KPR Residential Safety Inspection

• Location
  Address

• Job number

• Conducted on

  Date

• Prepared by

• Contractor

• Type of Roofing system

• Work area clear of clutter (nails, roofing scraps, trash)?

  Yes

  No

  N/A

• Workers trained on hazards they may encounter while carrying out daily tasks?

  Yes

  No

  N/A

• Material Storage/Lay Down organized?

  Yes

  No

  N/A

• Roof openings covered and marked (open holes, skylights, damaged decking)?

  Yes

  No

  N/A

• Integrity of the roof deck is safe to work on?

  Yes

  No

  N/A

PPE Personal Propective Equipment

• Safety Glasses ANSI rated (Z87.1)?

  Yes

  No

  N/A

• Hearing protection available and worn by crew members to carry out specific tasks?

  Yes

  No

  N/A

• Appropriate clothing for (in safe condition)?

  Yes

  No

  N/A

• Gloves available and worn by crew members to carry out specific tasks?

  Yes

  No

  N/A

• Foot protection fit for task and worn by crewmembers?

  Yes

  No

  N/A

• Pictures of PPE

  Media

Fall Protection Equipment

• Employees protected from fall of 6 feet or more?

  Yes

  No

  N/A

• Fall protection equipment inspected before each use (Harness, Lanyards, Anchorage) ?

  Yes

  No

  N/A

• Suitable anchorage points (Butterfly anchors installed according to manufacturer specifications)?

  Yes

  No

  N/A

• Fall protection equipment appropriate for tasks used properly where applicable?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Rescue plan and equipment available in case of a fall?

  Yes

  No

  N/A

• Pictures of Fall Protection Equipment

  Media

Ladders

• Straight ladders set at an angle so that the base is out to proper ratio? (4:1 ratio)

  Yes

  No

  N/A

• Ladders are well maintained and in satisfactory condition (Cracks, loose components, bends)

  Yes

  No

  N/A

• Base is set up on stable surface (Ladder base stabilizer)?

  Yes

  No

  N/A

• Workers not exceeding the ladder capacity rating?

  Yes

  No

  N/A

• Ladder extend 3 feet above landing and secured?

  Yes

  No

  N/A

• Proper ladder type used to carry out tasks?

  Yes

  No

  N/A

• Pictures of Ladders in use

  Media

Tools and Equipment

• All grinders, saws, etc. have guards?

  Yes

  No

  N/A

• Air compressor(s) equipped with belt guards?

  Yes

  No

  N/A

• All power and hand tools in good working condition?

  Yes

  No

  N/A

• Proper eye and facial protection being used while using power tools?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pictures of Tools and Equipment

  Media

Electrical Safety

• GFCI (Ground Fault Circuit Interrupters) in use?

  Yes

  No

  N/A

• Extension cords not causing trip hazards or used inappropriately (Entryway, customer’s personal area)?

  Yes

  No

  N/A

• Extension cords in good working condition (Ground pin intact, insulation not damaged, no cuts or splices, not taped up for temporary repair) ?

  Yes

  No

  N/A

• Metal ladders away from energized electrical lines?

  Yes

  No

  N/A

• All electrical tools double insulated?

  Yes

  No

  N/A

• Electrical Safety Pictures

  Media

Personnel

• First aid kit on site and stocked?

  Yes

  No

  N/A

• Drinking water available?

  Yes

  No

  N/A

• Is there a shaded area available for crew members to cool down?

  Yes

  No

  N/A

• Proper lifting technique demonstrated while completing tasks?

  Yes

  No

  N/A

• Behavior orderly and professional conduct (not smoking/consuming alcohol on job site, running on the roof)?

  Yes

  No

  N/A

• Personnel Safety Pictures

  Media

General comments

• Any further comments or recommendations arising from this inspection?

• undefined

Sign Off

• Name & Signature of Inspector

  Sign

• Name & Signature of Contractor/Foreman

  Sign