KP NCAL Workplace Inspection

• Document No.

• Project Name:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Site/Location:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Conducted on:

  Date

• e-Builder Project Number (Format is CAP123456):

• Project Superintendent:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Project Foreman:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Prepared by:

• Open items:

• Add media

  Media

• Have all open items been corrected?

  Yes

  No

  N/A

Personal Protective Equipment

• Hart Hats

  Yes

  No

  N/A

• Eye/Face Protection

  Yes

  No

  N/A

• Hearing Protection

  Yes

  No

  N/A

• Respiratory Protection

  Yes

  No

  N/A

• Knee Pads

  Yes

  No

  N/A

• Foot Protection

  Yes

  No

  N/A

• Task Appropriate Gloves

  Yes

  No

  N/A

• Proper Clothing & Safety Vest

  Yes

  No

  N/A

• Personal Fall Protection

  Yes

  No

  N/A

Daily ILSM/Housekeeping

• Have ILSM measures been implemented

  Yes

  No

  N/A

• Dept. & contractors aware of project measures

  Yes

  No

  N/A

• Signs/barricades posted

  Yes

  No

  N/A

• Evacuation map

  Yes

  No

  N/A

• Access/egress clear of debris & materials

  Yes

  No

  N/A

Daily Inspection/Use of Ladders

• Ladders inspected/good condition

  Yes

  No

  N/A

• Task appropriate ladders being used

  Yes

  No

  N/A

• Extension ladders secured & 3' above landing

  Yes

  No

  N/A

• Yes

  No

  N/A

Guardrails/Open Hole Covers/Barriers

• Guardrails inspected and secured

  Yes

  No

  N/A

• Floor/wall covers secured & adequate signs

  Yes

  No

  N/A

• Physical barriers inspected & secured

  Yes

  No

  N/A

• Trades aware of fall protection requirements

  Yes

  No

  N/A

Daily Inspection of All Scaffolding

• Scaffolds erected by Competent Person

  Yes

  No

  N/A

• Trades trained to use scaffold

  Yes

  No

  N/A

• Inspection tag posted & up to date

  Yes

  No

  N/A

• Secured to building or outriggers used

  Yes

  No

  N/A

Fire Protection

• Temporary fire protection in place/inspected

  Yes

  No

  N/A

• Has local fire department been notified

  Yes

  No

  N/A

• Trades trained in CODE RED procedures

  Yes

  No

  N/A

• Fire watch required today

  Yes

  No

  N/A

• Fire watch logs completed

  Yes

  No

  N/A

• Hot work/burn permit posted & signed

  Yes

  No

  N/A

First Aid/Emergency Procedure

• First aid supplies adequate for number of workers

  Yes

  No

  N/A

• Emergency numbers posted

  Yes

  No

  N/A

• Emergency procedures identified to workers

  Yes

  No

  N/A

• Eye wash kit on project

  Yes

  No

  N/A

Electrical

• Task lighting covers/cords in good condition

  Yes

  No

  N/A

• Power cords in good condition/construction grade

  Yes

  No

  N/A

• GFCI protection being used

  Yes

  No

  N/A

• Is there any exposed energized wiring/parts

  Yes

  No

  N/A

Tools/Equipment

• Staff trained to use tools/equipment

  Yes

  No

  N/A

• All cords/guards in good condition

  Yes

  No

  N/A

• Operating tools/equipment safely

  Yes

  No

  N/A

• P.A. tools/laser signs posted as required

  Yes

  No

  N/A

Site/Public Environmental Safety

• Emergency spill procedures in place

  Yes

  No

  N/A

• Spill kits/clean up equipment available

  Yes

  No

  N/A

• Proper storage/disposal of hazardous materials

  Yes

  No

  N/A

• Emergency shut offs & location identified

  Yes

  No

  N/A

• Excessive noise levels controlled

  Yes

  No

  N/A

• Impalement hazards properly covered

  Yes

  No

  N/A

• Temporary barriers in place

  Yes

  No

  N/A

• Exterior lighting/fencing adequate

  Yes

  No

  N/A

• Exterior project - warning signs posted

  Yes

  No

  N/A

CPFC Project Broad Focus Items

• SDS binder/inventory list readily available

  Yes

  No

  N/A

• Subcontractors compliant with Subcontractor Performance Safety Standards

  Yes

  No

  N/A

• Are safe work practices being followed

  Yes

  No

  N/A

• Project safety checklist signed by subcontractors/correct

  Yes

  No

  N/A

• CPFC Energized Electrical Program is followed

  Yes

  No

  N/A

• LOTO in place, adequate & verified

  Yes

  No

  N/A

• Any issues with Project Safety Checklist

  Yes

  No

  N/A

• ICRA level accurate to project phase/area

  Yes

  No

  N/A

• ICRA level being maintained

  Yes

  No

  N/A

• Is negative air machine log in place

  Yes

  No

  N/A

• Check Magnehelix - proper reading

  Yes

  No

  N/A

• Asbestos O&M program being followed

  Yes

  No

  N/A

• CPFC lead program being followed

  Yes

  No

  N/A

• Confined space procedures being followed

  Yes

  No

  N/A

• Heat illness - shade/drinking water at site

  Yes

  No

  N/A

• Has pre-task plan been completed

  Yes

  No

  N/A

• Is safe crane procedures bring followed; pre-lift plan, operator & crane certificates

  Yes

  No

  N/A

• Is safe excavation/trenching being followed; shoring, barricades, fall protection

  Yes

  No

  N/A

Response required

• Please correct all documented violations within 5 business days upon receipt of this notification. In response to this report you will need to provide documentation of all corrections. Documentation shall be provided in the form of pictures, uploaded via e-builder to the appropriate folder. This report also addresses all repeat violations that have been identified in previous inspections and have yet to be corrected. Repeat findings will continue to be documented until they are corrected and closed out. Please contact me via telephone or e-mail if you have any questions.