KMC Safety Inspection Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Administrative :

• Select date

  Date

• Superintendent or Designee Making Inspection:

• Job #:

• Job Name:

• Approx. Number of Employees on Site?

Plans and Postings:

• Emergency Evacuation Action Plan Complete & On Site?

  Yes

  No

  N/A

• OSHA Manual On Site?

  Yes

  No

  N/A

• OSHA 300 Log Posted? (Post February 1st - April 30th)

  Yes

  No

  N/A

• KMC Safety Manual On Site?

  Yes

  No

  N/A

• Emergency Phone Numbers Posted On Site?

  Yes

  No

  N/A

• Current MSDS Sheet Inventory?

  Yes

  No

  N/A

• Weekly Safety Meeting Minutes Maintained & Filed?

  Yes

  No

  N/A

• Hazard Communication Program On Site?

  Yes

  No

  N/A

• Safety & Notification Signage In Place & Maintained?

  Yes

  No

  N/A

• First Aid Kit On Site & Maintained?

  Yes

  No

  N/A

• All In 1 Poster Posted? (English & Spanish)

  Yes

  No

  N/A

Job Site Safety:

• Housekeeping Being Maintained?

  Yes

  No

  N/A

• Fire Extinguishers On Site?

  Yes

  No

  N/A

• Do The Fire Extinguishers Have Current Tags?

  Yes

  No

  N/A

• Confined Space Work On Site?

  Yes

  No

  N/A

• Gasoline & Diesel Being Stored In Approved Safety Containers?

  Yes

  No

  N/A

• Proper Guardrails & Toe Boards On Open Sided Floors & Openings, Shafts, Etc......<br>

  Yes

  No

  N/A

• Hand Tools & Wood Handles In Good Condition?

  Yes

  No

  N/A

• Power Tools In Good Working Condition?

  Yes

  No

  N/A

• Power Tool Cords Grounded & Double Insulated?

  Yes

  No

  N/A

• Do Hoists (Personnel & Material) Have Proper Gates, Lockouts, Landings & Rails?

  Yes

  No

  N/A

• Powder Actuated Tools: Operator Certification Training Cards On Hand?

  Yes

  No

  N/A

• Powder Actuated Tools: Eye Protection?

  Yes

  No

  N/A

• Ladders In Proper Working Condition?

  Yes

  No

  N/A

• Proper Ladder Being Used?

  Yes

  No

  N/A

• Air Tools - Are Hoses Pinned?

  Yes

  No

  N/A

• Are Compressed Gases Properly Stored?

  Yes

  No

  N/A

• Formwork - Properly Shored & Stripped?

  Yes

  No

  N/A

• Vertical Rebar Covered or Capped Properly?

  Yes

  No

  N/A

• Masonry Walls Braced?

  Yes

  No

  N/A

• Scissor Or Boom Lift Training?

  Yes

  No

  N/A

• Forklift Training?

  Yes

  No

  N/A

• Fall Protection?

  Yes

  No

  N/A

Cranes:

• Crane Inspections Current?

  Yes

  No

  N/A

• Swing Radius Cleared and Guarded?

  Yes

  No

  N/A

• Clear Of Power Lines?

  Yes

  No

  N/A

• Outriggers Set Properly?

  Yes

  No

  N/A

Electrical:

• Temporary Electrical Properly Installed?

  Yes

  No

  N/A

• GFCI Protection on Temporary Electrical?

  Yes

  No

  N/A

• Cover Plates For Temporary Electrical Boxes In Place?

  Yes

  No

  N/A

• Broken Plugs On Extension Cords?

  Yes

  No

  N/A

• Insulation Damage On Extension Cords?

  Yes

  No

  N/A

• Non-Compliant Extension Cords Removed From Jobsite?

  Yes

  No

  N/A

• Lock Out/Tag Out Program Needed?

  Yes

  No

  N/A

• Lock Out/Tag Out Program In Place?

  Yes

  No

  N/A

• Temporary Electrical Panel Labels In Place?

  Yes

  No

  N/A

• Does Temporary Lighting Have Minimum of 5 Foot Candles?

  Yes

  No

  N/A

Excavation & Trenches:

• Proper Slope, Benchback, And/Or Shoring?

  Yes

  No

  N/A

• Ladders Being Utilized & Properly Placed?

  Yes

  No

  N/A

• Spoils 2 Feet Or More Back From Edge?

  Yes

  No

  N/A

• Designated Competent Person?

  Yes

  No

  N/A

• Trench Boxes Being Used And Properly Installed?

  Yes

  No

  N/A

Equipment:

• Equipment Operator Training Certification Cards?

  Yes

  No

  N/A

• Equipment Operators Wearing Seat Belts?

  Yes

  No

  N/A

• Back-Up Alarms In Proper Working Order?

  Yes

  No

  N/A

• Is Equipment Being Inspected Daily?

  Yes

  No

  N/A

Scaffolding:

• Fully Decked - No Gaps?

  Yes

  No

  N/A

• Fully "X" Braced?

  Yes

  No

  N/A

• Ladder Access?

  Yes

  No

  N/A

• Lumber: Scaffold Grade Or Equivalent?

  Yes

  No

  N/A

• Planking Overlapped & Cleated?

  Yes

  No

  N/A

• Guardrails & Toe Boards?

  Yes

  No

  N/A

• Wheels Locked On Rolling Scaffold?

  Yes

  No

  N/A

• Swing Scaffolds: Safety Belts & Lifelines?

  Yes

  No

  N/A

• Proper Footing & Mud Sills?

  Yes

  No

  N/A

• Secured To Structure Every 26' Vertically & 30' Horizontally?

  Yes

  No

  N/A

• Designated Competent Person?

  Yes

  No

  N/A

Other:

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