Information
-
Document No.
-
Job Number
-
Job Name
-
Conducted on
-
Prepared by
-
Location
-
Supervisor
General Site Safety
-
State, Federal, and OSHA posters posted?
-
Company safety manual readily available?
-
First aid kits available?
-
Emergency contact information posted?
General Housekeeping
-
Site is neat and organized?
-
Work areas clear from obstructions?<br>
-
Adequate lighting?
-
Are impalement hazards protected?
Fire protection
-
Fire extinguishers readily available?<br>
-
Fire extinguishers charged?
-
Fire extinguishers inspected and tagged?
-
Flammable materials properly stored?
-
Gas cylinders properly stored and secured?
-
Hot work/burn permits used when necessary?
PPE
-
Hard hats
-
Safety glasses
-
Hand protection
-
Hearing protection
-
Respiratory protection<br>
-
Safety vests<br>
Electrical Safety
-
Cords inspected and in good shape?
-
GFCI in use
-
Cords protected from damage? (metal stud track, door ways, etc)
-
Proper clearance from overhead power lines?
-
Temp lighting properly hung?
-
Lockout/tagout
-
Electrical rooms and panels properly labeled and protected?
Fall protection
-
Do workers above 6 feet have proper fall protection?
-
Body harnesses being properly adjusted and worn?
-
Floor and deck openings labeled and protected?
-
Workers below protected from falling objects?
-
Unprotected edges properly protected?
Tools
-
Power tools being used properly?
-
All guards in place?
-
Tools are maintained and in good condition?
Scaffold
-
Scaffold components are in good condition
-
Proper access to the scaffold
-
Erected on solid ground with base plates and mud sills<br>
-
Guard rails in use after 10 foot elevation<br>
-
Secured to structure after exceeding 4:1 ratio (height:base width)
Excavations and Trenching
-
JULIE
-
Proper protection for trenches deeper than 5 feet (benching, sloping, shoring, or trench boxes)
-
Means of egress every 25 feet
-
Spoil piles and equipment minimum 2 feet from edge of excavation
Cranes and Lifting
-
Proper rigging<br>
-
Rigging is in good shape
-
Swing radius protected
-
Is crane on stable ground with proper cribbing under outriggers?
Aerial Lifts
-
Body harnesses for boom lifts<br>
-
Scissor lift safety chain or gate closed<br>
SDS/MSDS
-
SDS sheets available
-
Containers properly labeled
Corrective Actions
-
Corrective actions to be taken, by who, and when
Sign Off
-
Auditor
-
Site representative