Job Site Safety & Asbestos Compliance Inspection

• Site conducted
  Address

• Conducted on

  Date

• Prepared by

• Job Number

• On Site Supervisor Name

• Number of Workers On Site

• Is this an asbestos notified job?

  Yes

  No

  N/A

• Does everyone on site have their asbestos card?

  Yes

  No

  N/A

• Is the work area properly demarcated?

  Yes

  No

  N/A

• Is the decon in place and properly set up?

  Yes

  No

  N/A

• Does the supervisor have all of the required paperwork onsite?

  Yes

  No

  N/A

• Do you see workers properly using respirators and ppe?

  Yes

  No

  N/A

• Is there a JSA for this job site?

  Yes

  No

  N/A

• Did the supervisor review the JSA with the crew in the morning?

  Yes

  No

  N/A

• Did the supervisor make any changes to the JSA?

  Yes

  No

  N/A

• What was changed on the JSA?

• What is the condition of the walking/working surface?

  Good

  Fair

  Poor

  N/A

• What is the condition of lighting in the work area?

  Good

  Fair

  Poor

  N/A

• Are workers feet 6' or more above the surface?

  Yes

  No

  N/A

• Is fall protection in use?

  Yes

  No

  N/A

• Are ladders in use?

  Yes

  No

  N/A

• Are all ladders being safely used?

  Yes

  No

  N/A

• Is scaffolding in use?

  Yes

  No

  N/A

• Is the scaffolding being safely used?

  Yes

  No

  N/A

• Is there any heavy machinery in use?

  Yes

  No

  N/A

• Is the machinery HEPA owned?

  Yes

  No

  N/A

• Are all operators properly trained?

  Yes

  No

  N/A

• Is the machinery in good working order?

  Yes

  No

  N/A

• Are the lights and other safety equipment in good working order?

  Yes

  No

  N/A

• Are there any extreme temperature or weather conditions present?

  Yes

  No

  N/A

• What is the condition?

• Has the supervisor properly addressed the temperature/weather conditions?

  Yes

  No

  N/A

• Is all electrical equipment protected with GFCIs?

  Yes

  No

  N/A

• Is lock-out/tag-out required?

  Yes

  No

  N/A

• Is there a risk of carbon monoxide exposure?

  Yes

  No

  N/A

• Does the supervisor have a co detector set up in the work area?

  Yes

  No

  N/A

• Does the project require torch cutting or any other activities that could cause a fire?

  Yes

  No

  N/A

• Does the supervisor have a smoke detector set up in the work area?

  Yes

  No

  N/A

General Safety

• Is there a first aid kit on site?

  Yes

  No

  N/A

• Is there a fire extinguisher on site?

  Yes

  No

  N/A

• Are safety glasses being worn?

  Yes

  No

  N/A

• Are hard hats being worn?

  Yes

  No

  N/A

• Are work gloves being worn?

  Yes

  No

  N/A

• Does the supervisor need any ppe or other safety equipment to continue the project?

  Yes

  No

  N/A