Information
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Project Name
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Job Number
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Location
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Project Manager
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Foreman
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Safety Inspector's Name
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Conducted on
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PM or Foreman Signature
Personal Protection Equipment
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Hard Hat
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Eye Protection
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Ear Protection
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Foot Protection
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Fall Protection / Harnesses
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Chemical Protection
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Gloves
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Other
Housekeeping
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Piling and Stacking
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Debris Removal
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Exits and Stairs Clear
Ladders
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Ladder Condition
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Ladder Use
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Tied off 3' Above Landing
Railings and Covers
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Perimeter Rails / Toe Boards
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Walkway Rails / Toeboards
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Floor and Wall Covers
Scaffolding
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Rails in Place
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Tied to Building
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Planks and Platforms in Place
First Aid
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Kits and Supplies
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Sanitation and Water
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Emergency Eye / Body Shower
Fire Protection
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Extinguishers
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Flammable Storage
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Welding / Cut Equipment
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Hot Work Permit
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Fire Watch
Electrical
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Lighting
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Grounding
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Cords, Plugs, Rec.
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Temporary Power Boxes
Tools
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Condition
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Guards
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Power Cords
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Whip Checks
Site and Public Protection
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Excavations / Trenches
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Competent Person
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Earthmoving Equipment
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Forklift and Cranes
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Fences
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Lighting
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Barricades and Signs
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Rebar Protection
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Double Containment
Lifts
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Scissors
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JLG
Record Keeping
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Inspections
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Training
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Postings
