Title Page
-
Project
-
Location
-
Project Manager:
-
Super/Foreman:
-
Conducted on
-
Inspected By:
-
P = PASSED; C= NEEDS CORRECTION; N = NOT APPLICABLE
FALLS
-
Fall protection at 6 feet or higher
-
Fall protection within 6 feet from the edge
-
Guard rails with 200 lbs. strength
-
Body harness / connectors / anchorage
-
Roof work protection (fall checklist)
ELEVATING EQUIPMENT
-
Scissor + harness + yo-yo + inspection
-
Boom + harness + lanyard/yo-yo + inspection
-
Forklift seat belt / lights / back-up alarm / sign
-
Ladders / step-ups / stilts in good condition
PPE
-
Hard hat & leather sturdy boots
-
Safety glasses; all the time
-
Ear plugs: impact and cutting tools
-
Gloves: carry studs and scrap metal
-
Respirator: insulation, sanding, mixing cement
-
Chop saw: face shield, safety glasses, waist height
ELECTRICAL
-
Power tools wit 3-prong or double insulated
-
Cords with grounding & color code tag
-
Portable GFCI (work with permanent power)
MATERIAL HANDLING
-
Lifting techniques
-
Wheeled carts next to chop stations
-
Loading / unloading area barricaded
-
Material hoisting (buckhoist or crane/rigging)
-
5-gallon pails hoisted by straps
EMPLOYEE TRAINING
-
Weekly toolbox talks with roster signed
-
OSHA & DOL signs updated
-
Special warning signs posted
-
Training certifications current
-
Other: (Write in notes)
HYGIENE
-
Drinking water and portable cups
-
Portable potties in good condition
SCAFFOLD
-
Top-rails + mid-rails + toe-boards + tie-ins
-
Scaffold members on place (plasterers)
-
Swing stage / mast climber / other (write in notes)
-
Perry guard rails (4 feet), braces, chains, wheels
-
Inspection tags / checklists daily signed
TOOLS
-
Powder or gas actuated gun used safely
-
Power tools operable / guards on place
-
Chop saw; retractable guard + fire extinguisher
-
Dustless sanders with vacuum cleaner
WALKING/ WORKING SURFACES
-
Guardrails protecting edges / holes / shafts
-
Floor openings greater than 2 in. with covers
-
No obstructions walkways, stairwells, exits
-
Conduit sticking out on floor marked
-
Fans or air renovating equipment provided
-
Protection at ground level (working above)
FIRE PREVENTION
-
Fire extinguishers on place
-
Fire extinguisher next to welding & chop saw
-
Flammable away from ignition source
EMERGENCY PROCEDURES
-
First Aid kit and log available
-
Workers trained on emergency evacuation
-
CPR and First Aid certified on site
-
Eye wash readily available
HAZARD COMMUNICATION
-
SDS binder accessible to workers
-
Two SDS reviewed weekly with tool box talk
-
Containers with readable labels
-
Used powder actuated cartridges properly disposed
-
Other: (write in notes
OTHER
-
Housekeeping (egress / hallways / rooms)
-
"No harmless agreement" signed
NOTES: Topics showing "NEEDS CORRECTION" must be corrected immediately.
-
I do agree with the outcome of this inspection
-
I do not agree with the outcome of this inspection (use notes block below to give comments)
-
Add comments:
-
Signature (inspector)
-
Signature: (Supt. / Foreman)
