Justus Construction - Safety Inspection Report

• Job Site

• Subcontractors on site today.

• Conducted on

  Date

• Prepared by

• Personnel participating in inspection.

Program Administration and Documentation

• Is all signage present and posted (OSHA poster, PPE, ect.)

  Yes

  No

  N/A

• Is there a copy of the site safety plan readily available for review?

  Yes

  No

  N/A

• Is a site safety orientation conducted and documented for employees and subcontractors?

  Yes

  No

  N/A

• Is there adequate supervisory arrangements for the project?

  Yes

  No

  N/A

• Is there a copy of the Safety Manual & SDS's available? - Justus Construction

  Yes

  No

  N/A

• Is there a copy of the Safety Manual & SDS's available? - All Subcontractors

  Yes

  No

  N/A

• Are weekly tool box talks being performed and documented? -Justus Construction<br>

  Yes

  No

  N/A

• Are weekly tool box talks being performed and documented? -All Subcontractors<br>

  Yes

  No

  N/A

• Are weekly project field safety audits being performed and documented?

  Yes

  No

  N/A

Emergency Response

• Are Emergency numbers / contacts clearly posted?

  Yes

  No

  N/A

• Is the emergency action plan posted / up to date?

  Yes

  No

  N/A

• Are Clinics identified and posted on the project with a map of how to get there?

  Yes

  No

  N/A

• Are there fully stocked first aid kits available for use?

  Yes

  No

  N/A

• Is there access to formally trained First Aiders for all shifts?

  Yes

  No

  N/A

Work Environment

• Does the project have an adequate number of amenities? (toilets, wash areas, potable water, etc.)

  Yes

  No

  N/A

• Is potable water available?

  Yes

  No

  N/A

• Are all structures secure and stable? (Masonry walls, false work, Steel, etc.)

  Yes

  No

  N/A

• Are all potential silica exposures being properly mitigated? (Use of water or point of operation vacuums)

  Yes

  No

  N/A

• Are workers free from exposure and/or not exposing others to harmful or hazardous substances? (Silica, Lead, Flammable gases)

  Yes

  No

  N/A

General Safety and Health Provisions - Subpart C

Housekeeping

• Are work areas kept clean and orderly?

  Yes

  No

  N/A

• Are break areas kept clean and orderly?

  Yes

  No

  N/A

• Are storage areas kept clean and orderly?

  Yes

  No

  N/A

• Is there adequate lighting for the tasks?

  Yes

  No

  N/A

• Is the job site free of slips, trips and fall hazards?

  Yes

  No

  N/A

• Are nails removed from scrap lumber?

  Yes

  No

  N/A

• Is trash picked up and put in proper receptacles?

  Yes

  No

  N/A

• Is sharp metal scrap contained in area by container / trash can or other to prevent anyone walking from being cut by a sharp edge?

  Yes

  No

  N/A

Occupational Health and Environmental Controls - Subpart D

• Are chemicals stored in a safe location? (flammables away from ignition sources, spills would not enter storm water drains, etc.)

  Yes

  No

  N/A

• Is there spill containment equipment on site?

  Yes

  No

  N/A

• Is there sufficient ventilation from potential fumes?

  Yes

  No

  N/A

• Are containers suitable for the products in it?

  Yes

  No

  N/A

• Are all containers properly labeled?<br>

  Yes

  No

  N/A

Personal Protective Equipment (PPE) - Subpart E

• Are all employees following company PPE requirements? (Ex. Hard hats, safety glasses, high vis, work boots, gloves)

  Yes

  No

  N/A

• If needed based on task, is specialty PPE being used properly? (Face shields, hearing protections, gloves, etc.)

  Yes

  No

  N/A

• Is all PPE in use safe and free from recognized hazards?

  Yes

  No

  N/A

• Is extra PPE available as needed?

  Yes

  No

  N/A

Fire Protection - Subpart F

• Are there Fire Extinguishers on site? (adequate number, type, maintained, inspected)

  Yes

  No

  N/A

• Are all hot work activities being managed properly to prevent fires? This includes fire extinguishers, hot work permits, and fire watches. (If applicable)

  Yes

  No

  N/A

• Are LP-Gas tanks in use?

  Yes

  No

• Are compressed gas cylinders being used properly, including: storage, proper separation, use?

  Yes

  No

  N/A

• Are fuel tanks properly protected from vehicular damage?

  Yes

  No

  N/A

• Are there fuel tanks on site?

  Yes

  No

• Are fuel tanks protected from leaking? (Double wall tank or containment tank)

  Yes

  No

  N/A

• Are fuel tanks properly protected from vehicular damage?

  Yes

  No

  N/A

• Is there a fire extinguisher located no closer than 25' but no more than 75' from fueling areas?

  Yes

  No

  N/A

Signs, Signals, and Barricades - Subpart G

• Is work being performed around traffic?

  Yes

  No

• Is there a Traffic Management Plan (TMP) in place for work being conducted in the roadway?

  Yes

  No

  N/A

• Are flaggers properly trained?

  Yes

  No

  N/A

• Do controls for TMP function properly and are free from damage? (Physical barriers, bollards, speed limits, flashing lights, spotters, etc.)

  Yes

  No

  N/A

Materials Handling, Storage, Use, and Disposal - Subpart H

• Is rigging and signaling being used?

  Yes

  No

• Do riggers and signal persons have documentation of qualifications?

  Yes

  No

  N/A

• Are all pieces of rigging inspected prior to use for damage?

  Yes

  No

  N/A

• Are all pieces of rigging safe, properly labeled, and undamaged? (ex. wire ropes, shackles, slings, chains, spreader bars, hooks)

  Yes

  No

  N/A

• Are loads being rigged properly using the correct type and configuration of rigging for the load?

  Yes

  No

  N/A

• Are tag lines being used?

  Yes

  No

  N/A

Tools - Hand and Power - Subpart I

• Are power and hand tools in use?

  Yes

  No

• Are all tools in proper working order and without damage?

  Yes

  No

  N/A

• Are all tools properly guarded?

  Yes

  No

  N/A

• Are all tools being used properly?

  Yes

  No

  N/A

• Are tools properly grounded or labeled as double insulated?

  Yes

  No

  N/A

• Are electrical cords free from damage? (if applicable)

  Yes

  No

  N/A

• Handles not broken/splinter free?

  Yes

  No

  N/A

• Are tools properly dressed to prevent mushroomed heads? (form stakes, punches)

  Yes

  No

  N/A

• Are powder-actuated tools in use?

  Yes

  No

• Are employees trained to use powder-actuated tools?

  Yes

  No

  N/A

Welding and Cutting - Subpart J

• Is welding or cutting being performed?

  Yes

  No

• Are all compressed gas cylinders secured to prevent being knocked over?

  Yes

  No

  N/A

• Are compressed gas cylinders stored with proper separation?

  Yes

  No

  N/A

• Are regulators and gauges in working condition?

  Yes

  No

  N/A

• Are welding cables free from damage?

  Yes

  No

  N/A

Electrical - Subpart K

• Are electrical cords free from any and all damage?

  Yes

  No

  N/A

• Is GFCI protection being used on all temp power?

  Yes

  No

  N/A

• Are outlets and circuits free from overloads?

  Yes

  No

  N/A

• Are all live parts protected from accidental contact?

  Yes

  No

  N/A

• Are electrical cords protected from being placed on sharp ground or hung by conductive metal?

  Yes

  No

  N/A

• Are electrical cords and equipment in a safe location, not near flammables, or lying in water?

  Yes

  No

  N/A

• Is electrical work being conducted on de energized locked and tagged equipment? (LOTO)

  Yes

  No

  N/A

• Are all breakers properly labeled

  Yes

  No

  N/A

• Are receptacles installed in a wet or damp location designed for the location?

  Yes

  No

  N/A

• Is temporary lighting guarded?

  Yes

  No

  N/A

• Are electrical panels labeled HOT and covered?

  Yes

  No

  N/A

Scaffolds - Subpart L

• Are scaffolds in use?

  Yes

  No

• Was the scaffold assembled under the supervision of a "Competent Person"?

  Yes

  No

  N/A

• Is the scaffolding properly tagged?

  Yes

  No

  N/A

• Is the competent person performing daily scaffold inspections?

  Yes

  No

  N/A

• Are scaffolds free from damage and are they complete?

  Yes

  No

  N/A

• If electrical power lines are near the scaffold, are necessary precautions being taken?

  Yes

  No

  N/A

• Are all scaffold components compatible?

  Yes

  No

  N/A

• Are all cross braces properly installed?

  Yes

  No

  N/A

• Are all scaffolds plumb and level?

  Yes

  No

  N/A

• Are adequate sills and base plates being used?

  Yes

  No

  N/A

• Is the maximum extension for screw jacks less than 18"?

  Yes

  No

  N/A

• Are work surfaces fully planked (minimum width 18") and level?

  Yes

  No

  N/A

• Are scaffold planks installed past their end supports no less than 6" and no more than 12"?

  Yes

  No

  N/A

• Have damaged scaffold planks been cut back or removed from service?

  Yes

  No

  N/A

• Is the work side of the scaffold no more than 14" away from the wall? (18" for plaster work)

  Yes

  No

  N/A

• If there is a chance of uplift, are all required pins in place?

  Yes

  No

  N/A

• Is the scaffold within it's weight capacity?

  Yes

  No

  N/A

• Is there safe access to the scaffold? (Access ladder, steps, or equivalent means)

  Yes

  No

  N/A

• Is scaffold secured every 30 feet horizontally and 24 feet vertically against movement if taller than 4 time its base width?

  Yes

  No

  N/A

• Are guardrails/protection installed on all open ends of scaffolds?

  Yes

  No

  N/A

• Does scaffold have adequate top rail and mid rail?

  Yes

  No

  N/A

• Are toe boards or barricades installed to protect from falling objects?

  Yes

  No

  N/A

• Are toe boards at least 3 1/2" in height?

  Yes

  No

  N/A

• Are scaffolds with a (4:1) base to height ratio?

  Yes

  No

  N/A

• Is fall protection being used in areas where required?

  Yes

  No

  N/A

• Are aerial or scissor lifts in use?

  Yes

  No

• Are operators properly trained or certified?

  Yes

  No

  N/A

• Is equipment being inspected daily?

  Yes

  No

  N/A

• Is all equipment free from recognized hazards and free from damage?

  Yes

  No

  N/A

• Scissor Lift: Safety chain is in use?

  Yes

  No

  N/A

• Aerial Lift: Harnesses and lanyards being used?

  Yes

  No

  N/A

• Is equipment being operated properly and in a safe manner?

  Yes

  No

  N/A

• Are drywall benches in use?

  Yes

  No

• Are all drywall benches free from damage and are they complete?

  Yes

  No

  N/A

• Are all rubber feet properly attached and in working condition?

  Yes

  No

  N/A

• Are legs secured to prevent collapsing?

  Yes

  No

  N/A

• Are utility scaffolds in use?

  Yes

  No

• Are scaffolds properly tagged and dated?<br>

  Yes

  No

  N/A

• Are scaffolds free from damage and are they complete?

  Yes

  No

  N/A

• Are all scaffold components compatible?

  Yes

  No

  N/A

• Do all scaffold have either base plates or wheels properly installed?

  Yes

  No

  N/A

• Are all pins properly installed?<br>

  Yes

  No

  N/A

• Are wheels locked prior to allowing employees on scaffold?

  Yes

  No

  N/A

• Are painters scaffolding in use?

  Yes

  No

• Are painters scaffolding free from damage and are they complete?

  Yes

  No

  N/A

• Are all pins properly installed?

  Yes

  No

  N/A

• Are wheels locked prior to allowing employees on scaffold?

  Yes

  No

  N/A

• Are stilts in use?

  Yes

  No

• Are stilts free from damage and are they complete?

  Yes

  No

  N/A

• Are employees utilizing stilts properly trained?

  Yes

  No

  N/A

• Are floors clean to prevent stepping on items while wearing stilts?

  Yes

  No

  N/A

Fall Protection - Subpart M

• Are employees working 6' or more above a lower level?

  Yes

  No

• Are wall and floor openings/holes properly covered, marked and secured? (capacity of 2x intended load)

  Yes

  No

  N/A

• Are personal fall arrest systems in use?

  Yes

  No

• Are employees properly trained in fall protection?

  Yes

  No

  N/A

• Are personal fall arrest systems being inspected prior to each use?

  Yes

  No

  N/A

• Are damaged personal fall arrest systems immediately removed from service?

  Yes

  No

  N/A

• Are personal fall arrest systems being properly used?

  Yes

  No

  N/A

• Are guard rails being used?

  Yes

  No

• Is the top rail 42" (+/- 3") above the walking/working level?

  Yes

  No

  N/A

• Is the mid rail halfway between top rail and working level?

  Yes

  No

  N/A

• Is guardrail system capable of supporting 200 lbs.

  Yes

  No

  N/A

• Is wire rope flagged at 6' intervals?

  Yes

  No

  N/A

Motor Vehicles, Mechanized Equipment, and Marine Operations - Subpart O

• Is heavy equipment in use?

  Yes

  No

• Are proper maintenance and documented inspections being conducted?

  Yes

  No

  N/A

• Are operators properly trained or certified?

  Yes

  No

  N/A

• Is all equipment free from recognized hazards and free from damage?

  Yes

  No

  N/A

• Are brakes, lights, signals, and alarms operative?

  Yes

  No

  N/A

• Is equipment being operated properly and in a safe manner?

  Yes

  No

  N/A

• Is seat belt being worn?

  Yes

  No

  N/A

• Are forklifts in use?

  Yes

  No

• Are operators properly trained or certified?

  Yes

  No

  N/A

• Is all equipment free from recognized hazards and free from damage?

  Yes

  No

  N/A

• Are brakes, lights, signals, and alarms operative?

  Yes

  No

  N/A

• Is equipment being operated properly and in a safe manner?

  Yes

  No

  N/A

• Is seat belt being worn?

  Yes

  No

  N/A

• Is the forklift being inspected before the beginning of each shift and documented?

  Yes

  No

  N/A

• Is small equipment in use?

  Yes

  No

• Are operators properly trained or certified?

  Yes

  No

  N/A

• Is all equipment free from recognized hazards and free from damage?

  Yes

  No

  N/A

• Is equipment being operated properly and in a safe manner?

  Yes

  No

  N/A

• Are all guards properly installed and in working order?

  Yes

  No

  N/A

Excavations - Subpart P

• Are there open excavations?

  Yes

  No

• Is "Competent Person" conducting documented inspections as required?

  Yes

  No

  N/A

• Soil Type

  Select Type A Type B Type C

  • Type A
  • Type B
  • Type C

• Depth of excavation?

• Width of excavation

• Length of excavation?

• Are spoils set back at least 2' from the edge of the excavation?

  Yes

  No

  N/A

• Is there proper access/egress to the excavation?

  Yes

  No

  N/A

• Is water being properly pumped out?

  Yes

  No

  N/A

• Has the air been tested prior to allowing employees to entering excavation?

  Yes

  No

  N/A

• If excavation is over 20' in depth has it been designed by a registered professional engineer?

  Yes

  No

  N/A

• Means of protection?

  Select Sloping Benching Trench Box Shoring Pile Driving Other N/A None

  • Sloping
  • Benching
  • Trench Box
  • Shoring
  • Pile Driving
  • Other
  • N/A
  • None

• Is tab data available on site for all trench boxes?

  Yes

  No

  N/A

• Are trench boxes no more than 2' from the bottom of the excavation?

  Yes

  No

  N/A

• Are trench boxes free from damage and recognized hazards?

  Yes

  No

  N/A

• Are spreader bars properly installed and pined?

  Yes

  No

  N/A

• Are all trench boxes rated for the depth being used?

  Yes

  No

  N/A

• Is proper benching being used?

  Yes

  No

  N/A

• Are there underground utilities in the area

  Yes

  No

• Have all underground utilities been properly located with a current locate number?

  Yes

  No

  N/A

• Are utility locates visible and undisturbed?

  Yes

  No

  N/A

• Are utilities being pot holed prior to excavating?

  Yes

  No

  N/A

• Are non-mechanical means being used to excavate within 2' of each side of marked utilities? (hand digging, vac truck)

  Yes

  No

  N/A

• Are underground utilities protected/supported?

  Yes

  No

  N/A

Concrete and Masonry Construction - Subpart Q

• Is concrete or masonry work being performed?

  Yes

  No

• (Masonry) Limited access zone is in place on the non scaffold side and is back 4' plus the wall height.

  Yes

  No

  N/A

Steel Erection - Subpart R

• Is steel being erected?

  Yes

  No

• Yes

  No

  N/A

Demolition - Subpart T

• Is demolition work going on?

  Yes

  No

• Has an engineering survey been made by a competent person?

  Yes

  No

  N/A

Stairways and Ladders - Subpart X

• Are stairs in use?

  Yes

  No

• Are all stairs on site safe and free of recognized hazards?

  Yes

  No

  N/A

• Are all stairs on site properly constructed? (Metal pans stairs filled, hand rails, proper rise to run, Properly secured, and slip resistant)

  Yes

  No

  N/A

• Are ladders in use?

  Yes

  No

• Are all ladders on site safe and free from damage?

  Yes

  No

  N/A

• Are all ladders on site being used in a safe manner that is consistent for the use they were intended?

  Yes

  No

  N/A

• Are all ladders properly secured?

  Yes

  No

  N/A

• Do all ladders meet minimum OSHA requirements? (Proper weight rating for the work being done)

  Yes

  No

  N/A

• Do ladders extend 36" above landing?

  Yes

  No

  N/A

Cranes & Derricks in Construction - Subpart CC

• Are cranes in use?

  Yes

  No

• Are all cranes on site free from damage and recognized hazards?

  Yes

  No

  N/A

• Are all loads being lifted in a safe manner? Avoid loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  Yes

  No

  N/A

• Are proper maintenance and documented inspections being conducted?

  Yes

  No

  N/A

• Are operators properly trained and certified for the equipment they are using?

  Yes

  No

  N/A

• Is the cranes swing radius adequately protected?

  Yes

  No

  N/A

• Are seat belts being worn?

  Yes

  No

  N/A

Misc.

• Are impalement hazards properly protected? (Rebar, pipes, stakes)

  Yes

  No

  N/A

Other Observations

• Please describe in detail any other safety observations that were found during the inspection that are not covered in the categories above.

• Add media

  Media

Corrective Actions

• Enter any corrective actions that will be undertaken

• Add media

  Media

Sign Off

• On site representative

  Sign

• Auditor's Signature

  Sign