Information
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Conducted on
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Prepared by
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Address
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Personnel on Site
Site Access
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Is ground free of debris and level? Are adequate ramps, stairs, ladders and lighting present?
Housekeeping
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Are walkways,work areas, and access points clear?
Material Storage
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Is material properly piled, stacked, bundled, and placed in a safe location?<br>
Personal Protective Equipment
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Is PPE required To perform task? Are workers wearing proper PPE?
Guardrails
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Are guardrails located where required, and properly constructed and secure?
Emergency Preparedness
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Are safety rules and emergency contacts posted? Are fire extinguishers and first-aid kits available?
Fall Protection
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Is there a risk of workers falling? Is fall protection needed?
Ladders
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Are ladders installed properly?
Scaffolds
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Are scaffolds properly erected and secured? Are guardrails in place?
Elevated Work Platforms
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Are they properly used? Is ground flat and free of debris?
Power Tools and Equipment
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Good general condition and guards in place?
Temporary Power or Gas
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Proper location and secured?
Trenching and Excavating
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Proper signage or controls? Site fencing needed?
Trade Hazards
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Have any hazards or conditions been left over from previous trades?
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Signature of Inspector