KARM SAFETY Site Inspection

• Client

• Supervisor

• Date:

  Date

• Time start

• End Time

• Prepared by

• Project

• undefined

Requirements

• Oregon requires postings

  Yes

  No

  N/A

• Emergency Phone Numbers Posted

  Yes

  No

  N/A

• First Aid supplies

  Yes

  No

  N/A

• Eye wash station

  Yes

  No

  N/A

• OSHA 300 summary posted February 1st to April 30th

  Yes

  No

  N/A

• Map to Emergency Medical posted

  Yes

  No

  N/A

• Safety meeting held

  Yes

  No

  N/A

• First Aid Trained Employees if medical further than 15 minutes away

  Yes

  No

  N/A

• Water on Site

  Yes

  No

  N/A

• SDS Sheets on site or on a Company APP.

  Yes

  No

  N/A

PPE

• Hard hats worn

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Safety harness worn

  Yes

  No

  N/A

• Safety boots worn

  Yes

  No

  N/A

• Safety glasses worn

  Yes

  No

  N/A

• Respirator worn

  Yes

  No

  N/A

• Safety vests or high visual clothing worn

  Yes

  No

  N/A

House Keeping

• Site trailer clean

  Yes

  No

  N/A

• Cords and hoses safely placed around site

  Yes

  No

  N/A

• Walkways and stairs clear of debris and materials

  Yes

  No

  N/A

• Restrooms clean

  Yes

  No

  N/A

• Work area clean

  Yes

  No

  N/A

• Gang boxes clean

  Yes

  No

  N/A

• No Smoking Signs

  Yes

  No

  N/A

• Rebar capped

  Yes

  No

  N/A

Fire protection

• Fire fighting equipment placed around site

  Yes

  No

  N/A

• Fire extinguishers Inspected and Tagged Monthly

  Yes

  No

  N/A

• Fire Extinguisher at each Staircase on 2nd Floor and Higher

  Yes

  No

  N/A

• Fire fighting equipment marked and accessible

  Yes

  No

  N/A

Electrical

• Temp lights have bulb guards

  Yes

  No

  N/A

• Sufficient lighting

  Yes

  No

  N/A

• Lockout used to de-energize operational system

  Yes

  No

  N/A

• All cords and tolls have ground prongs

  Yes

  No

  N/A

• GFCI on all cords used outdoors

  Yes

  No

  N/A

• Extension cords heavy duty

  Yes

  No

  N/A

• No Black Tape Repairs or Wires Showing

  Yes

  No

  N/A

• Cords free of cuts

  Yes

  No

  N/A

Tools

• Power tool cords and plugs in good condition

  Yes

  No

  N/A

• Power tools have guards

  Yes

  No

  N/A

• Broken tools tagged out of service

  Yes

  No

  N/A

Ladders

• Straight ladders extended over 36 inches above landing

  Yes

  No

  N/A

• Straight ladders have feet or blocked at bottom

  Yes

  No

  N/A

• Straight ladders setup with a slope of 4 to 1

  Yes

  No

  N/A

• Step ladder's top 2 steps are not in used.

  Yes

  No

  N/A

• Straight ladders secured at Top to Prevent Movement

  Yes

  No

  N/A

• Ladder Duty Rating present on all Ladders

  Yes

  No

  N/A

• Ladders free of damage

  Yes

  No

  N/A

Scaffolds

• Scaffolding fully planked

  Yes

  No

  N/A

• Scaffolding braced correctly

  Yes

  No

  N/A

• Workers prohibited from riding on rolling scaffolding

  Yes

  No

  N/A

• Ladders not used on scaffolding

  Yes

  No

  N/A

• Sill plates used on scaffolding

  Yes

  No

  N/A

• Pump Jack ladder Braced every 16 feet if over 24 feet tall

  Yes

  No

  N/A

• Pump Jack Scaffold has Sill Plates under Poles

  Yes

  No

  N/A

• Fall protection used on scaffolding above 10 feet

  Yes

  No

  N/A

Boom and Scissor

• Workers trained to operate

  Yes

  No

  N/A

• Scissor entry chain or gate closed

  Yes

  No

  N/A

• Decal condition legible

  Yes

  No

  N/A

• All Machines have an Annual Inspections Done

  Yes

  No

  N/A

• Machines Uses on Solid Ground

  Yes

  No

  N/A

• Workers wearing harness in boom lift

  Yes

  No

  N/A

Hand Rails and Covers

• Floor holes over 2 inches are covered and labeled hole Per OSHA

  Yes

  No

  N/A

• Windows Openings have braces set between 39 and 45 inches

  Yes

  No

  N/A

• Door Openings Have top brace at 39-45 inches and a mid brace at 21 inches

  Yes

  No

  N/A

• Openings over 19 inches Wide have bracing to prevent falls

  Yes

  No

  N/A

• Toe boards present if needed

  Yes

  No

  N/A

• Safety bracing will withstand 200 pounds of force in outward direction

  Yes

  No

  N/A

• Safety Braces have an Upright every 8 feet per OSHA

  Yes

  No

  N/A

• Railings have top and middle bracing

  Yes

  No

  N/A

Trench and Excavation

• Workers stay within shored area

  Yes

  No

  N/A

• Excavation spoil stored 2 feet back from trench edge

  Yes

  No

  N/A

• Soil Piles in the adjacent area don't exceed 2 feet in height (The adjacent Area is equal to the depth of the trench)

  Yes

  No

  N/A

• Ladders placed no further than 25 feet form the workers

  Yes

  No

  N/A

• Excavation de-watered as needed

  Yes

  No

  N/A

• Shore boxes above or level with surface

  Yes

  No

  N/A

• Ladder in trenches over 4 feet deep per OSHA

  Yes

  No

  N/A

• Excavation 5ft or deeper shored per OSHA standard

  Yes

  No

  N/A

• Competent person present ( Ask Workers if they know who it is)

  Yes

  No

  N/A

Silica

• Cutting wet present

  Yes

  No

  N/A

• Vacuum 90% effective if used for silica

  Yes

  No

  N/A

• Respirators used when required by the task per OSHA

  Yes

  No

  N/A

• Table 1 followed per OSHA

  Yes

  No

  N/A

Forklift

• Forklift in good condition

  Yes

  No

  N/A

• Tires in good condition

  Yes

  No

  N/A

• Forklift Attended

  Yes

  No

  N/A

• Decals in good condition

  Yes

  No

  N/A

• The seatbelt is used per OSHA requirements

  Yes

  No

  N/A

• Operators manual in forklift

  Yes

  No

  N/A

• Load chart legible

  Yes

  No

  N/A

• Summary

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