Information
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Site
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General Contractor
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Conducted on
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Prepared by: PSF Mechanical, Inc. 11621 East Marginal Way South Seattle, WA. 98168 www.psfmechanical.com
1.0 Previous Inspection Issues
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1.1 Has the last inspection been reviewed?
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1.2 Have previously identified issues been taken care of?
2.0 JHA/JSA/PTP/Work Permits
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2.1 PTP's being done daily or regularly as on site records show ?
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2.2 PTP completely understood by all?
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2.3 PTP hazards and precautions match?
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2.04 Other?
3.0 Personal Protection
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3.1 Hard hats, safety glasses, and gloves in use?
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3.2 Barricades up where applicable?
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3.3 Proper gloves in use?
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3.4 Job-specific PPE as required?
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3.5 High visibility vests?
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3.06 Hearing Protection in use when needed ?
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3.07 Other?
4.0 Safety Equipment
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4.1 Fire extinguisher(s) in place?
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4.2 Fire extinguisher(s) inspections complete?
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4.3 Eyewash available? Not expired?
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4.4 First aid kit available?
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4.5 First aid kit stocked properly?
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4.06 Other?
5.0 General
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5.1 Access and pathway lighting, into and out of site safe and adequate for personnel ?
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5.2 Access into and out of site safe and adequate for delivery trucks ?
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5.3 Is task lighting adequate?
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5.4 Ventilation?
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5.05 Other?
6.0 Tools and Equipment
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6.1 Proper tools in use/used properly?
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6.2 Guards/safety devices in place?
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6.3 Tools in good condition?
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6.4 Gang boxes and Rubbermaid carts organized, and free of clutter or trash ?
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6.5 Proper and adequate tools, material, and hardware provided for workers, at or near their work areas ?
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6.6 Fall Protection equipment properly stored in cool, dry location ?
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6.07 Other?
7.0 Body Positioning/Movement
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7.1 Attention to task?
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7.2 Pinch points being avoided?
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7.3 Proper body mechanics being used?
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7.4 Proper lifting?
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7.5 Avoidance and protection from sharp edges?
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7.06 Other?
8.0 Housekeeping
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8.1 Work areas clean and neat?
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8.2 Barricades maintained?
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8.3 Is cord management adequate?
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8.4 Materials properly staged/stored?
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8.05 Other?
9.0 Fall Protection/Ladders
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9.1 Step ladder(s) being used correctly?
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9.2 Step ladder(s) are the correct height for the job?
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9.3 Extension ladder(s) extend 3' above landing?
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9.4 Extension ladder(s) secured in place?
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9.5 100% fall protection over 6' achieved?
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9.6 Proper fall protection equipment?
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9.07 Other?
10.0 Scaffolding
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10.1 Decking complete w/o holes?
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10.2 Does scaffold erection appear adequate?
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10.3 Scaffold tag in place/current?
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10.4 Area below barricaded?
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10.05 Other?
11.0 Walking Working Surfaces
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11.1 Aisles/stairs/floors clear/clean?
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11.2 Designated walking area?
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11.3 Holes 1" and larger covered?
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11.04 Other?
12.0 Mobile Equipment/ Lifts
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12.1 Aerial Lift Pre-use inspection(s) complete?
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12.2 Hijack pre-use inspections complete? Please note number of hijacks onsite and any deficiencies identified.
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12.3 Forklift Pre-use inspection complete?
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12.04 Other?
13.0 Electrical
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13.1 GFCI use on all power cords/tools?
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13.2 Extension cords in good shape?
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13.03 Other?
14.0 Welding/Grinding/Temporary Power
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14.1 Hoses, leads, cords hung properly?
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14.2 Sparks controlled?
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14.3 Fire watch present?
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14.04 Other?
18.0 Cylinders/Hazardous Materials/Flammables/Combustibles
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18.1 Flammable/O2 bottles stored properly?
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18.2 Proper storage containers for flammables/combustibles?
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18.3 Secondary labeling for chemicals?
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18.04 Other?