Title Page
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Conducted on
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Prepared by
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Who is the Client?
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What is the Job Name &/or Number?
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Location
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Crew members onsite?
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Safety Inspection conducted with what member of the crew?
Housekeeping
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All trip hazards are identified with channelizers, barricades, and caution tape.
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No accumulation of trash or debris on job site.
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Equipment and Trucks are cleaned before leaving jobsite.
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Was a tool box talk completed this week?
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What was the topic?
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Who is the OSHA defined competent person onsite?
Personal Protective Equipment (PPE)
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Is all required PPE available for employees?
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Are employees wearing proper PPE? This should include at a minimum work boots, long pants, sleeves, high visibility outer layer.
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Is there a stocked and current First Aid Kit onsite?
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Does this project require hard hat, safety glasses or gloves?
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Are employees wearing required PPE?
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Does this project require respirators?
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Are respirators available for employees?
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Have employees been fit tested?
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Are employees wearing respirators when required?
Heat Stress
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Is adequate drinking water available?
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Are employees taking breaks as appropriate?
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Is the heaviest work scheduled for the coolest part of the day if possible?
Hazard Communication
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SDS book is available
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A minimum number of buckets or containers are onsite and labeled properly.
Material Handling
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Material handling equipment is used as much as possible.
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Job rotation used where appropriate and when possible.
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Employees are bending at the knees and using team lifts.
Fire Prevention
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Fuels are stored in OSHA approved containers.
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Proper sized fire extinguishers are available.
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Has the fire extinguisher been inspected in the last 12 months?
Tools & Equipment
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Any power tools onsite have been inspected and are in good working condition.
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Lockout Tagout has been used where appropriate.
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All Heavy equipment has been inspected and in good working condition.
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What equipment is onsite?
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Backup alarms are operable?
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Where do you report equipment maintenance if it is not an emergency?
Equipment Operation
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Equipment is being operated in a safe manner and at a safe speed.
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Heavy equipment operator is wearing a seat belt.
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Overhead power lines are identified.
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No riders on equipment unless designed for passengers.
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3 point contact rule is being followed. No jumping from vehicles.
Excavations
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Are we excavating (digging) ?
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Were utilities located? Can we provide documentation for proof?
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Trenches deeper than 4 feet are properly sloped or benched.
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Spoils pile is at least 2 feet from edge of excavation.
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A proper ladder is provided for entry and exit of excavation if required.
Traffic Control
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Taffic control devices onsite are appropriate and operating.
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If required, Flagman is highly visible and paying attention.
Fall Protection
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Is anyone working higher than 4 feet off the ground? Do we need fall protection?
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Handrails and barricades are in place.
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Toe boards are in place where required.
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Scaffolding is in place where required.
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All exits are clearly marked.