Information

  • Site

  • General Contractor

  • Conducted on

  • Prepared by: PSF Mechanical, Inc. 11621 East Marginal Way South Seattle, WA. 98168 www.psfmechanical.com

1.0 Previous Inspection Issues

  • 1.1 Has the last inspection been reviewed?

  • 1.2 Have previously identified issues been taken care of?

2.0 JHA/JSA/PTP/Work Permits

  • 2.1 PTP's being done daily or regularly as on site records show ?

  • 2.2 PTP completely understood by all?

  • 2.3 PTP hazards and precautions match?

  • 2.04 Other?

3.0 Personal Protection

  • 3.1 Hard hats, safety glasses, and gloves in use?

  • 3.2 Barricades up where applicable?

  • 3.3 Proper gloves in use?

  • 3.4 Job-specific PPE as required?

  • 3.5 High visibility vests?

  • 3.06 Hearing Protection in use when needed ?

  • 3.07 Other?

4.0 Safety Equipment

  • 4.1 Fire extinguisher(s) in place?

  • 4.2 Fire extinguisher(s) inspections complete?

  • 4.3 Eyewash available? Not expired?

  • 4.4 First aid kit available?

  • 4.5 First aid kit stocked properly?

  • 4.06 Other?

5.0 General

  • 5.1 Access and pathway lighting, into and out of site safe and adequate for personnel ?

  • 5.2 Access into and out of site safe and adequate for delivery trucks ?

  • 5.3 Is task lighting adequate?

  • 5.4 Ventilation?

  • 5.05 Other?

6.0 Tools and Equipment

  • 6.1 Proper tools in use/used properly?

  • 6.2 Guards/safety devices in place?

  • 6.3 Tools in good condition?

  • 6.4 Gang boxes and Rubbermaid carts organized, and free of clutter or trash ?

  • 6.5 Proper and adequate tools, material, and hardware provided for workers, at or near their work areas ?

  • 6.6 Fall Protection equipment properly stored in cool, dry location ?

  • 6.07 Other?

7.0 Body Positioning/Movement

  • 7.1 Attention to task?

  • 7.2 Pinch points being avoided?

  • 7.3 Proper body mechanics being used?

  • 7.4 Proper lifting?

  • 7.5 Avoidance and protection from sharp edges?

  • 7.06 Other?

8.0 Housekeeping

  • 8.1 Work areas clean and neat?

  • 8.2 Barricades maintained?

  • 8.3 Is cord management adequate?

  • 8.4 Materials properly staged/stored?

  • 8.05 Other?

9.0 Fall Protection/Ladders

  • 9.1 Step ladder(s) being used correctly?

  • 9.2 Step ladder(s) are the correct height for the job?

  • 9.3 Extension ladder(s) extend 3' above landing?

  • 9.4 Extension ladder(s) secured in place?

  • 9.5 100% fall protection over 6' achieved?

  • 9.6 Proper fall protection equipment?

  • 9.07 Other?

10.0 Scaffolding

  • 10.1 Decking complete w/o holes?

  • 10.2 Does scaffold erection appear adequate?

  • 10.3 Scaffold tag in place/current?

  • 10.4 Area below barricaded?

  • 10.05 Other?

11.0 Walking Working Surfaces

  • 11.1 Aisles/stairs/floors clear/clean?

  • 11.2 Designated walking area?

  • 11.3 Holes 1" and larger covered?

  • 11.04 Other?

12.0 Mobile Equipment/ Lifts

  • 12.1 Aerial Lift Pre-use inspection(s) complete?

  • 12.2 Hijack pre-use inspections complete? Please note number of hijacks onsite and any deficiencies identified.

  • 12.3 Forklift Pre-use inspection complete?

  • 12.04 Other?

13.0 Electrical

  • 13.1 GFCI use on all power cords/tools?

  • 13.2 Extension cords in good shape?

  • 13.03 Other?

14.0 Welding/Grinding/Temporary Power

  • 14.1 Hoses, leads, cords hung properly?

  • 14.2 Sparks controlled?

  • 14.3 Fire watch present?

  • 14.04 Other?

18.0 Cylinders/Hazardous Materials/Flammables/Combustibles

  • 18.1 Flammable/O2 bottles stored properly?

  • 18.2 Proper storage containers for flammables/combustibles?

  • 18.3 Secondary labeling for chemicals?

  • 18.04 Other?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.