Title Page
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Site conducted
- The Atchinson (Pittsburg)
- Kawana Springs( Santa Rosa)
- Santa Rosa Apartments
- Victoria Crossing
- Madera
- Walnut Place (Greenfield)
- Walnut Terrace (Greenfield)
- Sherwood (Mcfarland)
- Murray (SLO)
- Kelseyville
- Baumgardner (Cloverdale)
- Clinton (Fresno)
- Windser
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Conducted on
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Prepared by
CHECKLIST COMPLETED:
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From sidewalk (not working here)?
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Off-site before or after work?
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On-site?
INSTRUCTIONS: EVERY SECTION SHOULD BE ANSWERED: YES= OBSERVED AND IN COMPLIANCE, NO= OBSERVED AND NOT IN COMPLIANCE, NOT NEEDED= NOT PRESENT ON JOBSITE, DK= DO NOT KNOW
PERSONAL PROTECTIVE EQUIPMENT:Is personal protective equipment to be used at worksite:
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Selected to minimise risk to health and safety
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Suitable for the nature of the work and any hazard associated with the work?
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Maintained, repaired, or replaced so it continues to minimize risk or worn by worker so as reasonably practicable?
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Is PPE needed at this worksite?
HARD HATS
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Supplied by employer?
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Worn when required?
Boots
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Supplied by workers?
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Worn when required?
HEARING PROTECTION
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Supplied by employer?
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Worn when required?
EYE PROTECTION
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Supplied by employer?
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Worn when required
RESPIRATORY PROTECTION
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Supplied by employer?
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Training provided?
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Worn when required?
PAINT SPRAYER EQUIPMENT
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Are only properly trained employees using the paint sprayer equipment?
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Are employees who operate spray guys aware of being exposed to injection injuries?
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Are injection incidents reported & referred for medical assessment?
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Eye protection supplied by employer and worn when required?
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Respirator/masks worn when required and checked for proper fitting?
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Inspect paint sprayer, including manifold filter, gun filter, and inlet strainer?
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Are filters changed in accordance with manufactures instructions?
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Inspect paint lines/hoses for any kinks or splits, report to jobsite foreman and do not use!
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Inspect wet cup for leakage, tighten if needed?
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Tip wear, replace if necessary?
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Electric cord and plug?
SPRAYER SAFETY
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Are spray guns fitted with tip guards?
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Are spray guns fitted with a trigger lock?
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Are spray guns trigger lock functional?
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Are sprayers regularly cleaned and maintained?
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Are spray guns tested in a safe manner?
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Are all pressurized paint pots & spray guns cleaned properly? PRESSURE SHOULD BE RELEASED PRIOR TO CLEANING AND THE GUN SHOULD NEVER BE CLEANED BY COVERING NOZZLE WITH A CLOTH OR MATERIAL HELD IN HAND, AS THIS METHOD OF CLEANING CAN RESULT IN A PAINT INJECTION INJURY!
LADDERS:
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are present at this worksite?
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Correct size for the job?
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Fully opened and spreader bars locked?
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Firm foundation for ladder feet?
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Proper climbing procedures?
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Three-point contact rule followed?
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Free from obvious defects?
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Workers stand below top 2 steps/rungs?
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Extend more than three feet above support?
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SCAFFOLDS:
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Are they present at this worksite?
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Fall protection used if over 10' tall?
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Set up on level, stable flooring?
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Platform is appropriate width for type of scaffold?
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Ensured all planks and railing are secure prior to use?
FALL PROTECTION:
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Needed at this worksite?
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Fall protection provided for heights 6' or more?
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Harness is worn properly and attached to secure anchorage?
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Slide guards are installed across full width and all sides?
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Guardrails set up for openings> 6' above lower level?
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Guardrails are constructed sturdily with 2x4's?
MACHINE HAZARDS:
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Are power tools and machines used at this site?
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Workers are trained on the use of power tools?
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Workers have appropriate PPE and keep clothing away?
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Workers are trained prior to using nail guns?
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Tile and concrete are cut with wet methods?
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Workers are trained prior to using paint sprayer?
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Equipment is thoroughly inspected before operating?
HEAT STRESS:
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Is heat a major problem at this site?
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Have workers been trained on preventing and recognizing heat-related illness?
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Are workers provided with enough water and given appropriate rest breaks?
TRENCHING:
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Are there any exposed trenches?
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Are all open/ exposed trenches marked for safety precaution?
ELECTRICAL HAZARDS:
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Are present at this worksite?
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Work on electrical circuits or energized equipment is begun ONLY after all power sources have been identified, de-energized and locked out or tagged out?
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Overhead and underground electrical power lines are located, identified and avoided?
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Ladders, scaffolds, equipment or materials are more than 10' from any electrical power lines?
EXCAVATIONS:
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Are present at this worksite?
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Soil and conditions are inspected everyday?
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Are there safe exits (ladders) for excavations greater than 4' deep?
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Shoring, shielding, and inclination assessed for excavations greater than 5' deep?
ACTIONS OR CHANGES
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Talked to your organizers about health and safety concerns and possible changes/training?
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Talked to co-workers about health or safety concerns?
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Talked to foreman or contractor about health or safety concerns?
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Suggested changes in equipment or procedures to co-workers?
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Asked foreman or contractor for changes in equipment or procedures?
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Asked foreman or contractor for training for self and/or co-workers?
COMMENTS:
MARK ARAGON PAINTING, INC
