Title Page
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
- LCG#
-
Select date
Barcode
-
Location of LCG:
-
LCG INSPECTION
General
-
All LCG tags in place and legible?
-
Material in good condition? (No significant deterioration, rust, splits in wood, frayed cable, etc.)
-
Entire hazard area protected? (No opening > 12" least dimension)
-
Guard essentially sound? (Shake or otherwise try to move guard and it should not move appreciably)
Hole Cover
-
Will withstand twice the potential load that could be applied to it? (Consider equipment movement in area)
-
Is secured in place?
-
Cover not more than 1" above walking surface? (Not tripping hazard)
Guardrails
-
Capable of at least 200 lb. outward or downward force?
-
42" +/- 3" high? (Not deflected to < 39" when force is applied)
-
Mid rail midway between top rail and working/walking surface? (No openings greater than 19")
-
Max 8' centers between supports?
-
Surface is essentially smooth (to prevent cuts) and does not stick out to pose a hazard in walkways?
-
If used, bottom supports do not pose tripping hazards to workers in area?
-
The means to access the area is clear and a safe means of access is provided? (Gate, ladder, etc.)
-
If wire rope, flagged at not more than 6' intervals?
-
Comments:
Inspectors
-
LCG Inspector:
