Jobsite Safety Inspection Report

• Conducted on

  Date

• Prepared by

• Job Name and Number:

• Project Manager:

• Superintendent:

• Foreman:

Supervisor Safety Training

• Superintendent has 10 hours in the last 12 months

  Yes

  No

  N/A

• All GF and Foremen have 10 hours in the last 12 months

  Yes

  No

  N/A

• Monthly Field Supervisor Meeting attendance (required)

  Yes

  No

  N/A

Job Office Requirements

• Substance abuse testing

  Yes

  No

  N/A

• Posting requirements (AGC all-in-one)

  Yes

  No

  N/A

• Signage (emergency plan + evacuation route)

  Yes

  No

  N/A

• SDS Manual (Mobile app accessible to all employees, thumb drive updated quarterly)

  Yes

  No

  N/A

• New hire + Visitor orientations (completed and filed)

  Yes

  No

  N/A

• Safety Meeting conducted and filed weekly

  Yes

  No

  N/A

• New Hire Packets (completed and sent to newhires@gly.com within THREE business days)

  Yes

  No

  N/A

• Field Exit forms (completed and sent to newhires@gly.com same day)

  Yes

  No

  N/A

• Daily Logs (completed daily and filed in project folder)

  Yes

  No

  N/A

• Job Hazard Analysis

  Yes

  No

  N/A

• Flex and Stretch conducted daily

  Yes

  No

  N/A

• LEED recycle log

  Yes

  No

  N/A

Power Distribution and Tools

• Power Tools (wiring and grounding)

  Yes

  No

  N/A

• Protective Equipment (machine and tool guards present/operational)

  Yes

  No

  N/A

• Lock Out/Tag Out (procedures known and followed by employees)

  Yes

  No

  N/A

• Temp Power Distribution Plan in place

  Yes

  No

  N/A

• Temp Power elevated off floor per plan

  Yes

  No

  N/A

• Extension cords elevated or covered at egress pathways, cords not in use rolled up.

  Yes

  No

  N/A

Personal Protective Equipment

• Personal Clothing (proper sleeve length, proper footwear)

  Yes

  No

  N/A

• Eye protection, Hard hats, Hi-Vis and Hearing Protection available and in use

  Yes

  No

  N/A

Fire Protection

• Extinguishers on site (minimum 10lb every 3,000 sq ft and at every stairwell)

  Yes

  No

  N/A

• Extinguishers tested and inspected

  Yes

  No

  N/A

• Hot Work (permit, dedicated extinguisher and fire watch)

  Yes

  No

  N/A

Personnel and Material Handling Equipment

• Man Lifts (inspected daily)

  Yes

  No

  N/A

• Forklifts (inspected daily)

  Yes

  No

  N/A

• Scaffolding/Stair Towers (tags in place and signed daily)

  Yes

  No

  N/A

• Ladders (serviceable and installed correctly)

  Yes

  No

  N/A

Housekeeping

• Access/Egress and Stairs (free of trip hazards, carts, materials and swept clean)

  Yes

  No

  N/A

• Floors (Swept, garbage picked up and removed)

  Yes

  No

  N/A

• Materials (properly stored, tidy)

  Yes

  No

  N/A

• Lighting (all access and emergency egress well lit)

  Yes

  No

  N/A

Safe Practices

• Near Misses (reported, documented and emailed to safety@gly.com, lessons learned shared with crew)

  Yes

  No

  N/A

• Hazardous material storage (proper containers and labeling)

  Yes

  No

  N/A

• Access/Egress and Ramps (clearly marked, rails if needed)

  Yes

  No

  N/A

• Confined Space Protocol (space marked, training, all equipment available, completed permit, paperwork filed)

  Yes

  No

  N/A

• Drinking Water (sufficient supply, readily available throughout building)

  Yes

  No

  N/A

• All scheduled breaks given/used

  Yes

  No

  N/A

First Aid/CPR

• Certified provider on site

  Yes

  No

  N/A

• First Aid Kits (serviced, suitable size for crew)

  Yes

  No

  N/A

• Eye Wash (present in all GLY gang boxes, not expired)

  Yes

  No

  N/A

• First Responder Kit/Red Bag (on site and serviced)

  Yes

  No

  N/A

• Injuries (reported, emailed to safety@gly.com and filed)

  Yes

  No

  N/A

Excavation

• Preconstruction Meeting Conducted

  Yes

  No

  N/A

• Slopes and Benches Correct?

  Yes

  No

  N/A

• Protection (shoring and/or trench boxes in place where required)

  Yes

  No

  N/A

• Egress (ladders or ramps as required)

  Yes

  No

  N/A

Cranes

• Engineering and Crane Certifications on File

  Yes

  No

  N/A

• Operator Certifications on File

  Yes

  No

  N/A

• Rigger/Signalman Certifications on File

  Yes

  No

  N/A

• Inspections Completed and on File

  Yes

  No

  N/A

• Secured Access

  Yes

  No

  N/A

Fall Protection

• Plan in place (responsibilities defined)

  Yes

  No

  N/A

• Fall Hazards Protected (holes, openings, leading edge, perimeter)

  Yes

  No

  N/A

• All rails and toe boards present and installed correctly

  Yes

  No

  N/A

• Fall Protection Gear (serviceable and inspected)

  Yes

  No

  N/A

Subcontractors

• Site Specific Safety Plan on File

  Yes

  No

  N/A

• Fall Protection Plan Reviewed and on File

  Yes

  No

  N/A

• Violation History (risk assessment performed)

  Yes

  No

  N/A

Public Safety

• Proper Lighting (all areas around outside of site well lit)

  Yes

  No

  N/A

• Signs (pedestrian and vehicle routes, danger, no trespassing, site information, emergency contacts)

  Yes

  No

  N/A

Comments

• Site Safety:

  Sign

• Site Superintendent:

  Sign