Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Administrative comments.

  • PPE ís worn/used as required based on exposure to worksite hazards.

  • Minimum clothing and footwear requirements compliant.

  • High visibility worn when required.

  • Hard hats worn when required.

  • Scaffolding compliant.

  • Personal Fall Arrest Systems compliant.

  • Fall Protection Work Plan available when required.

  • Fall protection used when required for leading edge work.

  • Fall protection at 4 feet.

  • Other fall protection requirements compliant.

  • Guard rails for stairs installed and compliant.

  • Fall protection guard rails for upper levels compliant.

  • Wall openings protected when required.

  • Window openings protected when required.

  • Upper-level deck edges protected from falls greater than 4'

  • Stairs installed for the second or higher floor before studs are raised to support the next higher floor.

  • Impalement hazards protected.

  • Floor openings or holes protected.

  • Ramps, runways and inclined walkways provided when required and are compliant.

  • Temporary power compliant.

  • Electrical safety compliant.

  • Ladders in safe condition

  • Workers using ladders safely

  • Excavation daily inspection completed when required.

  • Exposure to silica: Dust control and protective measures in place.

  • Guards & safety devices in place for tools and machinery.

  • Outdoor Heat Exposure or Cold Stress communicated to workers when required.

  • Motorized equipment compliant.

  • Proper housekeeping is maintained at the jobsite.

  • Trash containers provided & maintained

  • Portable toilets provided & maintained

  • Other safety rules and regulations observed, compliant.

  • The Inspector believes this information contained within this report to be correct at the time of the inspection. This report is based on hazards which were observed or came to the attention of the inspector during the time of inspection. All hazards identified during this inspection were corrected at the time of the inspection or referred to the Superintendent, or person in charge of the jobsite. Any hazard, where a worker was exposed, was immediately corrected.

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