Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
General
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Has supervisor / foreman issued any citations during the month?
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Does supervisor / foreman have the Construction Safety Manual?
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Does supervisor / foreman have SDS sheets for hazard communication program?
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Does supervisor / foreman have accident investigation binder?
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Does supervisor / foreman have maps for provider care facilities?
Company Vehicles & Forklift
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Are seatbelts being used in compliance with company policy?
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Registration & Insurance cards in company vehicles?
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Does Foreman have a First Aid Kit?
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Is forklift operator certified?
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Is fire extinguisher up to date in forklift?
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Does forklift operator carry proof of certification?
Tools
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Do all nail guns have safety springs?
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Are circular saw guarded?
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Are grinders guarded?
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Are compressors checked and maintained in good condition?
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Air hoses checked and maintained in good condition?
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Are all used HILTI shots collected?
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Are Powder Actuated Tools regularly maintained and is the operator certified?
Electrical / Power Tools
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How many extensions cords were inspected?
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How many extensions cords were in compliance?
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Are generators checked and maintained in good working order?
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Fire extinguishers inspected monthly?
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Are power tools in good working shape?
Ladders
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How many job site ladders do the crew have access to?
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Does each crew have at least a 6’ ladder?
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Are A-Frame ladders firm and used properly?
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Do all ladders have proper stickers on them?
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Are extension ladders secured?
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Are extension ladders used properly and extended 3’ beyond the landing point?
Personal Protective Equipment
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Are all employees wearing hard hats?
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Are all emoloyees wearing safety glasses?
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Is appropriate footwear being used on the job site?
Fall Prevention & Protection
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Are CAZ signs posted according to company policy?
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Are all harnesses, life-lines, lanyards, and anchors in good working condition?
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Are all anchor points properly installed?
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Only one lifeline is being used per anchor?
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Employees are tied off when higher than 6’ off the ground or have guardrails installed?
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Are guardrails properly installed? (post spaced at 8’, top rail is 42” & mid rail is 21”)
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Are steps or stair system being used to access elevated areas greater than 19” high?
Housekeeping
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Is scrap material picked up?
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Is the overall appearance of the job site acceptable?