Knife River Materials Site Safety Inspection Report - duplicate

• Site Location
  Address

• Conducted on

  Date

• Prepared by

General Work Environment

• Are all worksites clean and orderly?

  Safe

  At Risk

  N/A

• Are work surfaces kept dry?

  Safe

  At Risk

  N/A

• Are spilled materials or liquids cleaned up immediately?

  Safe

  At Risk

  N/A

• Is combustible scrap, debris, and waste stored safely?

  Safe

  At Risk

  N/A

• Are covered metal waste cans used for oily and paint soaked rags?

  Safe

  At Risk

  N/A

• Are all work areas adequately illuminated?

  Safe

  At Risk

  N/A

• Are pits and floor openings covered or otherwise guarded?

  Safe

  At Risk

  N/A

Walkways

• Are aisles and passageways kept clear?

  Safe

  At Risk

  N/A

• Are materials or equipment stored in such a way that sharp projections will not interfere with walkway?

  Safe

  At Risk

  N/A

Stairs and Stairways

• Are standard stair rails or handrails on all stairways having four or more steps?

  Safe

  At Risk

  N/A

• Are all stairways at least 22" wide?

  Safe

  At Risk

  N/A

• Are step risers on stairs uniform from top to bottom?

  Safe

  At Risk

  N/A

Exiting or Egress

• Are all exits marked with an exit sign and illuminated by a reliable light source?

  Safe

  At Risk

  N/A

• Are all exits clear of obstructions?

  Safe

  At Risk

  N/A

Portable Ladders

• Are all ladders maintained in good condition?

  Safe

  At Risk

  N/A

• Are non-slip safety feet provided on each ladder?

  Safe

  At Risk

  N/A

• Are ladder rungs and steps free of grease and oil?

  Safe

  At Risk

  N/A

• Are ladders secured?

  Safe

  At Risk

  N/A

• Are ladders at least 36" above landing?

  Safe

  At Risk

  N/A

Personal Protective Equipment

• Hard Hat?

  Safe

  At Risk

  N/A

• Eye Protection (e.g., glasses, goggles, shield)?

  Safe

  At Risk

  N/A

• Hearing Protection?

  Safe

  At Risk

  N/A

• Foot Protection?

  Safe

  At Risk

  N/A

• Reflective Vest?

  Safe

  At Risk

  N/A

• Gloves?

  Safe

  At Risk

  N/A

• Barrier Cream?

  Safe

  At Risk

  N/A

• Fall Protection?

  Safe

  At Risk

  N/A

• Dust Mask?

  Safe

  At Risk

  N/A

Emergency Equipment

• Stretcher or Backboard?

  Safe

  At Risk

  N/A

• FirstAid Kits?

  Safe

  At Risk

  N/A

• Fire Extinguisher?

  Yes

  No

  N/A

• Eye Wash?

  Yes

  No

  N/A

• MSDS Books?

  Safe

  At Risk

  N/A

Plant / Pit Locations

• Proper Guarding of Rotating or Machine Parts (belts, pulleys, holes, etc.)?

  Safe

  At Risk

  N/A

• Horn Backup Alarm (loaders, trucks, trailers, etc.)?

  Safe

  At Risk

  N/A

• Berms (haul road, banks, water, ramps or other dangerous areas)?

  Safe

  At Risk

  N/A

• Guard rails in Place (bag house, walkways, elevated work areas)?

  Safe

  At Risk

  N/A

• Lockout / Tagout?

  Safe

  At Risk

  N/A

• Dust Control (water on roads or material)?

  Safe

  At Risk

  N/A

• Signage restricting entrance, headlights for safety, permits, and DOL material?

  Safe

  At Risk

  N/A

• Electrical cords, lights, and boxes in proper working condition?

  Safe

  At Risk

  N/A

Road Crews

• Signage?

  Safe

  At Risk

  N/A

• Backup Alarms?

  Safe

  At Risk

  N/A

• Water (for employees and dust control)?

  Safe

  At Risk

  N/A

• Working in tight spots?

  Safe

  At Risk

  N/A

• Spotters?

  Safe

  At Risk

  N/A

• Strobes?

  Safe

  At Risk

  N/A

• First Aid Kits?

  Safe

  At Risk

  N/A

• Know location and how to get to hospital?

  Safe

  At Risk

  N/A

• Fire Extinguisher?

  Safe

  At Risk

  N/A

• Guarding?

  Safe

  At Risk

  N/A

• Flagged (equipment and PPE)?

  Safe

  At Risk

  N/A

• PPE (hard hat, hearing protection, safety glasses, boots, cooling bands, gloves, vests)?

  Safe

  At Risk

  N/A

• All equipment safety devices working?

  Safe

  At Risk

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

Signature

• Signature

  Sign