Information
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Document No.
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Audit Title
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Project Name:
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Conducted on
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Person(s) conducting audit
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Title
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Name of Superintendent onsite
CONDITIONS AND PROTECTION
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RECORDKEEPING
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1. OSHA 300 Log (up-to-date/posted 2/1 thru 4/31)
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Date Corrected
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Corrected By
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2. Required OSHA/State Posting displayed
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Date Corrected
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Corrected By
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3. Emergency action plan available (up-to-date)
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Date Corrected
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Corrected By
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4. Emergency information posted (medical clinic map)
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Date Corrected
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Corrected By
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5. JMI written Safety Policy/Procedure Manual
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Date Corrected
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Corrected By
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6. Project Health and Safety Plan
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Date Corrected
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Corrected By
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7. Weekly safety meetings conducted & documented
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Date Corrected
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Corrected By
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8. Hazardous substance inventory available (up-to-date)
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Date Corrected
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Corrected By
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9. SDS information available (up-to-date)
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Date Corrected
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Corrected By
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10. Activity hazard analysis available (up-to-date)
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Date Corrected
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Corrected By
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11. Traffic control plan & documentation
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Date Corrected
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Corrected By
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12. Personnel training records
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Date Corrected
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Corrected By
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13. Injury & Illness Prevention Plan (CA only)
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Date Corrected
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Corrected By
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14. Federal & State OSHA standards on site
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Date Corrected
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Corrected By
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FIRST AID
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1. First aid kit(s) centrally located/adequately stocked
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Date Corrected
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Corrected By
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2. First aid kit(s) checked and inspection documented
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Date Corrected
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Corrected By
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3. Personnel trained in first aid/CPR available
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Date Corrected
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Corrected By
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FIRE
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1. Fire extinguisher charged, inspected, well located & visible
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Date Corrected
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Corrected By
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2. Flammable waste removed daily/properly contained
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3. No Smoking signs posted where appropriate
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Date Corrected
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Corrected By
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4. Compressed gas cylinders secured and upright position. Oxygen & Acetylene bottles properly stored/separated
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Date Corrected
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Corrected By
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HOUSEKEEPING
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1. General appearance neat/orderly
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Date Corrected
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Corrected By
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2. Aisles & walkways clear & maintained
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Date Corrected
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Corrected By
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3. Trash containers adequate and available
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Date Corrected
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Corrected By
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4. No projecting nails/screw or unprotected rebar
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Date Corrected
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Corrected By
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5. Slip, Trip, & Fall hazards eliminated
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Date Corrected
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Corrected By
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PERSONAL PROTECTIVE EQUIPMENT
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1. Hard hats, safety glasses & safety vest worn by all project personnel
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Date Corrected
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Corrected By
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2. Proper eye/face protection when cutting, grinding, welding, drilling, or operations with flying debris
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Date Corrected
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Corrected By
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3. Full body harness and tie offs worn and inspected
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Date Corrected
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Corrected By
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4. Hearing protection utilized where required
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Date Corrected
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Corrected By
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5. Gloves utilized when needed
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Date Corrected
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Corrected By
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6. Respirators properly used, stored and maintained.
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Date Corrected
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Corrected By
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7. Respirator cartridges and filters appropriate for use
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Date Corrected
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Corrected By
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8. Eyewash station available and centrally located
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Date Corrected
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Corrected By
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9. Abrasive blasting hood maintained and available
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Date Corrected
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Corrected By
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10. Chemical protective clothing available
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Date Corrected
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Corrected By
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WALKING AND WORKING SURFACES
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1. Wall openings & open sides of floor levels properly guarded
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Date Corrected
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Corrected By
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2. Floor openings properly covered, identified or guarded
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Date Corrected
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Corrected By
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3. Handrails provided on all stairwells
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Date Corrected
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Corrected By
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LADDERS
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1. All ladders inspected as required and rails, rungs and hardware in good condition
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Date Corrected
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Corrected By
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2. Extension ladders secured at top and bottom and extend 3 feet above landing
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Date Corrected
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Corrected By
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3. Employee utilizing safe practices not standing on top two steps
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Date Corrected
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Corrected By
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4. Ladders positioned on level, unobstructed surface and secure footing
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Date Corrected
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Corrected By
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5. Ladders not positioned in walkways, doorway or equipment traffic areas
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Date Corrected
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Corrected By
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ELECTRICAL
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1. Adequate lighting provided where needed
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Date Corrected
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Corrected By
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2. Assured grounding program implemented
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Date Corrected
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Corrected By
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3. Power tools and extension cords inspected and tagged with current color coding
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Date Corrected
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Corrected By
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4. Extension cords free of cuts, splices, and bare wires
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Date Corrected
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Corrected By
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5. Electrical tools and machinery equipped with three wire cords with ground pin or double insulated
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Date Corrected
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Corrected By
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6. Ground fault circuit interrupters (GFCI) used
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Date Corrected
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Corrected By
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EQUIPMENT AND TOOLS
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1. All machinery, equipment guards used and maintained
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Date Corrected
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Corrected By
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2. Hand tools in good working condition
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Date Corrected
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Corrected By
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4. Back up alarms are equipped and operational on vehicles and equipment
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Date Corrected
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Corrected By
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6. Spotter/flagmen utilized when needed
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Date Corrected
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Corrected By
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8. Pneumatic tools, hoses and compressors pinned or properly secured
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Date Corrected
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Corrected By
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10. Aerial lifts in proper working conditions
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Date Corrected
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Corrected By
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11. Only trained operators on aerial lifts and forklifts
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Date Corrected
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Corrected By
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Additional
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Additional
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Additional
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SCAFFOLD/WORK PLATFORM
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1. Proper planking provided (minimum two 2"x10" planks)
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Date Corrected
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Corrected By
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2. Proper bracing and tie-ins
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Date Corrected
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Corrected By
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3. Guardrail system & toe boards in use
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Date Corrected
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Corrected By
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4. No riding on rolling scaffold
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Date Corrected
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Corrected By
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5. Casters to rolling scaffold locked when scaffolds in use
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Date Corrected
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Corrected By
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CONFINED SPACE/TRENCH/EXCAVATION
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1. Confined space entry permit is current and utilized when required
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Date Corrected
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Corrected By
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2. Rescue procedures & services are readily available
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Date Corrected
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Corrected By
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3. Adequate ventilation is available & utilized
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Date Corrected
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Corrected By
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4. Walls, banks are properly supported, shored or sloped
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Date Corrected
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Corrected By
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5. Spoils, materials & equipment are stored at least 2 feet from top opening
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Date Corrected
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Corrected By
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6. Access & egress is appropriate & provided at least every 25'
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Date Corrected
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Corrected By
Action Plans
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Action taken for deficiencies:
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Special safety activities this week:
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Injuries reported and investigated this week:
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All safety issues have been corrected
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Select date