11j. Will equipment have to travel outside of the project perimeter? (List Operator)

  Yes

  No

  N/A

• 11j I. Has travel route been verified?

  Yes

  No

  N/A

• 11j II. Have all LOW-CLEARANCE or other obstructions been identified, and travel route designed to avoid them?

  Yes

  No

  N/A

• 11j III. Is spotter, flagger, or escort in place at time of movement? (List individually)

  Yes

  No

  N/A

12. Infrastructure (Roads / Bridges / Rail Road)

• 12a. Does this project consist of infrastructure work?

  Yes

  No

  N/A

• 12b. Have all required permits been acquired and valid? <br>(ie.. Construction, Hot Works, Confined Space Ground Disturbance)

  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. All personnel have completed Railroad Specific Training if required? (i.e. BNSF, CN, Metra, UPRR Contractor Orientation)<br>

  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. List responsible parties fro Traffic Control Devices: Placement, maintenance, inspections & corrective actions.

• 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 Rail road track?

  Yes

  No

  N/A

• 12q I. All personnel have completed Railroad Specific Training if required? (i.e. BNSF, CN, Metra, UPRR Contractor Orientation)<br>

  Yes

  No

  N/A

• 12q Ia. All personnel have a valid e-RAILSAFE ID?

  Yes

  No

  N/A

• 12q II. Is Rail Road Flagger & EIC (Employee In Charge) 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.

• List limits, time and verification:

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

  Yes

  No

  N/A

• 12q VII. Has a method of communication or warning been established with EIC and / or flagger?

  Yes

  No

  N/A

• 12q VIII. Is the Rail Road track INACTIVE, if yes, are all LOCK OUT - TAG OUT methods in place?

  Yes

  No

  N/A

• 12q VIIII. Are Job Briefings updated as personnel or conditions change?

  Yes

  No

  N/A

13. Excavations

• 13a. Will excavation work be performed today?

  Yes

  No

  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 on mobile equipment 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. Will Flagger or Spotter be required for task? (If yes, please list)

  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 measures in place to control dust, excessive tracking, mud accumulation etc.?

  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

  No

  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

  No

  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 calibrated according to manufacturer instructions?

  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

• 16i. Are LOTO procedures in place and utilized for shift work at time of observation? If answer is yes, list procedures and contact persons.

  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 the 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

• 17j. Are Temporary Heaters being used on project, at this time?

  Yes

  No

  N/A

• 17j I. Are all Gas Line connections secure and lines / hoses off floor?<br>

  Yes

  No

  N/A

• 17j II. Have all power supply cords been inspected and in good working condition?

  Yes

  No

  N/A

• 17j III. Are heaters placed far enough away from form work and materials to avoid starting fire?

  Yes

  No

  N/A

• 17j IIII. Were any articles of clothing placed near heaters for drying purposes? (gloves, boots, cover-alls etc..)

  Yes

  No

  N/A

• 17j V. Are all heaters are clear of debris or any other potential fire risk?

  Yes

  No

  N/A

• 17j VI. Is heated area enclosure materials secure? (tarps, etc..)

  Yes

  No

  N/A

• 17j VII. Does heated area have sufficient ventilation?

  Yes

  No

  N/A

• 17j VIII. Is the air quality of heated area measured, and documented? (list method and tool used)

  Yes

  No

  N/A

• 17j VIIII. Is there a method of communication to repot a Fire that could potentially occur during OFF HOURS?

  Yes

  No

  N/A

18. Welding

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

  Yes

  No

  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 warning signs posted around affected area?

  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

• 20b. We're correct lifting techniques utilized, and observed?<br>

  Yes

  No

  N/A

21. Hazard Communication / Safety Data Sheets (SDS)

• 21a. Do you have 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

  N/A

• 22b. Are there any specific areas that need continuous House Keeping Attention?

  Yes

  N/A

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

  Yes

  No

  N/A

• 22d. Is all debris removed from walkways, ladder access', work areas and placed in appropriate trash containers?

  Yes

  No

  N/A

• 22e. Have all nails been removed from stripped form work, wood and other areas as to avoid puncture wounds and other potential injuries?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 22g. Describe all corrective actions taken for house keeping improvements and to whom the actions were reported:

• Photos of corrected areas described above:

  Media

• 22h. List person or persons responsible for corrections and completion Date / Time:

23. Ladders

• 23. Are Ladders present and being used on project?

  Yes

  No

  N/A

• 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

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

  Yes

  No

  N/A

• 23f. Are all ladder access points corralled, or protected from unintentional entry?

  Yes

  No

  N/A

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

  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 "NO TRESPASSING" and other applicable warning signs posted?

  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

25. Incident Reporting

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

  Yes

  No

  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. Were there any issues of concern that are not listed above? (If "Yes" please describe, include corrective measures and photo's)

  Yes

  N/A

• 26b. List Corrective Actions taken for shift work today:

• 26c. Corrective Actions photographs:

  Media

• Signature

  Sign