KBS Safety Inspection Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Job site Information

• Are Subcontractor Jobsite Orientation Forms (SJOF) completed and signed for each prime subcontractor on site?

  Yes

  No

  N/A

• Has the Labor Law poster been displayed in a prominent place?

  Yes

  No

  N/A

• Has each subcontractor provided Safety Data Sheets for each chemical they have on site?

  Yes

  No

  N/A

• Are emergency phone numbers posted in a prominent place?

  Yes

  No

  N/A

• Has a sufficiently stocked first aid kit been made available on site?

  Yes

  No

  N/A

• Are both English and Spanish evacuation plans posted with an emergency air horn accessible?

  Yes

  No

  N/A

• Jobsite information other:

  Yes

  No

  N/A

Housekeeping

• Are work areas neat and tidy?

  Yes

  No

  N/A

• Have projecting nails been removed or bent over?

  Yes

  No

  N/A

• Are an adequate number of waste containers provided and used?

  Yes

  No

  N/A

• Are aisles and walkways kept clear?

  Yes

  No

  N/A

• Housekeeping other:

  Yes

  No

  N/A

Fire Prevention

• Have an adequate number of fire extinguishers been provided and inspected monthly?

  Yes

  No

  N/A

• Is the "No Smoking" requirement posted and enforced?

  Yes

  No

  N/A

• Fire Prevention other:

  Yes

  No

  N/A

Electrical

• Are the ground pins in place on all electric cords and damaged cords immediately removed from service?

  Yes

  No

  N/A

• Have all cords and leads been properly elevated above the floor?

  Yes

  No

  N/A

• Electrical other:

  Yes

  No

  N/A

Hand, Power and Powder Actuated Tools

• Has a warning sign been posted on the same working level that a powder actuated tool is in use?

  Yes

  No

  N/A

• Are all tools in good condition?

  Yes

  No

  N/A

• Are all safety switches and machine guards in place?

  Yes

  No

  N/A

• Are GFCI's used on temporary power sources?

  Yes

  No

  N/A

• Hand/Power Tool other:

  Yes

  No

  N/A

Fall Protection

• Have all roof edges been properly protected?

  Yes

  No

  N/A

• Has wire rope been flagged at each 6' interval with a high-visibility material?

  Yes

  No

  N/A

• Is all perimeter protection in place?

  Yes

  No

  N/A

• Is fall protective equipment in use and properly worn?

  Yes

  No

  N/A

• Fall protection other:

  Yes

  No

  N/A

Ladders

• Do ladders extend 36" beyond the landing?

  Yes

  No

  N/A

• Have ladders been secured to prevent slipping, sliding or falling?

  Yes

  No

  N/A

• Is the ladder being used according to the Manufacturer's recommendations?

  Yes

  No

  N/A

• Are stepladders used in the fully-open position only?

  Yes

  No

  N/A

• Ladder other:

  Yes

  No

  N/A

Masonry

• Have form pins with mushroomed heads been removed from service?

  Yes

  No

  N/A

• Have all implement hazards been capped or covered?

  Yes

  No

  N/A

• Masonry other:

  Yes

  No

  N/A

Scaffolding

• Scaffold planking in good condition and free from cracks?

  Yes

  No

  N/A

• Have base plates been secured to their mud sill?

  Yes

  No

  N/A

• No gaps in platform >1"?

  Yes

  No

  N/A

• Top rails (39"-45"), mid rails (~21") and toe boards (3.5") at proper height?

  Yes

  No

  N/A

• Scaffold ends protected the same as the work platform?

  Yes

  No

  N/A

• Has proper access been provided?

  Yes

  No

  N/A

• Scaffolding other:

  Yes

  No

  N/A

Floor and Wall Protection

• All floor openings planked over or barricaded?

  Yes

  No

  N/A

• Wall parapets <39" properly protected?

  Yes

  No

  N/A

• Holes or openings >2" in diameter covered, marked with the words "hole" or "cover" and secured to prevent displacement?

  Yes

  No

  N/A

• Floor and Wall Openings other:

  Yes

  No

  N/A

Trenching and Excavations

• Trenches properly sloped or benched at depths of 5' or more?

  Yes

  No

  N/A

• Spoils, tools or other materials stored at least 2' from the edge of the excavation?

  Yes

  No

  N/A

• Access ladders within 25' of employees at depths of 4' or more?

  Yes

  No

  N/A

• Trenches and Excavations other:

  Yes

  No

  N/A

Material Handling

• Materials properly stored or stacked, including hazardous materials with warning placards visible?

  Yes

  No

  N/A

• Material handling other:

  Yes

  No

  N/A

Welding and Burning

• Compressed gas cylinders stored upright and secured?

  Yes

  No

  N/A

• Fuels and oxygen properly separated while in storage?

  Yes

  No

  N/A

• Have hot work permits been obtained, where required?

  Yes

  No

  N/A

• Are fire extinguishers nearby and on the same working level?

  Yes

  No

  N/A

• Welding and Burning other:

  Yes

  No

  N/A

Cranes, Aerial Lifts and Forklifts

• Outriggers fully extended and swing radius barricaded?

  Yes

  No

  N/A

• High Voltage Act stickers on equipment capable of contacting energized lines?

  Yes

  No

  N/A

• Personnel remaining on the floor of the basket at all times during operation?

  Yes

  No

  N/A

• Employees kept from under suspended loads?

  Yes

  No

  N/A

• Cranes, Aerial Lifts and Forklifts other:

  Yes

  No

  N/A

Personal Protective Equipment

• Are hard hats being worn properly?

  Yes

  No

  N/A

• Are safety glasses being worn?

  Yes

  No

  N/A

• Respirators, reflective vests and hearing protection worn where required?

  Yes

  No

  N/A

• Has each person wearing a respirator been medically cleared to do so?

  Yes

  No

  N/A

• PPE other:

  Yes

  No

  N/A