Kaiser IRW MOB EV-Charger Project

• Daily Site Safety Inspection

• Prepared by - William A. Lopez

• Location 12761 Schabarum Ave, Irwindale, CA 91706
  Address

• Document No.

• Conducted on

  Date

• Kaiser Montebello MOB

ICRA/Infection Control

• ICRA/Infection Control Risk Status:

  Yes

  No

  N/A

• ICRA/Infection Control Findings:

  Yes

  No

  N/A

• ICRA/Infection Control Responsible Contractor:

  Yes

  No

  N/A

• ICRA/Infection Control Risk Resolved:

  Yes

  No

  N/A

Safety Recordkeeping

• Safety Recordkeeping Risk Status:

  Yes

  No

  N/A

• Safety Recordkeeping Findings:

  Yes

  No

  N/A

• Safety Recordkeeping Responsible Contractor:

  Media

• undefined

• Safety Recordkeeping Resolved:

  Media

PCRA

• PCRA Risk Status:

  Yes

  No

  N/A

• PCRA Findings:

  Media

• Add media

  Media

• PCRA Responsible Contractor:

  Yes

  No

  N/A

• PCRA Risk Resolved:

  Media

• Add media

  Media

Posting Requirements

• Posting Requirements Risk Status:

  Yes

  No

  N/A

• Posting Requirements Findings:

  Yes

  No

  N/A

• Posting Requirements Responsible Contractor:

  Yes

  No

  N/A

• Posting Requirements Resolved:

  Media

• Add media

  Media

Pre-Task Planning

• Pre-Task Planning Risk Status:

  Yes

  No

  N/A

• Pre-Task Planning Findings:

  Yes

  No

  N/A

• Yes

  No

  N/A

• Pre-Task Planning Responsible Contractor:

  Yes

  No

  N/A

• Pre-Task Planning Resolved:

  Media

PPE

• PPE Risk Status:

  Yes

  No

  N/A

• Add media

  Media

• PPE Findings:

  Yes

  No

  N/A

• PPE Responsible Contractor:

  Yes

  No

  N/A

• Use equipment checklists to complete inspections.

• PPE Risk Resolved:

  Yes

  No

  N/A

Tools

• Tools Risk Status:

  Yes

  No

  N/A

• Tools Findings:

  Yes

  No

  N/A

• Tools Responsible Contractor:

  Yes

  No

  N/A

• Tools Risk Resolved:

  Yes

  No

  N/A

Fall Protection

• undefined

• Add media

  Media

• Fall Protection Risk Status:

• Fall Protection Findings:

• Add media

  Media

• Fall Protection Responsible Contractor:

• Add media

  Media

• Fall Protection Risk Resolved:

• Add media

  Media

Energy Control

• Yes

  No

  N/A

Energy Control Risk Status:

• Yes

  No

  N/A

• Add signature

  Sign

Energy Control Responsible Contractor:

• Add signature

  Sign

• Energy Control Findings:

  Media

• Add media

  Media

• Energy Control Risk Resolved:

  Media

• Add signature

  Sign

General Site Conditions

• Yes

  No

  N/A

• General Site Conditions Risk Status:

  Media

• Add signature

  Sign

• General Site Conditions Findings:

  Media

• Add signature

  Sign

• General Site Conditions Responsible Contractor:

  Media

• Add signature

  Sign

• General Site Conditions Risk Resolved:

  Media

• Add signature

  Sign

• Fire Protection

  Sign

• Fire Protection Risk Status:

  Media

• Add media

  Media

• Fire Protection Findings:

  Media

• Add signature

  Sign

• Fire Protection Responsible Contractor:

  Media

• Add signature

  Sign

• Fire Protection Risk Resolved:

  Media

• Add signature

  Sign

• First Aid Supplies

  Sign

• First Aid Supplies Risk Status:

  Media

• Yes

  No

  N/A

• First Aid Supplies Findings:

  Media

• Yes

  No

  N/A

• First Aid Supplies Responsible Contractor:

  Media

• Yes

  No

  N/A

• First Aid Supplies Risk Resolved:

  Media

• HAZCOM

  Yes

  No

  N/A

• HAZCOM Risk Status:

  Media

• Yes

  No

  N/A

• HAZCOM Findings:

  Media

• Yes

  No

  N/A

• HAZCOM Responsible Contractor:

  Media

• Yes

  No

  N/A

• HAZCOM Risk Resolved:

  Media

• Hazardous Materials

  Yes

  No

  N/A

• Hazardous Materials Risk Status:

  Media

• Yes

  No

  N/A

• Hazardous Materials Findings:

  Media

• Yes

  No

  N/A

• Hazardous Materials Responsible Contractor:

  Media

• Yes

  No

  N/A

• Hazardous Materials Risk Resolved:

  Media

• Confined Spaces

  Yes

  No

  N/A

• Confined Spaces Risk Status:

  Media

• Yes

  No

  N/A

• Confined Spaces Findings:

  Media

• Yes

  No

  N/A

• Confined Spaces Responsible Contractor:

  Media

• Yes

  No

  N/A

• Confined Spaces Risk Resolved:

  Yes

  No

  N/A

• Trenching & Excavations

  Yes

  No

  N/A

• Trenching & Excavations Risk Status:

  Media

• Yes

  No

  N/A

• Trenching & Excavations Findings:

  Media

• Yes

  No

  N/A

• Trenching & Excavations Responsible Contractor:

  Media

• Yes

  No

  N/A

• Trenching & Excavations Risk Resolved:

  Media

• Cranes & Mobile Equipment

  Yes

  No

  N/A

• Cranes & Mobile Equipment Risk Status:

  Media

• Yes

  No

  N/A

• Cranes & Mobile Equipment Findings:

  Media

• Yes

  No

  N/A

• Cranes & Mobile Equipment Responsible Contractor:

  Media

• Yes

  No

  N/A

• Cranes & Mobile Equipment Risk Resolved:

  Media

• Completed By:

  Yes

  No

  N/A

• Add signature

  Sign