Jobsite Safety Observation

• Document No.

• Job Name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Superintendent/Safety Officer

Safe Practices/ First Aid/ Emergency

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• Tailboard on site, signed by crew & visitors

• Phone number for nearest emergency medical facility posted?

  Yes

  No

  N/A

• Is the medical facility within 15 minutes of the job site or is there an employee trained in first aid and CPR on the site?

  Yes

  No

  N/A

• Work areas indicated with proper signage and barricaded?

  Yes

  No

  N/A

• All employees and subcontractors have attended the job site safety orientation?

  Yes

  No

  N/A

• Is potable drinking water available on site including cups and trash can? Cool bottled water?

  Yes

  No

  N/A

• Are adequate toilet facilities available at the site?

  Yes

  No

  N/A

• Is a first aid kit including a CPR barrier provided and maintained including an inventory log?

  Yes

  No

  N/A

• Is shade available in temperatures over 80 degrees?

  Yes

  No

  N/A

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Housekeeping

• General neatness of work area?

  Safe

  At Risk

  N/A

• Material off the ground on blocks, reels secured

  Yes

  No

  N/A

• Secondary containment, drip pans in use, spill kits on site?

  Yes

  No

  N/A

• Waste containers provided and used?

  Yes

  No

  N/A

• Material yards in order with material stored and stacked securely

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

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Fire Prevention

• Adequate fire extinguishers provided?

  Yes

  No

  N/A

• Fire extinguishers have annual certification and are checked monthly including date and initials?

  Yes

  No

  N/A

• Phone number of fire department posted?

  Yes

  No

  N/A

• Hot work permits issued for all flame or spark producing activities?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

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Electrical

• Are energy sources controlled

  Yes

  No

  N/A

• Are proper insulate/isolate methods being used

  Yes

  No

  N/A

• Are proper grounding procedures being used?

  Yes

  No

  N/A

• Clearance distances appropriate to voltage

  Yes

  No

  N/A

• Minimum approach distances (MAD) calculated, is there a qualified electrical competent person on site?

  Yes

  No

  N/A

• Proper Stringing techniques being used?

  Yes

  No

  N/A

• Poles inspected prior to climbing?

  Yes

  No

  N/A

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Hand and Power Tools

• Hand tools are inspected regularly? No broken handles or mushroomed heads?

  Yes

  No

  N/A

• Guards are in place on grinders and equipment designed for guards in place " Not Removed?"

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

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Fall Protection

• Workers exposed to fall hazards greater than 4' are tied off?

  Yes

  No

  N/A

• Subcontractors using personal fall arrest systems have a competent person on site?

  Yes

  No

  N/A

• Fall protection plan on site for any work not utilizing standard fall protection?

  Yes

  No

  N/A

• Workers using body belts for positioning only?

  Yes

  No

  N/A

• Employees below are protected from falling objects?

  Yes

  No

  N/A

• All edges or openings that could expose workers to falls of greater than 4' are properly barricaded or otherwise protected?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

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Trenching, Excavation, & Shoring

• Subcontractors engaging in trenching or excavating has competent person on site while work is being performed?

  Yes

  No

  N/A

• Underground utilities have been properly located and positively identified (potholed)?

  Yes

  No

  N/A

• Trenches/excavations are inspected daily or after any significant event by competent person and documented?

  Yes

  No

  N/A

• Excavations 4' or deeper have been tested for hazardous atmospheres?

  Yes

  No

  N/A

• Materials and loose soils are at least 2' from the edge of the excavation?

  Yes

  No

  N/A

• Excavations 4' or deeper have a safe means of egress within 25' of lateral travel?

  Yes

  No

  N/A

• Excavations over 5' deep are properly sloped or protective systems are in use?

  Yes

  No

  N/A

• Equipment is a safe distance from the edge of the excavation?

  Yes

  No

  N/A

• All employees exposed to vehicular traffic are wearing the appropriate high visibility vests?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

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Material Handling

• Materials are properly stored and stacked?

  Yes

  No

  N/A

• Employees are using proper lifting methods?

  Yes

  No

  N/A

• Proper number of workers for each operation?

  Yes

  No

  N/A

• Tag lines used to guide loads?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

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Welding & Burning

• Hot work permits issued for each activity producing sparks or flame?

  Yes

  No

  N/A

• Proper distance maintained between fuel cylinders and oxygen? (20' min.)

  Yes

  No

  N/A

• Cylinders properly secured with cable cover caps installed when not in use?

  Yes

  No

  N/A

• Burning/welding goggles or shields are used?

  Yes

  No

  N/A

• Fire extinguisher is readily available?

  Yes

  No

  N/A

• Hoses, regulators, and torches are in good working order?

  Yes

  No

  N/A

• Fire watch is maintained for spark/fire producing activities within close proximity to combustible materials?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

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Cranes / Bucket Trucks / Power industrial Trucks

• Crane or Bucket trucks has a current annual inspection?

  Yes

  No

  N/A

• Operator holds the proper credentials to operate the crane or bucket truck

  Yes

  No

  N/A

• Power trucks , Bucket trucks and Crane is free of leaks and mechanically sound?

  Yes

  No

  N/A

• Crane and power industrial trucks operators logs are up to date?

  Yes

  No

  N/A

• Load charts are posted on the crane?

  Yes

  No

  N/A

• Hand signal charts are on crane?

  Yes

  No

  N/A

• Rigging personnel are trained and have written documentation demonstrating training?

  Yes

  No

  N/A

• Outriggers are extended, crane is level, and proper supporting materials "Out Rigging Pads" are used?

  Yes

  No

  N/A

• All rigging equipment is inspected and reigned as required?

  Yes

  No

  N/A

• Swing radius of crane is properly barricaded?

  Yes

  No

  N/A

• Equipment Grounded?

  Yes

  No

  N/A

• No workers are positioned under suspended loads unless they are required as part of the lifting operation?

  Yes

  No

  N/A

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Personal Protective Equipment

• Hard hats are being worn at all times?

  Yes

  No

  N/A

• Safety glasses are being worn at all times?

  Yes

  No

  N/A

• High visibility clothing is being worn at all times, including the use of Class II vests when exposed to heavy equipment or vehicle traffic?

  Yes

  No

  N/A

• Hearing protection being used when required?

  Yes

  No

  N/A

• Respirators are being used when required?

  Yes

  No

  N/A

• All companies utilizing respirators have provided a hard copy of their respiratory protection plan?

  Yes

  No

  N/A

• Leather boots are being worn by all personnel and protective toed boots are being worn where required?

  Yes

  No

  N/A

• Face shields are being worn by workers participating in cutting operations requiring face protection?

  Yes

  No

  N/A

• Rubber protection goods/hot sticks within test date?

  Yes

  No

  N/A

• Is rigging in good condition with load rating tags?

  Yes

  No

  N/A

Equipment & Vehicles

• Are wheels chocked on vehicles and equipment

  Yes

  No

  N/A

• Equipment that does not pass the vehicle inspection is tagged out?

  Yes

  No

  N/A

• Seat belts are available on all equipment and are in use?

  Yes

  No

  N/A

• All workers in proximity to moving equipment are wearing Class II clothing unless the hazard requires higher rated clothing?

  Yes

  No

  N/A

• Are employees wearing FR clothing?

  Yes

  No

  N/A

• Are there safety cones and delineators staged to protect traffic, public, workers and visitors driving into work site?

  Yes

  No

  N/A

• Are Aerial lifts positioned properly?

• Is Crane / Boom truck level and outriggers fully extended ?

• Are isolation platforms or grounding mat installed ?

• Are equipment grounds properly installed?

Miscellaneous

• The contractor's corporate safety manual is available on site?

  Yes

  No

  N/A

• A safety manual for each subcontractor is available on site?

  Yes

  No

  N/A

• Corrective Actions

  Yes

  No

  N/A

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• Foreman Signature

  Sign

• Safety Managers Signature

  Sign