Information
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General Contractor name
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Jobsite
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Conducted on
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Prepared by
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Area of inspection, i.e. forth floor or penthouse, etc.
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Lead or Foreman
1. House keeping
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1.1. Materials and debris not allowed to accumulate?
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1.2. Clear access to and from job task maintained?
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1.3. Work area has sufficient safe lighting?
2. Equipment Inspection
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2.1. Has equipment been inspected before use and documented?
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2.2. Operators and others using seat belt or tied off in equipment?
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2.4. Are operators current with training and license ?
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2.5. Equipment left in safe condition and placement?
3. Scaffolds
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3.3. Has a safety inspection been completed before we access the scaffold?
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3.4. Is a ladder or ladder bucks provided for safe access
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3.5. Scaffold fully planked and complete guardrail system?
4. Lifting Equipment
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4.1. Is there any load lifting activities today- if no close this section.
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4.2 Are loads kept from overhead of employees?
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4.3. Has rigging equipment been inspected and documented at least 1X monthly?
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4.4. Are riggers certified with current validation?
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4.5. Swing area barricaded and not closer than 15 feet from overhead electrical?
5. PFAS (arresting and restraint)
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5.1. Are falling tools concerns protected with ground barricade or tool tethers?
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5.2. Proper selection of connector for height working?
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5.3. Harness components are inspected before each use?
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5.4. Are anchor point adequate to hold 5000 lbs?
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5.5. Has a rescue plan been discussed with team?
6. Ladders
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6.1. Have ladders been inspected for damage?
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6.2. Unsafe positioning of ladders? i.e. using a ladder other than intended by manufacturer, blocking a doorway?
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6.3. Ladder not properly secured?
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6.4. Ladder unsuitable for job? (i.e. other than heavy duty- so no green color ladders by Werner) ?
7. Protection from repetitious manual tasks
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7.1. Are provisions given to ergonomics of each manual task?
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7.2. Are there adequate workers to rotate during manual labor?
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7.4. When carrying long loads, (8 foot or more) are 2 employees utilized?
8. Hazardous Chemical (including fuel and oil)
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8.1. Is SDS chemical information available to team?
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8.2. Is a fire extinguishers readily available if working with flammable chemicals?
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8.3. Are emergency procedures in place, i.e. fire extinguishers and spill containment when required?
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8.4. Are flammable chemicals in a cabinet or less than 25 gallons in one area?
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8.5. Are employees using proper safety methods under SDS guideline?
11. Personal Protective Equipment (PPE)
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11.1. Is proper PPE available to employees?
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11.2. Are employees using PPE correctly and caring for same?
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11.3. Is all PPE used as per GC and JT Murphy requirements?
12. Silica Protection
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12.1. Does your task produce silica dust? If no close this section.
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12.2. Are table 1 safety methods being used to eliminate dust hazard?
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12.3. When cutting, chipping or grinding are 2 forms of face/eye protection used?
13. Electrical Hazards
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13.1. Have cords and tools been inspected prior to use?
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13.2. GFCI used with every electrical cord and tool?
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13.3. Are cords place so not to create a trip hazard?
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13.4. Electrical cords kept safe away from water?
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13.5. Electrical cords safely kept away from flammables?
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13.6. Electrical cords not placed over sharp objects
14. Employee wellness
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14.1. Areas available to cool down or warm up during extreme weather conditions?
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14.3. Drinking water available for all employees on site?
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14.4. Emergency evacuation plan is active and understood by employees?
15. Administrative Procedures
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15.1. Is there an SSSP written for job and understood by team?
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15.3. Is there at least one competent person on site while work is active? Who?
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15.4. Is competent person adequately trained for task?
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15.5. Has a safe work plan been written and reviewed by team for high risk tasks?
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15.7. Have safety tool box talks been completed this week and provided to GC?
Corrective Actions
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Enter any corrective actions that will be undertaken
Sign Off
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On site representative
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Auditor's signature
