Job CRB

• Safety Inspection

• Client / Site

• Conducted on

  Date

• Prepared by:

  Sign

Office Set up

• Clark Safety & Hazcom Manual

  Yes

  No

  N/A

• OSHA Poster/ EEO , Evacuation , Fire Extinguisher

  Yes

  No

  N/A

• First Aid box has been inspected and supplies ordered

  Yes

  No

  N/A

• Proper access- steps & hand rail

  Yes

  No

  N/A

Safety on Job Sites

• Fall hazards?

Fall Hazard

• Add media

  Media

• Type of fall hazard?

• Subcontractor

• Location

• Response / Correction

• Fall protection equipment

  Safe

  At Risk

  N/A

• Add media

  Media

• Subcontractor

• Location

• Response / Correction

• Scaffolding

Scaffold

• Select Yes No N/A

  • Yes
  • No
  • N/A

• Add media

  Media

• Subcontractor

• Location

• Inspection

• Response / Correction

• Unsafe or damage lifting equipment, including ropes, slings, chairs and hooks?

  Yes

  No

  N/A

• Add media

  Media

• Subcontractor

• Location

• Inspection

• Response / Correction

• Proper lighting, secured / with cage

  Yes

  No

  N/A

• Add media

  Media

• Subcontractor

• Location

• Inspection

• Response / Correction

• Ladder not properly secured / damaged?

  Yes

  No

  N/A

• Add media

  Media

• Subcontractor

• Location

• Inspection

• Response / Correction

• Personnel Protective Equiment

PPE

• Add media

  Media

• Subcontractor

• Location

• Inspection

• Response / Correction

• Housekeeping

Housekeeping

• Add media

  Media

• Location

• Subcontractor

• Response / Correction

• Fire Extinguishers charged, proper placement

  Yes

  No

  N/A

• Location

• Response / Correction

• Electrical

Electrical

• Add media

  Media

• Location

• Subcontractor

• Response / Correction

• Subcontractor

• Add media

  Media

• Misc-

  Yes

  No

  N/A

• Location

• Subcontractor

• Response / Correction

• Heating - properly set up away from wall?

  Yes

  No

  N/A

• Location

• Subcontractor

• Response / Correction