KDC Safety Report 2016

• KDC Safety Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

First impression of job when you enter site

First impression 1 - 10

• Snow Fence, Proper Signage, Secure and Warnings

  Safe

  At Risk

  N/A

• OSHA and DOL Posters posted

  Safe

  At Risk

  N/A

• Emergency Phone Numbers Posted

  Safe

  At Risk

  N/A

• Weekly Tool Box Talks

  Safe

  At Risk

  N/A

• Urgent Care Direction Posted

  Safe

  At Risk

  N/A

• SDS On File

  Safe

  At Risk

  N/A

• Water - Cool Down Area - Shade

  Yes

  No

  N/A

• HSE Manual Present

  Yes

  No

  N/A

HOUSEKEEPING

• Work areas neat?

  Safe

  At Risk

  N/A

• Projecting nails or screws bent over or removed?

  Safe

  At Risk

  N/A

• Waste containers provided and used?

  Safe

  At Risk

  N/A

• Passageways and walkways clear?

  Safe

  At Risk

  N/A

• Impalement hazards

  Yes

  No

  N/A

• Cords and leads off the floor?

  Safe

  At Risk

  N/A

• Are there trip & fall exposures?

  Safe

  At Risk

  N/A

FIRE PREVENTION

• Fire Extinguishers accessible?

  Safe

  At Risk

  N/A

• Hot Work Permits being used when required

  Safe

  At Risk

  N/A

ELECTRICAL

• Ground fault interrupters being used?

  Safe

  At Risk

  N/A

• Panels clearly identified and secured?

  Safe

  At Risk

  N/A

• Extension cords inspected before use

  Safe

  At Risk

  N/A

• Extension cords ground pins in place

  Safe

  At Risk

  N/A

HAND, POWER & POWDER ACTUATED TOOLS

• Hand tools inspected regularly?

  Safe

  At Risk

  N/A

• Guards in place on machines?

  Safe

  At Risk

  N/A

• Power cords in good condition?

  Safe

  At Risk

  N/A

• Operators of powder actuated tools licensed?

  Safe

  At Risk

  N/A

FALL PROTECTION

• Fall Protection Equipment inspected daily

  Safe

  At Risk

  N/A

• Employees exposed to fall hazards tied off?

  Safe

  At Risk

  N/A

LADDERS

• Being used properly

  Yes

  No

  N/A

• Ladders are being Inspected Daily

  Yes

  No

  N/A

• Manufacturing Labels Legible

  Yes

  No

  N/A

SCISSOR and BOOM LIFTS

• Harnesses being used in Scissor Lifts if required

  Safe

  At Risk

  N/A

• Lifts and Booms Inspected Daily

  Safe

  At Risk

  N/A

• Operations & Safety Manual

  Yes

  No

  N/A

SCAFFOLDING

• All Scaffolding Inspected and Tagged Daily<br>

  Safe

  At Risk

  N/A

• Scaffold Permit Completed

  Yes

  No

  N/A

MATERIAL HANDLING

• Materials properly stored or stacked?

  Safe

  At Risk

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Hard hats being worn?

  Safe

  At Risk

  N/A

• Work Boots

  Yes

  No

  N/A

• Safety glasses being worn?

  Safe

  At Risk

  N/A

• Gloves properly chosen for work performed?

  Safe

  At Risk

  N/A

• Respirators used when required? Proper respirator documentation available?

  Safe

  At Risk

  N/A

• Hearing protection being worn when required?

  Safe

  At Risk

  N/A

• Traffic vests or high visibility clothing material being worn?

  Safe

  At Risk

  N/A

• Face Shields being worn when cutting and grinding

  Safe

  At Risk

  N/A

CRANE PACKAGE COMPLETED

• Has all information permit and calculations been completed

  Yes

  No

  N/A

SWPPP Conditions

• Is there any KDC job site debris, material, dirt etc...outside our fence line?

  Safe

  At Risk

  N/A

• Dust Control

  Yes

  No

  N/A

RECOMMENDATIONS

• List any additional recommendations or corrections

SIGNATURES

• SAFETY REPRESENTATIVE

  Sign