Information
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Job Site
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Prepared by
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Location
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Personnel
Site Information
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Sign-In Sheet
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Start Time
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Lunch time starts and ends at what times?
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Rollup Time
Crews on site
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Number of framers working including the supervisor
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Supervisor on site
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Number of finishers working including the supervisor
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Supervisor on site
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Number of EIFS working including the supervisor
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Supervisor on site
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Number of scaffold builders working including supervisor
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Supervisor on site
General
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Emergency telephone numbers posted?
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Is there a competent person, someone capable of identifying existing and predicable hazards which are unsanitary, hazardous or dangerous, and who has authorization to take prompt corrective measures to eliminate them, on site?
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Are first aid supplies adequate?
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Are weekly safety meetings being held and safety sheets being signed?
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SDS on site and accessible to all employees?
Housekeeping
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Housekeeping: aisles clean, scrap removed, work areas clean and free of dangerous waste and material.
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Work areas have appropriate lighting.
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Adequate supply of water or water jugs, cups and trash containers?
Personal Protective Equipment (PPE)
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Head,eye, face, and hand protection worn?
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Respiratory protection worn when needed/required?
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Safety harnesses, lifelines and lanyard worn when needed/required?
Fire Protection & Prevention
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Are portable fire extinguishers provided in adequate number and type and in readily accessible locations?
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All employees or subcontractors know the location of the fire extinguishers.
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Portable heaters are being used in accordance with specifications.
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Flammable & combustible liquids in approved containers only?
Electrical
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All equipment is either grounded or double insulated.
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GFCI receptacle used including when using permanent power?
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Temporary lights are equipped with guards to prevent accidental contact with bulb.
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Extension cords are not frayed, cut, nicked and are in good repair with intact ground pin.
Tools
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All tools are in good working order.
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Tool cords are free of cuts or abrasions and in good repair.
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Proper tool being used for job?
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Tools are being used properly?
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Guards in place?
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Powder actuated tools are unloaded when not in use.
Ladders
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Ladders are in good condition with all appropriate labels and have slip resistant feet and away from electrical exposures.
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Ladders properly secured to prevent slipping, sliding or falling?
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Do straight ladders extend 36" above top of landing?
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Stepladders fully open when in use; no standing on top two steps?
Perry Scaffolds
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Constructed by a qualified person
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Components are in good repair
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Scaffold is set up on baseplates or casters
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Baseplates are used in place of casters in stairway
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All 4 wheels are locked
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Stacked scaffolds has a set of outriggers with casters in use
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Working surface is free of debris and material
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All open sides and ends of the working platform more than 6' above ground are provided with guardrails
Scaffolding
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Scaffolding is constructed by a qualified person
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Scaffold equipment in good working order
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Inspected by competent person daily before use?
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Scaffolding was erected per the manufacturers instructions and will meet the guidelines outlined in OSHA standards
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Footing and anchors are sound, rigid, and capable of carrying 4 times the maximum intended load without settling or displacement
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The scaffold is set up on adequate flat baseplates on mudsills, screw jacks, etc.
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All connections are pinned or fastened securely
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All 4 wheel are locked
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Scaffolding is properly supported on scaffold jacks and not on stacks of wood, boxes, bricks, blocks, barrels or any other unstable materials
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Planks are certified scaffold planks or structural lumber
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Planks overlap the end of the scaffold no less than 6" and no more than 12"
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The working surface is fully planked
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Planks are secured to prevent slipping
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Less than a 1" gap between planks to prevent tools, etc., from falling through
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Less than 14" between scaffold and working surface
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Ladders are used to gain access to scaffold work platforms
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Maximum spacing of rungs is 16 3/4
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Scaffold is free of debris and material
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The scaffold is tied off if it is more than four times the width of the base
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All open sides and ends of the platforms more than 6' above ground are provided with top rails, midrails, and toebords
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Top rails are between 39" to 45" high, midrails are midway between working platform and top rail
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Guardrails are capable of withstanding 200lbs of force along the top rail
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Gates or bars are used to enclose the top level
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Scaffold is tied off every 30' horizontally and 26' vertically, or tied off if the height exceeds 4 times the width of the base
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On suspended scaffolds, lifelines are attached to structure and a safety harness is used
Fall Protection
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Floor opening covered/guardrails in place?
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Open-sided floors/wall opening have guardrails?
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Roof edge adequately guarded?
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Leading edge protection & signage utilized where required?
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100% fall tie off for all heights above 6 ft with proper anchor points?
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All horizontal lifeline systems engineered?
Aerial and Scissor Lifts
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Are employees authorized?
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Safety chains in place on scissors lifts?
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Are daily lift inspection checklist being completed?
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Are they clean and in good repair?
Industrial Truck - Forklift
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Only those who are authorized to operate the forklift are permitted to do so.
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Regular inspection and maintenance logs complete?
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Lights, brakes, horn, back up alarm operative?
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Seat belts being used?
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Fire extinguisher installed?
Quality Control
Framing
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Plumb and straight?
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Door jams in?
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No loose ends
Drywall
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Clean and screwed off?
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Tape ready?
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Are control joints in?
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No loose ends
Finishing
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Walls are free of humps and bumps
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Fire spray / caulk ok
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Beads are straight, plumb and level
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Clean up looks good
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No loose ends
Sheathing
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Complete
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Screws are 8" in field and 6" around perimeter
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No loose ends
Weather Seal
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Complete
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Does it look good?
EIFS
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Is there back wrap at window openings & terminations?
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Do V groves look straight & are corners tight?
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Is flashing plumb & level?
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There is not mesh visible
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Is finish uniform?
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Clean up looks good
Sign Off
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Framing Supervisor Signature
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Finish Supervisor Signature
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EIFS Supervisor Signature
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Scaffolding Supervisor Signature
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Safety Representative Signature