Jobsite Safety Inspection for Platform

• Project/Job #

• Project/Job

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Personal Protective Equipment

• A. Hard Hats

  Yes

  No

  N/A

• B. Safety Glasses

  Yes

  No

  N/A

• C. Safety Vests

  Yes

  No

  N/A

• D. Other

  Yes

  No

  N/A

Fall Protection

• A. Fall risk of 6 ft or more? (Including voids, pits and trenches)

  Safe

  At Risk

  N/A

• B. Fall protection plan in place?

  Safe

  At Risk

  N/A

• C. Handrail and edge protection in place?

  Safe

  At Risk

  N/A

• D. Impalement hazards?

  Safe

  At Risk

  N/A

• E.. Harness and lanyard inspected and properly anchored?

  Safe

  At Risk

  N/A

• F.. Ladders inspected and properly secured?

  Safe

  At Risk

  N/A

Excavations

• A. OUPS notified?

  Yes

  No

  N/A

• Competent person inspected?

  Yes

  No

  N/A

• B. Ladders in trenches over 4 feet deep?

  Yes

  No

  N/A

• C. Excavations deeper than 5 feet need protection. Proper layback, shoring or trench box in place?

  Yes

  No

  N/A

• Spoils greater than 2 feet from the edge of trench?

  Yes

  No

  N/A

• Soil properly classified?

  Yes

  No

  N/A

HEALTH/FIRST AID

• A. CPR/First AidTraining

  Safe

  At Risk

  N/A

• B. First Aid Kit (No Expired Items)

  Safe

  At Risk

  N/A

• C. Eye Wash Facilities in Field

  Safe

  At Risk

  N/A

• D. Access to Eye Wash

  Safe

  At Risk

  N/A

ELECTRICAL

• A. G.F.C.I.'s

  Safe

  At Risk

  N/A

• B. Extension Cords

  Safe

  At Risk

  N/A

• Contact with overhead power lines?

  Safe

  At Risk

  N/A

SCAFFOLD

• A. Trained Personnel (Competent Person)

  Safe

  At Risk

  N/A

• B. Hand and Mid-rails, Toeboards

  Safe

  At Risk

  N/A

• H. Inspection/Tagged Correctly

  Safe

  At Risk

  N/A

Lifting and rigging

• A. Crane Inspection and set up

  Safe

  At Risk

  N/A

• B. Loads lifted over persons, close to obstacles or overhead power lines?

  Safe

  At Risk

  N/A

• C. Lifting equipment including ropes, slings, chains, hooks inspected?

  Safe

  At Risk

  N/A

• D. Lifting equipment labels properly displayed?

  Safe

  At Risk

  N/A

Traffic Management

• A. Adequate pedestrian and vehicular traffic plan in place?

  Safe

  At Risk

  N/A

General Site

• A.adequate housekeeping?

  Safe

  At Risk

  N/A

• B.adequate amenities (toilets, wash areas, lunch rooms, etc)

  Safe

  At Risk

  N/A

• C.safety plan and hazard communication plan in place?

  Safe

  At Risk

  N/A

• D. Subcontractors working safely?

  Safe

  At Risk

  N/A

• Weather?

  Safe

  At Risk

  N/A

• Conditions

  Safe

  At Risk

  N/A

Comments/Recommendations

• Enter any corrective actions that will be undertaken

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• Safety Representative

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• Construction Supervisor

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