Jobsite Safety/Risk Audit

• This report is in follow-up to the safety survey completed onsite. The purpose of the survey was to identify potential safety hazards and/or OSHA compliance.
  Attached, is a list of safety observations and recommendations based on conditions present at the time of my visit. If you have any questions or require additional information after reading this report, please don't hesitate to contact me.
  Sincerely,
  Josh Krey

• Site conducted

  Select

• Date

  Date

• Inspector

• Crew Size

• Job Supervisor

  Select

• undefined

  Select

• Lead Person(s)

  Select

• Project Manager

  Select
• Location on Map
  Address

Asbestos

• Exposure at or below 8 hr TWA of 0.1 f/cm3 of air? 1926.1101(c)(1)

  Good

  Fair

  Poor

undefined

• Yes

  No

• Workers informed of asbestos on multi-employer sites? 1926.1101(d)(1)

  Yes

  No

• Regulated areas established if exposure limits exceeded? 1926.1101(e)

  Yes

  No

• Monitoring for asbestos exposure meets requirements? 1926.1101(f)(i)

  Yes

  No

• Engineering controls/Work Practices in place? 1926.1101(g)

  Yes

  No

• Respirators selected/used as required for asbestos? (1926.1101(h)

  Yes

  No

• Proper PPE selected/worn based on asbestos exposure? 1926.1101(i)

  Yes

  No

• Transportation of contaminated clothing requirements met? 1926.1101(i)(3)

  Yes

  No

• PPE inspected at least once per shift? 1926.1101(i)(4)

  Yes

  No

• Separate change areas provided for PPE & street clothing? 1926.1101(j)

  Yes

  No

• Decontamination area requirements met/followed? 1926.1101(j)(2)

  Yes

  No

• Warning signs/labels posted at each regulated area? 1926.1101(k)

  Yes

  No

• Training completed prior to initial exposure & annually? 1926.1101(k)(9)

  Yes

  No

• Vacuuming methods include HEPA filtered vacuums? 1926.1101(l)(1)

  Yes

  No

• Medical surveillance program in place and followed? 1926.1101(m)

  Yes

  No

• Records kept and made available for review as required? 1926.1101(n)

  Yes

  No

• Good compliance/no safety violations? (1926.1101)

  Yes

  No

Behaviors

• Eyes on path/looks in direction of travel?

  Yes

  No

• Looks back prior to stepping backwards?

  Yes

  No

• Pushes instead of pulls when possible?

  Yes

  No

• Avoids overhead work when possible?

  Yes

  No

• Lifts with legs not back when possible?

  Yes

  No

• Forms a bridge with free hand when lifting?

  Yes

  No

• Avoids lifting more than one can lift safely?

  Yes

  No

• Keeps load close to body when lifting?

  Yes

  No

• Uses lift assist device for heavy loads?

  Yes

  No

• Avoids lifting unstable loads?

  Yes

  No

• Does not subject coworker(s) to injury?

  Yes

  No

• Works at safe pace/not rushed?

  Yes

  No

Concrete Masonry

• Rebar guarded to eliminate impalement hazard? 1926.701(b)

  Yes

  No

• Workers avoid working under buckets? 1926.701(e)(1)&(2)

  Yes

  No

• Troweling machines equipped with auto shut-off? 1926.702(c)

  Yes

  No

• Handles on concrete buggy within wheel width? 1926.702(d)

  Yes

  No

• Connectors used to secure pressurized air hoses? 1926.702(e)(2)

  Yes

  No

• Safety latches prevent accidental dumping of buckets? 1926.702(f)(1)

  Yes

  No

• Bull float handles nonconductive or insulated? 1926.702(h)

  Yes

  No

• Masonry saw blades guarded? 1926.702(i)(1)

  Yes

  No

• Formwork capable of supporting vertical/lateral loads? 1926.703(a)(1)

  Yes

  No

• Shoring equipment inspected? 1926.703(b)(1)

  Yes

  No

• Base plates secured to foundation/formwork? 1926.703(b)(6)

  Yes

  No

• Jacks/supports do not exceed rated capacity? 1926.703(c)(4)

  Yes

  No

• Rebar adequately supported to prevent collapse? 1926.703(d)(1)

  Yes

  No

• Precast supported until permanent connections made? 1926.704(a)

  Yes

  No

• Lifting inserts on tilt-up precast support 2x max. load? 1926.704(b)

  Yes

  No

• Lifting inserts on precast (non-tilt-up) support 4x max. load? 1926.704(c)

  Yes

  No

• Lifting hardware able to support 5x max. load? 1926.704(d)

  Yes

  No

• Only erectors allowed under precast when lifted/tilted? 1926.704(e)

  Yes

  No

• Jacking synchronized to ensure level/uniform lifting? 1926.705(g)

  Yes

  No

• Maximum jacks per slab does not exceed 14? 1926.705(j)

  Yes

  No

• Temporary connections secured by tack welding? 1926.705(l)

  Yes

  No

• Limited access zone equal to wall height plus 4 feet? 1926.706(a)

  Yes

  No

• Limited access zone strictly enforced? 1926.706(a)(4)

  Yes

  No

• Walls over 8 feet braced to prevent collapse? 1926.706(b)

  Yes

  No

• Good compliance/no safety violations? (Subpart Q)

  Yes

  No

Confined Space

• Worksite evaluated/permit spaces identified? 1926.1203(a)&(b)

  Yes

  No

• Site free from hazards requiring PRCS determination, or plan/precautions in place for PRCS?

  Yes

  No

• Host employer shared info w/controlling contractor? 1926.1203(h)(1)

  Yes

  No

• Controlling contractor obtained/shared info w/subs? 1926.1203(h)(2)

  Yes

  No

• Steps taken to prevent unauthorized entry? 1926.1204(a)

  Yes

  No

• Hazards of space evaluated prior to entry? 1926.1204(b)

  Yes

  No

• Procedures in place for safe entry? 1926.1204(c)

  Yes

  No

• Testing/monitoring equipment available? 1926.1204(d)

  Yes

  No

• Ventilation equipment available? 1926.1204(d)(1)

  Yes

  No

• Communications equipment available as needed? 1926.1204(d)(2)

  Yes

  No

• Adequate lighting available as needed? 1926.1204(d)(5)

  Yes

  No

• Equipment for safe egress available as needed? 1926.1204(d)(7)

  Yes

  No

• Rescue and emergency equipment provided? 1926.1204(d)(8)

  Yes

  No

• Atmosphere tested prior to entry? 1926.1204(e)(1)(i)

  Yes

  No

• Periodic and/or continuous air monitoring completed? 1926.1204(e)(1)(ii)

  Yes

  No

• Attendant available outside permit space? 1926.1204(f)(1)&(2)

  Yes

  No

• Employee responsibilities defined/training completed? 1926.1204(h)

  Yes

  No

• Procedures in place for summoning rescue services? 1926.1204(i)

  Yes

  No

• Annual review of PRCS Program completed? 1926.1204(n)

  Yes

  No

• Entry permit available for review? 1926.1205(c)

  Yes

  No

• Employees received effective training? 1926.1207(a)

  Yes

  No

• Good compliance/no safety violations? 1926.1203-.1212

  Yes

  No

Cranes

• Good compliance/no safety violations? 1926.1203-.1212

  Yes

  No

• Outriggers or stabilizers fully extended/properly deployed? 1926.1404(q)(1)

  Yes

  No

• Blocking material sufficient to sustain loads/maintain stability? 1926.1404(q)(5)(i)

  Yes

  No

• Blocking placed directly under float/pad? 1926.1404(q)(5)(ii)

  Yes

  No

• Operator visually warned of overhead power lines? 1926.1408(b)(3)

  Yes

  No

• Visual inspection by competent person completed each shift? 1926.1412(d)

  Yes

  No

• Monthly crane inspections completed? 1926.1412(e)

  Yes

  No

• Annual crane inspection completed/current? 1926.1412(f)(1)

  Yes

  No

• Required safety devices installed/maintained? 1926.1415(a)

  Yes

  No

• Required operational aides installed/maintained? 1926.1416(a)

  Yes

  No

• Cranes w/ aux. line (telescopic etc.) have anti two-block device? 1926.1416(d)(3)(i)

  Yes

  No

• Crane operated per manufacturer requirements? 1926.1417

  Yes

  No

• Crane load capacities/operator manual kept in cab? 1926.1417(c)

  Yes

  No

• Adequate communication between signal person & operator? 1926.1419(e)

  Yes

  No

• Hand signal chart available? 1926.1422

  Yes

  No

• Radius guard installed on crane? 1926.1424(a)

  Yes

  No

• Workers kept clear of suspended loads? 1926.1425(b)

  Yes

  No

• Only qualified riggers allowed to rig loads? 1926.1425(c)(3)

  Yes

  No

• Operator certified by accredited testing organization? 1926.1427(d)(1)(i)

  Yes

  No

• Operators properly evaluated/qualified? 1926.1427(f)(1)-(7)

  Yes

  No

• Signal person(s) trained, qualified and authorized? 1926.1428(a)

  Yes

  No

• Fire extinguisher located in cab? 1926.1433(d)(6)

  Yes

  No

• Tag lines used on loads that swing/rotate? 1926.1417(w)

  Yes

  No

• Are cranes operated within the wind speed service limit? (Best Practice)

  Yes

  No

• Crane operators trained to avoid two-block condition? Subpart CC, App. C

  Yes

  No

• Good compliance/no safety violations? (Subpart CC)

  Yes

  No

Demolition

• Engineering survey completed, available for review? 1926.850(a)

  Yes

  No

• Structure shored/braced if damaged by fire/flood/etc.? 1926.850(b)

  Yes

  No

• Utilities shut off or controlled outside the building? 1926.850(c)

  Yes

  No

• Glass fragmentation hazards removed? 1926.850(f)

  Yes

  No

• Wall openings protected to height of 42 inches? 1926.850(g)

  Yes

  No

• Debris landing area (w/o chutes) barricaded 6 ft. back? 1926.850(h)

  Yes

  No

• Warning signs for falling material posted each level? 1926.850(h)

  Yes

  No

• Non-debris floor openings properly guarded? 1926.850(i)

  Yes

  No

• Entrances guarded 8 ft. out on multi-story building? 1926.850(k)

  Yes

  No

• Stairs/passageways/ladders in clean & safe condition? 1926.851(b)

  Yes

  No

• Debris landing area outside building protected? 1926.852(a)

  Yes

  No

• Chute openings closed when not in use? 1926.852(b)

  Yes

  No

• Chute openings do not exceed 48 in. in height? 1926.852(b)

  Yes

  No

• Chute openings protected by guardrail? 1926.852(e)

  Yes

  No

• Gate installed at chute discharge and monitored? 1926.852(c)

  Yes

  No

• Discharge chute closed off when operations cease? 1926.852(d)

  Yes

  No

• Space between chute and structure covered? 1926.852(e)

  Yes

  No

• Bumper 4 in. thick/6 in. high at chute opening? 1926.852(f)

  Yes

  No

• Floor openings curbed when equipment in use? 1926.856(b)

  Yes

  No

• Periodic inspections made by competent person? 1926.859(g)

  Yes

  No

• Good compliance/no safety violations? (Subpart T)

  Yes

  No

Electrical Safety

• Equipment installed/used as listed or labeled? 1926.403(b)

  Yes

  No

• Ground pin attached to electrical cords? 1926.404(f)(6)

  Yes

  No

• GFCI used for temporary power connections? 1926.404(b)(1)(ii)

  Yes

  No

• Flexible cords not daisy-chained? 1926.403(b)

  Yes

  No

• Flexible cords maintained in good condition? 1926.416(e)(1)

  Yes

  No

• Light bulbs protected from accidental breakage? 1926.405(a)(2)(ii)(E)

  Yes

  No

• All sockets in temporary lighting have bulbs? 1926.416(a)(1)

  Yes

  No

• Temporary lights not suspended by electric cords? 1926.405(a)(2)(ii)(F)

  Yes

  No

• Breakers/switches legibly marked to indicate purpose? 1926.403(h)

  Yes

  No

• Cords protected/kept clear of work areas or walkways? 1926.416(b)(2)

  Yes

  No

• Employees avoid working near unprotected energized circuits? 1926.416(a)(1)

  Yes

  No

• Deenergized circuits tagged out (required) and/or locked out (Best Practice)? 1926.417

  Yes

  No

• Signs posted restricting access to locations w/exposed live parts? 1926.403(i)(2)(iii)

  Yes

  No

• Electrical panels/circuits effectively enclosed? 1926.405(b)(2)

  Yes

  No

• Electrical receptacles have an approved cover/faceplate? 1926.405(b)(2)

  Yes

  No

• Conductors entering boxes/cabinets protected from abrasion? 1926.405(b)(1)

  Yes

  No

• Proper clearance maintained in front of/around panels? 1926.403

  Yes

  No

• Weatherproof enclosures on panels, outlets, etc. in damp/wet locations? 1926.405(e)(1)&(2)

  Yes

  No

• Repaired extension cords (No. 12 or larger) meet manufacturer’s specs? 1926.405(g)(2)(iii)

  Yes

  No

• Good compliance/no safety violations? (Subpart K)

  Yes

  No

Emergency Action plan

• Is Emergency Action Plan in writing (if 11+ employees)? 1926.35(a)

  Yes

  No

• Does EAP address emergency escape procedures and escape route assignments? 1926.35(b)(1)

  Yes

  No

• Does EAP address procedures for those who remain behind for critical shutdown? 1926.35(b)(2)

  Yes

  No

• Does EAP address procedures to account for employees after evacuation is completed? 1926.35(b)(3)

  Yes

  No

• Does EAP address rescue and medical duties for designated employees? 1926.35(b)(4)

  Yes

  No

• Does EAP address means of reporting fires and other emergencies? 1926.35(b)(5)

  Yes

  No

• Has an effective alarm/communication system been established? 1926.35(c)(1)

  Yes

  No

• Are evacuations established based on emergency circumstances? 1926.35(d)

  Yes

  No

• Is sufficient number of employees trained to assist in safe evacuation? 1926.35(e)(1)

  Yes

  No

• Do covered employees receive initial EAP training (i.e. when plan is developed)? 1926.35(e)(2)(i)

  Yes

  No

• Do covered employees receive training when their duties change? 1926.35(e)(2)(ii)

  Yes

  No

• Do covered employees receive training whenever the EAP changes? 1926.35(e)(2)(iii)

  Yes

  No

• Is the written EAP available at the workplace for employee review (if 11+ employees)? 1926.35(e)(3)

  Yes

  No

• Good compliance/no safety violations? 1926.35

  Yes

  No

Access, Egress, & Openings

• Exits available and free of obstructions? 1926.34(a)

  Yes

  No

• Exits and access to exits marked with signs? 1926.34(b)

  Yes

  No

• Good compliance/no safety violations? 1926.34

  Yes

  No

• Approved traffic control plan when working in the right-of-way?

  Safe

  At Risk

• LAZ's established for masonry work?

  Safe

  At Risk

• Proper access where change in elevation of 19" or more? (ladders, stairs, ramps, trench boxes)

  Safe

  At Risk

• Perimeter protection is in place? (Rooftops, jobsites, excavations, work areas, etc.)

  Safe

  At Risk

• Floor and wall openings are protected?

  Safe

  At Risk

• Materials stored away from floor and wall opening?

  Safe

  At Risk

Fall Protection

• Suitable fall protection provided/used? (working 6+ ft) 1926.501(b)(1)

  Yes

  No

• Workers utilize PFAS as required? 1926.501(b)(1)

  Yes

  No

• Steps taken and adequate to prevent falls thru holes? 1926.501(b)(4)(i)&(ii)

  Yes

  No

• Ramps, walkways, catwalks etc. provided w/ guardrails at heights of 6ft.+? 1926.501(b)(6)

  Yes

  No

• Safety monitor used when fall arrest/restraint not utilized? 1926.501(b)(10) or .502(h)

  Yes

  No

• Suitable fall protection provided/used? (steep-roof 6+ ft) 1926.501(b)(11)

  Yes

  No

• Suitable fall protected provided/used? (residential 6+ ft) 1926.501(b)(13)

  Yes

  No

• Steps taken to prevent falling object hazards? 1926.501(c)

  Yes

  No

• Guardrails installed, maintained and compliant? 1926.502(b)

  Yes

  No

• Top and mid-rail in place and proper height? 1926.502(b)

  Yes

  No

• Screens/mesh extend from top rail to walking/working level along entire opening btwn rail supports? 1926.502(b)(2)(ii)

  Yes

  No

• Guardrails able to withstand 200 lb. force? 1926.502(b)(3)

  Yes

  No

• Guardrail deflection less than 39in. above the walking/working level when tested? 1926.502(b)(4)

  Yes

  No

• Top rails & midrails min. 0.25in. nominal diameter or thickness & flagged w/ high-vis. material where required? 1926.502(b)(9)

  Yes

  No

• Access to hoisting area adequately guarded? 1926.502(b)(10)

  Yes

  No

• Dee-rings & snaphooks proof-tested to minimum tensile load? 1926.502(d)(4)

  Yes

  No

• Lifelines protected against cuts/abrasions? 1926.502(d)(11)

  Yes

  No

• Suitable anchorage provided/used? 1926.502(d)(15)

  Yes

  No

• PFA rigged to prevent contact with lower surface? 1926.502(d)(16)(iii)

  Yes

  No

• PFA rigged to limit free fall to no more than 6 ft? 1926.502(d)(16)(iii)

  Yes

  No

• Harness D-Ring located btwn shoulder blades? 1926.502(d)(17)

  Yes

  No

• Harnesses inspected/maintained in good condition? 1926.502(d)(21)

  Yes

  No

• Lanyards inspected, maintained, spec. tag intact/legible? 1926.502(d)(21)

  Yes

  No

• PFA not attached to guardrail system? 1926.502(d)(23)

  Yes

  No

• Warning line erected on unprotected roof edge? 1926.502(f)(1)

  Yes

  No

• Access path formed by warning lines where required? 1926.502(f)(1)(iii)

  Yes

  No

• Unused access points blocked by warning line? 1926.502(f)(1)(iv)

  Yes

  No

• Warning line flagged and suspended at proper height? 1926.502(f)(2)(i)&(ii)

  Yes

  No

• Control line 6 ft. from leading edge for roofing activities? 1926.502(g)(1)(i)

  Yes

  No

• Control line 6 ft. from leading edge when erecting precast? 1926.502(g)(1)(ii)

  Yes

  No

• Safety monitor same surface with visual/voice contact? 1926.502(h)(1)(iii)

  Yes

  No

• Safety monitor performs only monitoring duties? 1926.502(h)(1)(v)

  Yes

  No

• Floor hole covers secured, substantial, marked? 1926.502(i)(2)-(4)

  Yes

  No

• Toeboards erected to prevent falling objects? 1926.502(j)(1)-(4)

  Yes

  No

• Workers trained on recognizing/minimizing fall hazards? 1926.503(a)(1)

  Yes

  No

• Fall Protection training certified/documented? 1926.503(b)(1)

  Yes

  No

• Retraining occurs if changes in policy or employee violates policy? 1926.503(c)

  Yes

  No

• Harnesses worn/fitted properly? 1926.503(c)(3)

  Yes

  No

• Guardrail posts not more than 8 feet OC? Subpart M App. B

  Yes

  No

• Warning line 15 ft. back for non-roofing activities? (OSHA Interp Letter)

  Yes

  No

• Good compliance/no safety violations? 1926 Subpart M

  Yes

  No

Fire Protection

• Minimum one fire extinguisher per floor? 1926.150(c)(1)(iv)

  Yes

  No

• Approved/UL listed fire extinguishers provided? 1926.150(c)(1)(ix)

  Yes

  No

• Access to fire extinguishers maintained? 1926.150(a)(2)

  Yes

  No

• Fire extinguishers conspicuously located? 1926.150(a)(3)

  Yes

  No

• Fire extinguishers mounted? (NFPA 10-6.1.3.8)

  Yes

  No

• Flammables stored in approved/closed containers? 1926.152(f)(1)

  Yes

  No

• Gasoline stored in approved safety can or DOT container? 1926.152(a) / Interp Ltr

  Yes

  No

• Scrap piles no closer than 10 ft. from buildings? 1926.151(c)(5)

  Yes

  No

• Flammable liquids protected from ignition sources? 1926.152(f)(3)

  Yes

  No

• Flammable not stored near emergency pathways? 1926.152(a)(2)

  Yes

  No

• Fire extinguisher kept near gas powered equipment? (Best Practice)

  Yes

  No

• LP tanks in storage are upright and secured to prevent tipping? 1926.153(g)

  Yes

  No

• Fire extinguisher available near LP storage locations? 1926.153(l)

  Yes

  No

• LP stored in ventilated enclosure? 1926.153(k)(2)

  Yes

  No

• LP storage area protected against tampering? 1926.153(k)(2)

  Yes

  No

• Containers located to minimize exposures? 1910.110(f)(2)(i)

  Yes

  No

• Good compliance/no safety violations? (Subpart F)

  Yes

  No

• Fire Extinguisher(FE) annual inspection complete?

  Safe

  At Risk

• FE located within 100 ft of any work activity?

  Safe

  At Risk

• FE is located not more than 50ft from 5 gallons or more stored fuel?

  Safe

  At Risk

• Bulk fuel tanks set at least 25 ft from buildings, structures, or other operations?

  Safe

  At Risk

• FE located 25 ft away from bulk fuel storage, but not more than 75 ft?

  Safe

  At Risk

• Flammable liquids not stored in enclosed areas?

  Safe

  At Risk

• "No Smoking" signs placed near fuel storage areas?

  Safe

  At Risk

Forklift

• Forklifts inspected daily? 1910.178(q)(7)

  Yes

  No

• Forklifts free of known defects/damage? 1910.178(q)(1)

  Yes

  No

• Forklifts removed from service if defective? 1910.178(p)(1)

  Yes

  No

• Forklift operators trained? 1910.178(l)(1)(i)

  Yes

  No

• Operators properly certified by employer? 1910.178(l)(6)

  Yes

  No

• Forklift operators evaluated every 3 years? 1910.178(l)(4)(iii)

  Yes

  No

• No modifications affecting lift capacity? 1910.178(a)(4)

  Yes

  No

• Forks lowered when truck is unattended? 1910.178(m)(5)(i)

  Yes

  No

• Nameplate/markings in place and legible? 1910.178(a)(6)

  Yes

  No

• Seatbelts worn while operating forklifts? Sec. 5(a)(1)

  Yes

  No

• Operator Manual available for review (Best Practice)

  Yes

  No

• Good compliance/no safety violations? 1910.178

  Yes

  No

Fueling Operations

• Dispensing unit protected against vehicle damage? 1926.152(e)(4)

  Yes

  No

• Vehicle bonded to fuel source tank when transferring fuel? 1926.152(e)(2)

  Yes

  No

• No Smoking signs in fuel dispensing area? 1926.152(g)(8)

  Yes

  No

• Motors shut off during fueling operation? 1926.152(g)(10)

  Yes

  No

• Fire extinguisher within 75 ft of fueling area? 1926.152(g)(11)

  Yes

  No

• Fueling area free of combustibles? 1926.151(c)(3)

  Yes

  No

• Tank(s) secured during off-work hours? (Best Practice)

  Yes

  No

• Dispensing nozzle automatic-closing type? 1926.152(g)(4)

  Yes

  No

• Fuel tanks properly labeled? NFPA 30

  Yes

  No

• Spill control means/method provided? 1926.152(e)(1)

  Yes

  No

• Good compliance/no safety violations? 1926.152

  Yes

  No

General Job Information & Postings

• OSHA 300A Summary posted (February-April)?

  Safe

  At Risk

• If it is after April 30, has the OSHA 300A Summary been taken down?

  Safe

  At Risk

• Is the SCC OSHA Poster Board up and visible in the job office?

  Safe

  At Risk

• Emergency Phone Numbers Posted?

  Safe

  At Risk

• Is there an Accident Report kit in the office (Orange Envelope)?

  Safe

  At Risk

• Is the JSA Board up to date?

  Safe

  At Risk

• Do the employees understand their job task for the day?

  Safe

  At Risk

• Are the first aid kits stocked and up to date?

  Safe

  At Risk

• Permits posted?

  Safe

  At Risk

• Eye wash stations available?

  Safe

  At Risk

• LOTO equipment available and ready for use?

  Safe

  At Risk

• Signage onsite is appropriate?

  Safe

  At Risk

Hazard Communication

• SDS kept at worksite for each hazardous chemical?1910.1200(g)(1)

  Yes

  No

• SDS's readily accessible to employees as needed? 1910.1200(g)(8)

  Yes

  No

• Chemicals (in supplier container) properly labeled/legible? 1910.1200(f)(6)(i)

  Yes

  No

• Chemicals (in secondary container) properly labeled/legible? 1910.1200(f)(6)(ii)

  Yes

  No

• Chemical inventory list maintained? 1910.1200(e)(1)(i)

  Yes

  No

• Employees effectively trained & demonstrate competency? 1910.1200(h)(1)

  Yes

  No

• Good compliance/no safety violations? 1910.1200

  Yes

  No

Health Hazards

• Noise exposures monitored/controlled? 1926.52

  Yes

  No

• Asbestos exposures monitored/controlled? 1926.1101

  Yes

  No

• CO exposures monitored/controlled? 1926.55

  Yes

  No

• Lead exposures monitored/controlled? 1926.62

  Yes

  No

• Welding fume exposures monitored/controlled? 1926.353

  Yes

  No

• Extreme heat exposures monitored/controlled? (5a1)

  Yes

  No

• Extreme cold exposures monitored/controlled? (5a1)

  Yes

  No

• Steps taken to protect workers from cold stress? OSHA Pub. 3156

  Yes

  No

• Steps taken to protect against insects/animals? (Best Practice)

  Yes

  No

• Is Mold Remediation Plan in writing/available? 5(a)(1)

  Yes

  No

• Is Mold Remediation Plan appropriate based on size of contaminated area? 5(a)(1)

  Yes

  No

• Do workers follow the Mold Remediation Plan guidelines? 5(a)(1)

  Yes

  No

• Good compliance/no safety violations?

  Yes

  No

Heat Illness Prevention

• Is outdoor air temperature monitored?

  Yes

  No

• Is drinking water provided/accessible during work shift?

  Yes

  No

• Is shade provided when temp exceeds 80 degrees?

  Yes

  No

• Shaded area(s) accommodate the number of employees on shift?

  Yes

  No

• Preventative cool-down rest breaks encouraged?

  Yes

  No

• Employees monitored if experiencing symptoms?

  Yes

  No

• Is an Acclimatization Program in place and practiced?

  Yes

  No

• Are High-Heat Procedures in place if temp exceeds 95F?

  Yes

  No

• Are heat-illness response procedures in place?

  Yes

  No

• Heat Illness training provided at time of hire?

  Yes

  No

• Steps taken to reduce shift severity/duration?

  Yes

  No

• Appropriate clothing worn to reduce heat burden?

  Yes

  No

• Good compliance/no safety violations?

  Yes

  No

Housekeeping

• Worksite reasonably organized/good housekeeping? 1926.25(a)

  Yes

  No

• Combustible scrap/debris removed at regular intervals? 1926.25(b)

  Yes

  No

• Job trailer clean and reasonably organized? (Best Practice)

  Yes

  No

• Material staging area kept reasonably organized? 1926.25(a)

  Select Yes No

  • Yes
  • No

• Gang box(es) reasonably clean and organized? (Best Practice)

  Yes

  No

• Garbage disposed of at frequent/regular intervals? 1926.25

  Yes

  No

• Loose scrap/light materials susceptible to wind secured? (5A1)

  Yes

  No

• No protruding nails on scrap lumber? 1926.25

  Yes

  No

• Containers used for oily/flammable waste covered? (1926.25)

  Yes

  No

• Good compliance/no safety violations? 1926.25

  Yes

  No

Ladders

• Ladders inspected/no visible defects? 1926.1053(b)(15)

  Yes

  No

• Side rails extend 3 ft. above landing surface? 1926.1053(b)(1)

  Yes

  No

• Ladders set up at 4:1 angle? 1926.1053(b)(5)(I)

  Yes

  No

• Ladders set up on stable/level surface? 1926.1053(b)(6)

  Yes

  No

• Top of ladder secured to prevent side shift? 1926.1053(b)(1)

  Yes

  No

• Base of ladder secured when conditions warrant? 1926.1053(b)(6)

  Yes

  No

• Ladders used correctly/as intended by mfg? 1926.1053(b)(4)

  Yes

  No

• Stairs/ladder/ramp at elevation break of 19+ inches? 1926.1051(a)

  Yes

  No

• Spreaders fully engaged on stepladders? 1926.1053(a)(8)

  Yes

  No

• Workers avoid using top 2 steps of stepladder? 1926.1053(b)(13)

  Yes

  No

• Area at top and bottom of ladder kept clear? 1926.1053(b)(9)

  Yes

  No

• At least one hand free to grasp ladder? 1926.1053(a)(21)

  Yes

  No

• Loads not carried that could cause loss of balance/fall? 1926.1053(b)(22)

  Yes

  No

• Non-conductive ladder used if exposed to electrical hazard? 1926.1053(b)(12)

  Yes

  No

• Damaged ladders tagged and removed from service? 1926.1053(b)(16)

  Yes

  No

• Handrails on stairs with 4 or more risers? 1926.1052(c)

  Yes

  No

• Treads/landings on pan stairways filled? 1926.1052(a)(5)

  Yes

  No

• Good compliance/no safety violations? (1926 Subpart X)

  Yes

  No

• Quarterly inspections complete?

  Safe

  At Risk

• The 3-points of contact rule is being used while climbing ladders?

  Safe

  At Risk

• A lifting device is used for raising and lower items at the ladder?

  Safe

  At Risk

Mechanized Equipment

• Equipment in good condition/no obvious defects? 1926.601(b)(14)

  Yes

  No

• Seatbelts on earth-moving equip. w/ROPs? (excluding Excavators) 1926.602(a)(2)(i)

  Yes

  No

• Seat belts worn on equipment with ROPs? 1926.28(a)

  Yes

  No

• Parking brake set when equipment is parked? 1926.600(a)(3)(ii)

  Yes

  No

• Wheels chocked when needed (i.e. parked on incline)? 1926.600(a)(3)(ii)

  Yes

  No

• Bidirectional machines equipped with functional horn? 1926.602(a)(9)(i)

  Yes

  No

• Reverse alarm and/or spotter when backing? 1926.601-602(a)(9)(ii)

  Yes

  No

• No passengers allowed on single-operator equipment? 1926.601(b)(8)

  Yes

  No

• Windshields in good condition/no cracks? 1926.601(b)(5)

  Yes

  No

• Personnel platform secured to carriage/forks? 1926.602(c)(1)(viii)(A)

  Yes

  No

• Personnel on raised platform have access to operating controls? 1926.602(c)(1)(viii)(B)

  Yes

  No

• Beacon light activated on equipment when conditions warrant? (Best Practice)

  Yes

  No

• Slow Moving Vehicle placard when operating in traffic? (MUTCD)

  Yes

  No

• Blades/buckets/dump bodies lowered or blocked when not in use? 1926.600(a)(3)(i)

  Yes

  No

• Operator(s) competent/familiar with equipment controls? 1926.20(b)(4)

  Yes

  No

• Equipment/attachments safe distance from energized power lines? 1926.600(a)(6)

  Yes

  No

• Good compliance/no safety violations? (Subpart O)

  Yes

  No

Medical FA Services

• First aid supplies refilled/maintained? 1926.50(d)(1)

  Yes

  No

• Certified FA/CPR provider available at remote worksites? 1926.50(c)

  Yes

  No

• Emergency numbers posted when 911 service unavailable? 1926.50(f)

  Yes

  No

• Location of nearest medical facilities known/posted? 1926.50(b)

  Yes

  No

• Eye/body flushing facilities available when needed? 1926.50(g)

  Yes

  No

• Eye wash station(s) properly maintained? ANSI Z358.1

  Yes

  No

• AED system status indicator show green?

  Yes

  No

• AED pads current?

  Yes

  No

• Employees trained in AED use and current?

  Yes

  No

• AED visible and unobstructed?

  Yes

  No

• AED in good condition/properly maintained?

  Yes

  No

• Good compliance/no safety violations? 1926.50

  Yes

  No

MEWP (Aerial/Boom Lift)

• Workers use harness/lanyard tied to approved anchor in basket? 1926.453(b)(2)(v)

  Yes

  No

• Workers not tied off to adjacent structure/equipment? 1926.453(b)(2)(iii)

  Yes

  No

• Operator(s) trained and/or authorized? 1926.453(b)(2)(ii)

  Yes

  No

• Both feet on floor of basket? 1926.453(b)(2)(iv)

  Yes

  No

• Boom/basket load limits not exceeded? 1926.453(b)(2)(vi)

  Yes

  No

• MEWP is stationary when elevated? 1926.453(b)(2)(viii)

  Yes

  No

• MEWP controls clearly marked/identified? 1926.453(b)(2)(ix)

  Yes

  No

• MEWP is inspected prior to use/documented? 1926.453(b)(2)(i)

  Yes

  No

• MEWP is at least 10 feet from energized power lines? ANSI/SIA 92.5

  Yes

  No

• Access gate/opening closed when working in MEWP? ANSI/SIA A92.5

  Yes

  No

• MEWP operated on level surface per mfg. specs? ANSI/SIA A92.5

  Yes

  No

• Outriggers (when available) utilized as needed? ANSI/SIA A92.5

  Yes

  No

• Work platform kept reasonably clear of debris? ANSI/SIA A92.5

  Yes

  No

• Is MEWP operated within the wind speed service limit? ANSI/SIA A92.5

  Yes

  No

• Is a legible copy of Operators Manual kept with MEWP? ANSI A92.22.4.3.1.4

  Yes

  No

• Does MEWP have current annual inspection sticker? ANSI A92.22. 5.4.2

  Yes

  No

• Is there a written Rescue Plan to address falls from platform? ANSI A92.22. 6.1.2.6.3

  Yes

  No

• Have operators received Fall Rescue training? ANSI A92.22. 6.1.2.6.3

  Yes

  No

• Good compliance/no safety violations? (1926.453)

  Yes

  No

MEWP (Scissor Lifts)

• MEWP inspected and free of defects? 1926.451(f)(3)

  Yes

  No

• MEWP is inspected prior to use/documented? 1926.453(b)(2)(i)

  Yes

  No

• Both feet on floor of lift? 1926.453(b)(2)(iv)

  Yes

  No

• Workers trained on use of MEWP? 1926.454(a)

  Yes

  No

• MEWP is at least 10 feet from energized power lines? ANSI/SIA 92.5

  Yes

  No

• MEWP operated on level surface per mfg. specs? ANSI/SIA A92.5

  Yes

  No

• No modifications/additions affecting lift capacity? ANSI A92.6

  Yes

  No

• Directional controls return to neutral when released? ANSI A92.6

  Yes

  No

• Directional controls clearly marked? ANSI A92.6

  Yes

  No

• Access gate/opening closed when working in MEWP? ANSI/SIA A92.5

  Yes

  No

• Is MEWP operated within the wind speed service limit? ANSI/SIA A92.5

  Yes

  No

• Is a legible copy of Operators Manual kept with MEWP? ANSI A92.22.4.3.1.4

  Yes

  No

• Does MEWP have current annual inspection sticker? ANSI A92.22. 5.4.2

  Yes

  No

• Outriggers (when available) utilized as needed? ANSI/SIA A92.5

  Yes

  No

• Employees utilize PFAS when working from scissor lift? (Best Practice)

  Yes

  No

• Barricades erected to keep bystanders clear (as needed)? (Best Practice)

  Yes

  No

• Floor of lift kept reasonably clean? (Best Practice)

  Yes

  No

• Good compliance/no safety violations?

  Yes

  No

PPE

• PPE provided as required? 1926.95(a)

  Yes

  No

• PPE used/worn as required? 1926.95(a)

  Select Yes No

  • Yes
  • No

• PPE maintained in good/sanitary condition? 1926.95(a)

  Yes

  No

• Eye protection worn as required? 1926.102(a)(1)

  Yes

  No

• Face protection used when required? 1926.102(a)(1)

  Yes

  No

• Approved eye protection worn by those using prescription lenses? 1926.102(a)(3)

  Yes

  No

• Eye protection meets ANSI standards? 1926.102(b)(1)

  Yes

  No

• Hard hats worn as required? 1926.100(a)

  Yes

  No

• Hand protection worn when needed? 1926.28(a)

  Yes

  No

• Safety footwear worn as needed? 1926.28(a)

  Yes

  No

• Respirators provided/used as required? 1910.134(a)

  Yes

  No

• Workers reviewed App D/voluntary dust mask use? 1910.134(c)(2)

  Yes

  No

• Hearing protection used as required? 1926.52(a)

  Yes

  No

• High-visibility clothing worn as required? 1926.28(a)

  Yes

  No

• Appropriate shade protection used by welders? 1926.102(c)(1)

  Yes

  No

• Replacement PPE readily available? (Best Practice)

  Yes

  No

• Good compliance/no safety violations? 1926.28(a)

  Yes

  No

Postings/Safety Signs

• Emergency numbers/contacts posted? (Best Practice)

  Yes

  No

• OSHA Workplace Poster displayed? 1903.2(a)(1)

  Yes

  No

• OSHA 300 Summary posted Feb. 1st to Apr. 30th? 1904.32(a)(4)

  Yes

  No

• Danger/caution signs posted as needed? 1926.200(a)

  Yes

  No

• Warning signs around perimeter of worksite? (Best Practice)

  Yes

  No

• Good compliance/no safety violations?

  Yes

  No

Public Protection

• Public exposure to airborne contaminants (dust/fumes/smoke) controlled? ANSI A10.34 Sec. 3.2.2

  Yes

  No

• Construction operations near pedestrian/vehicular traffic controlled? ANSI A10.34 Sec. 3.2.3

  Yes

  No

• Where pedestrian areas are closed, suitable/safe alternatives provided? ANSI A10.34 Sec. 3.2.4.1

  Yes

  No

• Lighting (incl. welding flash) directed/shielded to minimize impact on public? ANSI A10.34 Sec. 3.2.5

  Yes

  No

• Radiation exposure hazards controlled and shielded to protect public? ANSI A10.34 Sec. 3.2.6

  Yes

  No

• Areas where public is exposed to mobile equip. are barricaded? ANSI A10.34 Sec. 3.2.7.2

  Yes

  No

• Barriers, enclosures, netting used to protect public from falling/wind-borne objects? ANSI A10.34 Sec. 3.2.8

  Yes

  No

• Measures taken to restrict public access to jobsite? ANSI A10.34 Sec. 3.2.9

  Yes

  No

• Measures taken to restrict public access to haz. equipment/supplies? ANSI A10.34 Sec. 3.2.9.1

  Yes

  No

• Operations generating waste/debris controlled to min. exposure to adjacent areas? ANSI A10.34 Sec. 3.2.10

  Yes

  No

• Controls in place where water run-off may pose a pollution hazard? ANSI A10.34 Sec. 3.2.10.2

  Yes

  No

• Utilities located and marked prior to start of construction? ANSI A10.34 Sec. 3.2.11

  Yes

  No

• Haz. materials stored away from public in approved/labeled containers or structures? ANSI A10.34 Sec. 3.2.12

  Yes

  No

• Hazards associated with vibrations (pile driving, blasting, etc.) analyzed? ANSI A10.34 Sec. 3.2.14

  Yes

  No

• When blasting occurs, an audible warning signal is established to warn public? ANSI A10.34 Sec. 3.2.14.3

  Yes

  No

• Excavations/trenches in public areas backfilled as soon as practicable? ANSI A10.34 Sec. 3.2.14.5

  Yes

  No

• Personnel trained on action to take if emergency arises affecting public? ANSI A10.34 Sec. 3.3.1

  Yes

  No

• Good compliance/no safety violations? ANSI A10.34

  Yes

  No

Record Keeping (Injury Illness)

• Are all work-related cases properly documented on OSHA 300 Log? 1904.4(a)(1)

  Yes

  No

• Are work-related bloodborne incidents (needlestick/cuts) properly recorded? 1904.8(a)

  Yes

  No

• Are hearing loss incidents resulting in Standard Threshold Shift (STS) recorded? 1904.10(a)

  Yes

  No

• Is OSHA Form 301 (or equivalent) completed for each recordable incident? 1904.29(b)(2)

  Yes

  No

• Are incidents recorded on OSHA 300 Log within 7 calendar days of notification? 1904.29(b)(3)

  Yes

  No

• Are separate logs kept for multiple establishments if in operation 1 year or longer? 1904.30(a)

  Yes

  No

• Is Annual Summary (Form 300A) certified (signed by senior management)? 1904.32(b)(3)&(4)

  Yes

  No

• Is Annual Summary (Form 300A) conspicuously posted btwn Feb 1 and Apr 30? 1904.32(b)(5)&(6)

  Yes

  No

• Are employees informed on how to report work-related injuries/illnesses? 1904.35(a)(1)

  Yes

  No

• Are fatalities, hospitalizations, amputations, loss of eye reported to OSHA? 1904.39(a)

  Yes

  No

• Compliance with OSHA Recordkeeping requirements satisfactory? 1904

  Yes

  No

Rigging

• Rigging equipment inspected/good condition? 1926.251(a)(6)

  Yes

  No

• Damaged/defective rigging removed from service? 1926.251(a)(6)

  Yes

  No

• Rigging equipment properly tagged/labeled? 1926.251(a)(2)(i)(iii)

  Yes

  No

• Rigging used per manufacturer’s specifications? (Best Practice)

  Yes

  No

• Rigging equipment properly stored? (Best Practice)

  Yes

  No

• Good compliance/no safety violations? 1926.251

  Yes

  No

Respiratory Protection

• Respiratory Protection Program established? 1910.134(c)(1)

  Yes

  No

• Respirators used in hazardous atmospheres? 1910.134(a)(2)

  Yes

  No

• Respirators properly maintained/sanitary? 1910.134(h)(2)(i)

  Yes

  No

• Medical evaluation completed prior to fit-test? 1910.134(e)(1)

  Yes

  No

• Fit-test completed prior to initial use/annually? 1910.134(f)(2)

  Yes

  No

• Facial hair does not compromise respirator seal? 1910.134(g)(1)(i)

  Yes

  No

• Approved respirator for application used? 1910.134(d)(1)(i)

  Yes

  No

• Employees trained in proper respirator use? 1910.134(k)(1)

  Yes

  No

• Appendix D reviewed when voluntary use? 1910.134(c)(2)(i)

  Yes

  No

• Compressed air quality at least Grade D? 1910.134(i)(1)

  Yes

  No

• Compressors maintained as required? 1910.134(i)(5)

  Yes

  No

• Good compliance/no safety violations? 1910.134

  Yes

  No

Safety Training

• Toolbox talks completed weekly? 1926.21(b)(2)

  Yes

  No

• Toolbox talks documented? (Best Practice)

  Yes

  No

• Equipment/machine operator training documented? (Best Practice)

  Yes

  No

• Job-specific safety training provided/documented? OSHA Pub. 2254

  Yes

  No

• Safety Orientation Training provided? OSHA Pub 2254

  Yes

  No

• Good compliance/no safety violations? 1926.20-.21

  Yes

  No

Sanitation

• Adequate supply of potable water provided? 1926.51(a)

  Yes

  No

• Steps taken to prevent use of common drinking cup? 1926.51(a)(4)

  Yes

  No

• Non-potable water outlets clearly marked? 1926.51(b)(1)

  Yes

  No

• 1 toilet per 20 workers when fewer than 20 at jobsite? 1926.51(c)(1)

  Yes

  No

• 1 toilet/urinal per 40 workers when more than 20 at jobsite? 1926.51(c)(1)

  Yes

  No

• 1 toilet/urinal per 50 workers when more than 200 at jobsite? 1926.51(c)(1)

  Yes

  No

• Port-a-Johns kept in clean and sanitary condition? (Best Practice)

  Yes

  No

• Washing facilities for employees exposed to harmful contaminants? 1926.51(f)(1)

  Yes

  No

• Washing facilities maintained in a sanitary condition? 1926.51(f)(2)

  Yes

  No

• Food/beverage consumption prohibited in toxic/hazardous areas? 1926.51(g)

  Yes

  No

• Good compliance/no safety violations? 1926.51

  Yes

  No

Scaffolds (Rolling Baker)

• Scaffolds inspected/free of defects? 1926.451(f)(3)

  Yes

  No

• Working platforms fully planked/decked? 1926.451(b)(1)

  Yes

  No

• Platform clean/free of excessive debris? 1926.451(f)(13)

  Yes

  No

• Only supplies needed stored on scaffolds? 1926.250(b)(5)

  Yes

  No

• Fall protection provided above 10 feet? 1926.451(g)(1)

  Yes

  No

• Scaffolds and components do not exceed rated capacities? 1926.451(f)(1)

  Yes

  No

• Employee remains within wheels/supports of scaffold? 1926.452(w)(6)(v)

  Yes

  No

• Scaffold bracing is secured, squared, aligned? 1926.452(w)(1)

  Yes

  No

• Wheel/caster brakes operable and set as required? 1926.452(w)(2)

  Yes

  No

• Caster/wheel stems pinned/secured to scaffold legs? 1926.452(w)(9)

  Yes

  No

• Employee only rides scaffold if surface is level/no obstructions? 1926.452(w)(6)(i)

  Yes

  No

• Outriggers used when platform extends beyond supports? 1926.452(w)(7)

  Yes

  No

• Outriggers (if required) properly installed? 1926.452(w)(5)

  Yes

  No

• Workers trained on use of scaffolds? 1926.454(a)

  Yes

  No

• Are scaffolds used within the wind speed service limit? (Best Practice)

  Yes

  No

• Scaffold integrity not compromised by intermixing parts? 1926.451(b)(10)

  Yes

  No

• Modified scaffold components approved by CP? 1926.451(b)(10)

  Yes

  No

• Good compliance/no safety violations?

  Yes

  No

Scaffolds (Supported)

• Scaffolds inspected by competent person? 1926.451(f)(3)

  Yes

  No

• Planking is free of visible defects? 1926.451(f)(3)

  Yes

  No

• Framing is free of visible defects? 1926.451(f)(3)

  Yes

  No

• Bracing is free of visible defects? 1926.451(f)(3)

  Yes

  No

• All other scaffold components free of visible defects? 1926.451(f)(3)

  Yes

  No

• Working platforms fully planked/decked (spacing 1" or less)? 1926.451(b)(1)

  Yes

  No

• Maximum distance from face for outrigger scaffolds is 3” or less? 1926.451(b)(3)(i)

  Yes

  No

• Fall protection provided/used on scaffold above 10 feet? 1926.451(g)(1)

  Yes

  No

• Legs/frame bear on base plates/mud sills? 1926.451(c)(2)

  Yes

  No

• Footings level, rigid, no visible settling? 1926.451(c)(2)(i)

  Yes

  No

• Ladder provided/used to access platform? 1926.451(e)(1)

  Yes

  No

• Only scaffold-grade lumber used? 1926.451

  Yes

  No

• Platform clean/free of excessive debris? 1926.451(f)(13)

  Yes

  No

• When platforms overlap, overlap is 12 inches or more? 1926.451(b)(7)

  Yes

  No

• Platform supports plumb/braced to prevent swaying? 1926.451(c)(3)

  Yes

  No

• Toeboards used to prevent tools/materials falling on employees? 1926.451(h)(2)(ii)

  Yes

  No

• Makeshift devices not used to gain additional height? 1926.451(f)(14)

  Yes

  No

• Scaffolds and components do not exceed rated capacities? 1926.451(f)(1)

  Yes

  No

• Only materials needed stored on scaffold? 1926.250(b)(5)

  Yes

  No

• Non-cleated platforms extend at least 6 in. over support? 1926.451(b)(4)

  Yes

  No

• Platforms <10 ft. do not extend more than 12 in. past support? 1926.451(b)(5)(i)

  Yes

  No

• Platforms (10+ ft.) do not extend more than 18 in. past support? 1926.451(b)(5)(ii)

  Yes

  No

• Platform attached to forks when supported by forklift? 1926.451(c)(2)(v)

  Yes

  No

• Scaffold not moved horizontally when occupied? 1926.451(f)(5)].

  Yes

  No

• Workers not allowed on scaffolds covered in snow/ice? 1926.451(f)(8)

  Yes

  No

• Bracing installed per mfg. recommendations (i.e. 4:1 height)? 1926.451(c)(1)(ii)

  Yes

  No

• Cross-bracing is installed/maintained? 1926.451(f)(3)

  Yes

  No

• Top rail of guardrail (or equivalent) at proper height? (btwn 38-45”) 1926.451(g)(4)(ii)

  Yes

  No

• Midrails (or equivalent) installed between toprail and platform? 1926.451(g)(iii)

  Yes

  No

• Midrail cross-bracing midpoint between 20-30 inches? 1926.451(g)(4)(xv)

  Yes

  No

• Toprail cross-bracing midpoint between 38-48 inches? 1926.451(g)(4)(xv)

  Yes

  No

• Workers trained on use of scaffolds? 1926.454(a)

  Yes

  No

• Workers trained to erect/disassemble/move scaffolds? 1926.454(b)

  Yes

  No

• Proper distance maintained from exposed energized power lines? 1926.451(f)(6)

  Yes

  No

• Scaffold integrity not compromised by intermixing parts? 1926.451(b)(10)

  Yes

  No

• Modified scaffold components approved by CP? 1926.451(b)(10)

  Yes

  No

• Good compliance/no safety violations? (Subpart L)

  Yes

  No

Scaffolds (Mast Climber)

• Scaffolds inspected/free of defects? 1926.451(f)(3)

  Yes

  No

• Supports (beams/hooks/clamps) rest on surface rated for load? 1926.451(d)(1)

  Yes

  No

• Outrigger beams made of structural metal or equivalent strength? 1926.451(d)(2)

  Yes

  No

• Outrigger beams restrained to prevent movement? 1926.451(d)(2)

  Yes

  No

• Outrigger beams adequately secured to deck (bolts, counterweights)? 1926.451(d)(3)

  Yes

  No

• Competent Person approves suspension design prior to use? 1926.451(d)(3)(i)

  Yes

  No

• Only approved, specifically designed counterweights allowed? 1926.451(d)(3)(iii)

  Yes

  No

• Counterweights mechanically attached to outrigger beams? 1926.451(d)(3)(iv)

  Yes

  No

• Tiebacks used when outrigger beams not mechanically fastened? 1926.451(d)(3)(vi)

  Yes

  No

• Outrigger beams perpendicular to building when possible? 1926.451

  Yes

  No

• Tiebacks secured to structurally sound anchor? 1926.451

  Yes

  No

• Tiebacks installed perpendicular or at opposing angles? 1926.451(d)(3)(x)

  Yes

  No

• Wire rope shackle/clevis placed directly over center line of stirrup? 1926.451(d)(4)(v)

  Yes

  No

• Support devices (i.e. hooks, clamps, etc.) made of steel/iron? 1926.451(d)(5)(i)

  Yes

  No

• Support devices (i.e. hooks, clamps, etc.) supported by bearing blocks? 1926.451(d)(5)(ii)

  Yes

  No

• Support devices (i.e. hooks, clamps, etc.) secured against movement? 1926.451(d)(5)(iii)

  Yes

  No

• Min. 4 wraps on drum hoist at lowest point of travel? 1926.451(d)(6)

  Yes

  No

• No repairs made to wire rope used for suspension? 1926.451(d)(7)

  Yes

  No

• Wire ropes inspected/maintained in good condition? 1926.451(d)(10)

  Yes

  No

• Minimum 3 clips installed on wire rope? 1926.451(d)(12)(i)

  Yes

  No

• Clips installed per manufacturer recommendations? 1926.451(d)(12)(ii)

  Yes

  No

• Gears and breaks on power-operated hoists guarded? 1926.451(d)(15)

  Yes

  No

• Brake engages immediately upon uncontrolled movements? 1926.451(d)(16)

  Yes

  No

• Manually operated hoist has positive crank force to descend? 1926.451(d)(17)

  Yes

  No

• Steps taken to prevent scaffold from swaying when required? 1926.451(d)(18)

  Yes

  No

• Equipment designed solely for escape/rescue not used as work platform? 1926.451(d)(19)

  Yes

  No

• Proper distance maintained from exposed energized power lines? 1926.451(f)(6)

  Yes

  No

• Good compliance/no safety violations?

  Yes

  No

Scaffolds (Stair Tower)

• Competent person inspects stairtower each shift/as needed? 1926.451(f)(3)

  Yes

  No

• Bottom step no more than 24 in. high? 1926.451(e)(4)

  Yes

  No

• Stair rail (top & mid) provided on each side? 1926.451(e)(4)(i)]

  Yes

  No

• Handrails provide adequate handhold for grasping? 1926.451(e)(4)(iii)

  Yes

  No

• Handrails smooth and free of snags? 1926.451(e)(4)(iv)

  Yes

  No

• Ends of stair rails do not pose a projection hazard? 1926.451(e)(4)(v)]

  Yes

  No

• Handrails provide min. 3 in. clearance? 1926.451(e)(4)(vi)]

  Yes

  No

• Stair rail at proper height (btwn. 28-37 in.)? 1926.451(e)(4)(vii)

  Yes

  No

• Landing platform (min. 18x18 in.) at each level? 1926.451(e)(v)(viii)

  Yes

  No

• Min. 18 in. clearance between stair rails? 1926.451(e)(4)(ix)

  Yes

  No

• Treads/landings slip-resistant? 1926.451(e)(4)(x)

  Yes

  No

• Riser/tread height uniform? 1926.451(e)(4)(xiii)&(xiv)

  Yes

  No

• Bracing installed per mfg. recommendations (i.e. 4:1 height)? 1926.451(c)(1)(ii)

  Yes

  No

• Stairtower placed on firm foundation? 1926.451(c)(2)

  Yes

  No

• Footings are level/no signs of settling? 1926.451(c)(2)(i)

  Yes

  No

• Stairtower is plum/braced to prevent swaying? 1926.451(c)(3)

  Yes

  No

• Stairtower removed from service if defective? 1926.451(f)(4)

  Yes

  No

• Scaffold integrity not compromised by intermixing parts? 1926.451(b)(10)

  Yes

  No

• Modified scaffold components approved by CP? 1926.451(b)(10)

  Yes

  No

• Good compliance/no safety violations? (Subpart L)

  Yes

  No

Silica Exposure

• Controls (based Table 1 Tasks) in place to minimize silica exposure? 1926.1153(c)(1)

  Yes

  No

• Controls in place when using stationary masonry saws? 1926.1153(c)(1)(i)

  Yes

  No

• Controls in place when using handheld power saws? 1926.1153(c)(1)(ii)

  Yes

  No

• Controls in place when using walk-behind saws? 1926.1153(c)(1)(iv)

  Yes

  No

• Controls in place when using jackhammers/powered chipping tools? 1926.1153(c)(1)(x)

  Yes

  No

• Controls in place when using handheld grinders for mortar removal? 1926.1153(c)(1)(xi)

  Yes

  No

• Controls in place when using handheld grinders (other than mortar removal)? 1926.1153(c)(1)(xii)

  Yes

  No

• Controls in place when using walk-behind milling machines/floor grinders? 1926.1153(c)(1)(xiii)

  Yes

  No

• Controls in place when using crushing machines? 1926.1153(c)(1)(xvi)

  Yes

  No

• Exhaust provided for indoor tasks where silica exposure occurs? 1926.1153(c)(2)(i)

  Yes

  No

• When wet-method is used, is water applied at proper rate to minimize dust? 1926.1153(c)(2)(ii)

  Yes

  No

• When cab is used to control dust, is it air tight with climate controls? 1926.1153(c)(2)(iii)

  Yes

  No

• Proper respirator used (as required) and worn properly? 1926.1153(e)

  Yes

  No

• Wet sweeping or HEPA vacuuming used to clean up silica dust? 1926.1153(f)(1)

  Yes

  No

• Compressed air is prohibited when cleaning silica dust? 1926.1153(f)(2)

  Yes

  No

• Written exposure control plan developed/implemented? 1926.1153(g)(1)

  Yes

  No

• Exposure control plan reviewed at least annually? 1926.1153(g)(2)

  Yes

  No

• Competent person conducts frequent site inspections? 1926.1153(g)(4)

  Yes

  No

• Medical surveillance program in place? 1926.1153(h)(1)

  Yes

  No

• Initial medical examination completed within first 30 days of assignment? 1926.1153(h)(2)

  Yes

  No

• Medical evaluation completed every 3 years or more often as needed? 1926.1153(h)(3)

  Yes

  No

• Employees trained on hazards associated with silica exposure? 1926.1153(i)(2)

  Yes

  No

• Records of air sampling and medical surveillance maintained? 1926.1153(j)

  Yes

  No

• Good compliance/no safety violations? 1926.1153

  Yes

  No

Steel Erection

• Site layout graded, drained and adequate space? 1926.752(c)(2)

  Yes

  No

• Documentation rec'd that footings can support load? 1926.752(b)

  Yes

  No

• Crane(s) visually inspected at start of shift? 1926.753(c)(1)

  Yes

  No

• Rigging equipment inspected at start of shift? 1926.753(c)(2)

  Yes

  No

• Workers not allowed under suspended load? 1926.753(d)(1)

  Yes

  No

• Multiple lifts do not exceed 5 members? 1926.753(e)(1)(ii)

  Yes

  No

• Multiple lifts rigged 7 feet apart? 1926.753(e)(4)(iii)

  Yes

  No

• Multiple lifts rigged at center of gravity/balanced? 1926.753(e)(4)(i)

  Yes

  No

• Decked floor at least 30 ft. below erectors? 1926.754(b)(3)

  Yes

  No

• Metal decking secured upon placement? 1926.754(e)(5)(i)

  Yes

  No

• Guardrails/toeboards around structural openings? 1926.754(e)(2)(ii)

  Yes

  No

• Floor opening covers substantial, marked, secured? 1926.754(e)(3)(i)

  Yes

  No

• Columns anchored by min. 4 anchor rods/bolts? 1926.755(a)(1)

  Yes

  No

• Structural members secured with two bolts per connection? 1926.756(a)(1)

  Yes

  No

• Diagonal bracing secured with one bolt per connection? 1926.756(b)

  Yes

  No

• Tools aloft secured against accidental displacement? 1926.759(a)

  Yes

  No

• Contractors barred from working below erection activities? 1926.759(b)

  Yes

  No

• Steel workers above 15 ft. protected from fall hazards? 1926.760(a)(1)

  Yes

  No

• Connectors 2 stories/30 ft. up protected from fall hazards? 1926.760(a)(3)

  Yes

  No

• Perimeter cables installed when decking completed? 1926.760(a)(2)

  Yes

  No

• Perimeter cables flagged at 6 foot intervals? 1926.760

  Yes

  No

• Custody of fall protection transferred when work is finished? 1926.760(e)

  Yes

  No

• Ramps/runways properly guarded? 1926.760

  Yes

  No

• Good compliance/no safety violations? (Subpart R)

  Yes

  No

Storage and Disposal

• Materials safely stored/stacked? 1926.250(a)(1)

  Yes

  No

• Storage areas are not overloaded? 1926.250(a)(2)

  Yes

  No

• Aisles/passageways unobstructed/in good repair? 1926.250(a)(3)

  Yes

  No

• Nails withdrawn before stacking lumber? 1926.250(b)(8)(i)

  Yes

  No

• Housekeeping maintained in storage areas? 1926.250(c)

  Yes

  No

• Chute used to drop materials outside building? 1926.252(a)

  Yes

  No

• Debris drop zone properly barricaded? 1926.252(b)

  Yes

  No

• Scrap lumber/waste/rubbish promptly removed? 1926.252(c)

  Yes

  No

• Oily rags kept in fire resistant covered containers? 1926.252(e)

  Yes

  No

• Good compliance/no safety violations?

  Yes

  No

Stormwater Managment

• Are all slopes and disturbed areas not actively being worked properly stabilized?

  Yes

  No

• Are natural resource areas (e.g., streams, wetlands, mature trees, etc.) protected with barriers?

  Yes

  No

• Are perimeter controls and sediment barriers adequately installed (keyed into substrate) and maintained?

  Yes

  No

• Are discharge points and receiving waters free of any sediment deposits?

  Yes

  No

• Are storm drain inlets properly protected?

  Yes

  No

• Is the construction exit preventing sediment from being tracked into the street?

  Yes

  No

• Are washout facilities (e.g., paint, stucco, concrete) available, clearly marked, and maintained?

  Yes

  No

• Are vehicle and equipment fueling, cleaning, and maintenance areas free of spills, leaks, or any other damaging material?

  Yes

  No

• Are materials that are potential stormwater contaminants stored inside or under cover?

  Yes

  No

• Are non-stormwater discharges (e.g., wash water, dewatering) properly controlled?

  Yes

  No

• Good compliance/no safety violations?

  Yes

  No

Temporary Heating Devices

• Circulating type heating devices have min. 12” side/rear clearance? 1926.154(b)(1)

  Yes

  No

• Radiant type heating devices have min. 36” side/rear clearance? 1926.154(b)(1)

  Yes

  No

• Proper insulating material placed under heater on wood floors? 1926.154(b)(3)

  Yes

  No

• Heaters placed at least 10’ from tarps, canvas, or similar coverings? 1926.154(b)(4)

  Yes

  No

• Tarps, canvas or similar coverings used near heaters are secured? 1926.154(b)(4)

  Yes

  No

• Heating devices used on stable, level surface? 1926.154(c)

  Yes

  No

• Salamanders used per manufacturers' instructions? 1926.154(d)

  Yes

  No

• Good compliance/no safety violations? (1926.154)

  Yes

  No

Tools Hand and Power

• Hand and power tools in safe operating condition? 1926.300(a)(1)

  Yes

  No

• Guards in place/functional on power tools? 1926.300(b)(1)

  Yes

  No

• Impact tools free of mushroom heads? 1926.301(c)

  Yes

  No

• Handles free of splinters/cracks and kept tight in tool? 1926.301(d)

  Yes

  No

• Power tools double-insulated or grounded? 1926.302(a)(1)

  Yes

  No

• Electric cords NOT used to hoist/lower power tools? 1926.302(a)(2)

  Yes

  No

• Secondary restraint used on pneumatic tools to prevent hose whip? 1926.302(b)(1)

  Yes

  No

• Safety clips/retainers installed/maintained on pneumatic impact tools? 1926.302(b)(2)

  Yes

  No

• Safety device on muzzle of pneumatic fasteners? 1926.302(b)(3)

  Yes

  No

• Compressed air under 30psi when used for cleaning? 1926.302(b)(4)

  Yes

  No

• Tool(s) used withing mfg. safe operating pressure? 1926.302(b)(5)

  Yes

  No

• Air hose NOT used to lower/hoist pneumatic tools? 1926.302(b)(6)

  Yes

  No

• Pressure release on hoses exceeding 1/2-inch inside diameter? 1926.302(b)(7)

  Yes

  No

• Power tools stopped during refueling/maintenance? 1926.302(c)(1)

  Yes

  No

• Angle grinders equipped with safety guards? 1926.303(b)(1)

  Yes

  No

• Circular saws adequately guarded? 1926.304(d)

  Yes

  No

• Hand-fed ripsaw (table saw) adequately guarded? 1926.304(i)

  Yes

  No

• Load capacity legibly marked on jacks/not exceeded? 1926.305(a)(1)

  Yes

  No

• Raised loads are cribbed/blocked when using jacks? 1926.305(d)(1)(i)

  Yes

  No

• Air receiver equipped w/working pressure gauge? 1926.306(b)(3)(i)

  Yes

  No

• Air receiver equipped w/ pressure release valve? 1926.306(b)(3)(i)

  Yes

  No

• Equipment/machine guards in place and functional? 1926.307(a)

  Yes

  No

• Approved clamps used on air hose connections? [Interp Letter]

  Yes

  No

• Good compliance/no safety violations? (Subpart I)

  Yes

  No

Tools Powder Actuated

• Only trained employees use powder-actuated tools? 1926.302(e)(1)

  Yes

  No

• Powder-actuated tools (when in use) tested daily? 1926.302(e)(2)

  Yes

  No

• Defective tools immediately removed from service? 1926.302(e)(3)

  Yes

  No

• Tools remain unloaded until just prior to use? 1926.302(e)(5)

  Yes

  No

• PAT's are always pointed away from employees? 1926.302(e)(5)

  Yes

  No

• Hands/body parts kept clear of open barrel end? 1926.302(e)(5)

  Yes

  No

• Loaded tools are attended at all times? 1926.302(e)(6)

  Yes

  No

• Fasteners only driven into suitable/safe surfaces? 1926.302(e)(7)-(9)

  Yes

  No

• Tools prohibited in explosive/flammable atmospheres? 1926.302(e)(10)

  Yes

  No

• Tools equipped with approved shield, guard, attachment? 1926.302(e)(11)

  Yes

  No

• Only ANSI approved tools used? 1926.302(e)(12)

  Yes

  No

• Powder-actuated tools and loads marked and stored properly? 1926.302(e)

  Yes

  No

• Powder-actuated loads (spent and unspent) properly discarded? 1926.302(e)

  Yes

  No

• Good compliance/no safety violations? (Subpart I)

  Yes

  No

• Copy of MUTCD available at worksite? (Best Practice)

  Yes

  No

Traffic Control

• Traffic Control Plan (TCP) completed/available for review?

  Yes

  No

• Work zone inspected daily and documented? (Best Practice)

  Yes

  No

• Warning signs alert drivers of upcoming road work?

  Yes

  No

• Warning signs visible and spaced properly?

  Yes

  No

• Warning signs in good condition, legible, clean?

  Yes

  No

• Delineation devices (cones, barrels, panels) positioned properly?

  Yes

  No

• Delineation devices (cones, barrels, panels) in good condition?

  Yes

  No

• Barricades provided/placed where required?

  Yes

  No

• Barricades erected with correct directional stripes?

  Yes

  No

• High-viz clothing worn in the work zone?

  Yes

  No

• Beacon lights activated on vehicles near active traffic lanes?

  Yes

  No

• Personnel trained in work zone safety techniques?

  Yes

  No

• Steel plates sturdy/proper thickness (i.e. meet ASTM A36 requirements)?

  Yes

  No

• Steel plates anchored to reduce/eliminate movement?

  Yes

  No

• Steel plates extend min. 12 inches beyond edge of excavation?

  Yes

  No

• Wedges or similar device used to level plates and prevent rocking?

  Yes

  No

• "Steel Plate Ahead" sign located 100 ft. in advance of plate location?

  Yes

  No

Trenching Excavation

• Competent Person completes daily inspection? 1926.651(k)(1)

  Yes

  No

• Employees protected from cave-in by protective system (if equal to or greater than 5')? 1926.652(b) or (c)

  Yes

  No

• Sloping/benching adequate for soil type? 1926.652(b)

  Yes

  No

• Spoils/material/equipment set back 2 feet from edge? 1926.651(j)(2)

  Yes

  No

• Proper/safe means of access/egress provided? 1926.651(c)(2)

  Yes

  No

• Travel distance to egress no more than 25 feet? 1926.651(c)(2)

  Yes

  No

• Utilities located/identified prior to start of excavation? 1926.651(b)(2)

  Yes

  No

• Surface encumbrances removed or supported? 1926.651(a)

  Yes

  No

• Water runoff controlled to prevent accumulation? 1926.651(h)(3)

  Yes

  No

• Access prohibited when water accumulation is uncontrolled? 1926.651(h)(1)

  Yes

  No

• Trench barricaded when left unattended? (Best Practice)

  Yes

  No

• Manual/visual test used to confirm soil classification? 1926.651

  Yes

  No

• Workers exposed to traffic wearing high-viz clothing? 1926.651(d)

  Yes

  No

• Stability of adjacent structures ensured? 1926.651(i)(1)

  Yes

  No

• Backfilling occurs as work proceeds? 1926.652(e)(1)(vi)

  Yes

  No

• Soil not excavated more than 2 ft. below protective system? 1926.652(e)(2)(i)

  Yes

  No

• Pavements/structures not undermined unless supported? 1926.651(i)(3)

  Yes

  No

• Atmospheric conditions tested prior to entry? 1926.651(g)

  Yes

  No

• Good compliance/no safety violations? (Subpart P)

  Yes

  No

Trucks/Pickups/Autos

• Trucks/pickups/autos in good condition? (Best Practice/DOT)

  Yes

  No

• Driver compartment clean/organized? (Best Practice)

  Yes

  No

• Parked to minimize traffic hazards? (Best Practice)

  Yes

  No

• Parked to minimize backing? (Best Practice)

  Yes

  No

• Cones/triangles used when parked in/near traffic lanes? (DOT)

  Yes

  No

• Beacon light used when parked in/near active traffic lanes? (MUTCD)

  Yes

  No

• Tires chocked/blocked when parked on slope? (Best Practice)

  Yes

  No

• Steer tires turned toward curb when parked on slope? (Best Practice)

  Yes

  No

• Cargo securement adequate? (DOT)

  Yes

  No

• Good compliance/no safety violations? (DOT/Best Practices)

  Yes

  No

Truck Trailer Combo (DOT)

• DOT number and carrier name on side of power unit? 390.21

  Yes

  No

• Extinguisher/reflective triangles/flares kept in vehicle? 392.8

  Yes

  No

• Cargo is properly distributed/adequately secured? 392.9

  Yes

  No

• Truck/trailer combo has single braking system? 393.42(a)

  Yes

  No

• Driver has current DOT medical exam card on them? 391.41(a)

  Yes

  No

• Time records for previous 7 days available for review? 395.1(e)(1)

  Yes

  No

• Safety chains in good condition/capable of being secured? 393.70(d)(5)

  Yes

  No

• Good compliance/no safety violations? (DOT/Best Practices)

  Yes

  No

Welding Cutting (Hot Work)

• Valve caps in place when storing/transporting cylinders? 1926.350(a)(1)

  Yes

  No

• Cylinders in transportation secured in vertical position? 1926.350(a)(4)

  Yes

  No

• Cylinder valves closed when work is finished? 1926.350(a)(8)

  Yes

  No

• Cylinders secured in upright position? 1926.350(a)(9)

  Yes

  No

• Fuel gas cylinders separated from O2 cylinders 20 ft./5 ft. high 30 min. fire rating? 1926.350(a)(10)

  Yes

  No

• Welding hoses in good condition? 1926.350(f)(3)

  Yes

  No

• Regulators/gauges/valves in proper working order? 1926.350(g)&(h)

  Yes

  No

• Flashback arrestors utilized? (Best Practice)

  Yes

  No

• Manual electrode holders w/proper capacity used? 1926.351(a)(1)

  Yes

  No

• Electrode holders fully insulated? 1926.351(a)(2)

  Yes

  No

• Arc welding cables/connectors fully insulated? 1926.351(b)(1)

  Yes

  No

• Is weld cable free of repair/splices for a min. of 10 feet from the electrode holder? (exceptions apply) 1926.351(b)(2)

  Yes

  No

• Cable lugs or splices equal to cable capacity and completely insulated? 1926.351(b)(3)

  Yes

  No

• Are cables in need of repair removed from service as required? 1926.351(b)(4)

  Yes

  No

• Are worn or exposed areas protected by means of adequate insulation? 1926.351(b)(4)

  Yes

  No

• Does ground return cable carrying capacity exceed load demand as required? 1926.351(c)(1)

  Yes

  No

• Are flammable gas/liquid pipelines and electrical conduits excluded from use as ground return? 1926.351(c)(2)

  Yes

  No

• Does electrical contact exist at all joints of ground return circuit as required? 1926.351(c)(3)

  Yes

  No

• Are all joints of continuously employed ground return circuits bonded and inspected as required? 1926.351(c)(4)

  Yes

  No

• Are all frames for arc welding and cutting machines grounded as required? 1926.351(c)(5)

  Yes

  No

• Do grounding circuits have sufficiently low resistance to allow for fuse or circuit interruption? 1926.351(c)(5)

  Yes

  No

• Are all ground connections inspected for mechanical and electrical soundness? 1926.351(c)(6)

  Yes

  No

• Are noncombustible/flameproof screens used for shielding as required? 1926.351(e)

  Yes

  No

• Fire extinguishing equipment in close proximity? 1926.352(d)

  Yes

  No

• Fire watch maintained as required? 1926.352(e)

  Yes

  No

• Combustibles removed/protected from heat/sparks/slag? 1926.352(b)

  Yes

  No

• Good compliance/no safety violations? (Subpart J)

  Yes

  No

Working over Water

• PFD worn when working over/near water? 1926.106(a)

  Yes

  No

• PFDs inspected prior to use w/ defective units removed from service? 1926.106(b)

  Yes

  No

• Ring buoys w/ 90 ft. line in place & located within 200 ft. travel distance? 1926.106(c)

  Yes

  No

• Min. one (1) lifesaving skiff available near water operations? 1926.106(d)

  Yes

  No

• Good compliance/no safety violations? 1926.106

  Yes

  No

Other Misc

• Pre-shift stretching exercises completed? (Best Practice)

  Yes

  No

• Steps taken to address icy/slippery surfaces? (Best Practice)

  Yes

  No

• Surfaces reasonably level/free of slip/trip/fall hazards? (Best Practice)

  Yes

  No

• Job trailer anchored to protect against strong winds? (Best Practice)

  Yes

  No

• Construction areas properly illuminated? 1926.56(a)

  Yes

  No

• Security fencing installed/maintained? (Best Practice)

  Yes

  No

• Are frequent/regular inspections of the jobsite completed? 1926.20(b)(2)

  Yes

  No

• Defective equipment tagged or removed from service? 1926.20(b)(3)

  Yes

  No

• Equipment is being used per mfg. procedures? 5(a)(1)

  Yes

  No

• Is worksite free of unsafe conditions? Sec. 5(a)(1)

  Yes

  No

• Employees observed working safely? Sec. 5(b)(1)

  Yes

  No

Environmental

• Spills reported and cleaned up?

  Safe

  At Risk

• Spill kits available on site?

  Safe

  At Risk

• SWMP is in place and up to date?

  Safe

  At Risk

• BMP's maintained?

  Safe

  At Risk

• Enough lighting in area to perform work?

  Safe

  At Risk

• Signature of Inspector

  Sign

• Signature of Supervisor or Lead man

  Sign