Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Document Number
Behaviors
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Will this section be included in this report? If no items listed below, no applicable observations were made during this inspection.
Concrete/Masonry
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Will this section be included in this report?
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Rebar guarded to eliminate impalement hazard?
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Workers avoid working under buckets?
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Troweling machines equipped with auto shut-off?
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Handles on concrete buggy within wheel width?
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Connectors used to secure pressurized air hoses?
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Safety latches prevent accidental dumping of buckets?
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Bull float handles nonconductive or insulated?
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Masonry saw blades guarded?
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Formwork capable of supporting vertical/lateral loads?
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Shoring equipment inspected?
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Base plates secured to foundation/formwork?
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Jacks/supports do not exceed rated capacity?
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Rebar adequately supported to prevent collapse?
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Precast supported until permanent connections made?
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Lifting inserts on tilt-up precast support 2x max. load?
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Lifting inserts on precast (non-tilt-up) support 4x max. load?
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Lifting hardware able to support 5x max. load?
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Only erectors allowed under precast when lifted/tilted?
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Jacking synchronized to ensure level/uniform lifting?
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Maximum jacks per slab does not exceed 14?
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Temporary connections secured by tack welding?
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Limited access zone equal to wall height plus 4 feet?
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Limited access zone strictly enforced?
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Walls over 8 feet braced to prevent collapse?
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Good compliance/no safety violations?
Confined Space
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Will this section be included in this report?
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Worksite evaluated/permit spaces identified?
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Host employer shared info w/controlling contractor?
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Controlling contractor obtained/shared info w/subs?
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Steps taken to prevent unauthorized entry?
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Hazards of space evaluated prior to entry?
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Procedures in place for safe entry?
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Testing/monitoring equipment available?
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Ventilation equipment available?
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Communications equipment available as needed?
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Adequate lighting available as needed?
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Equipment for safe egress available as needed?
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Rescue and emergency equipment provided?
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Atmosphere tested prior to entry?
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Periodic and/or continuous air monitoring completed?
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Attendant available outside permit space?
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Employee responsibilities defined/training completed?
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Procedures in place for summoning rescue services?
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Annual review of PRCS Program completed?
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Entry permit available for review?
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Employees received effective training?
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Good compliance/no safety violations?
Cranes
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Will this section be included in this report?
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Does this topic apply to this inspection?
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Outriggers or stabilizers fully extended/properly deployed?
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Blocking material sufficient to sustain loads/maintain stability?
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Blocking placed directly under float/pad?
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Operator visually warned of overhead power lines?
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Visual inspection by competent person completed each shift?
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Monthly crane inspections completed?
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Annual crane inspection completed/current?
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Required safety devices installed/maintained?
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Required operational aides installed/maintained?
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Cranes w/ aux. line (telescopic etc.) have anti two-block device?
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Crane operated per manufacturer requirements?
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Crane load capacities/operator manual kept in cab?
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Adequate communication between signal person & operator?
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Hand signal chart available?
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Radius guard installed on crane?
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Workers kept clear of suspended loads?
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Only qualified riggers allowed to rig loads?
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Operator certified by accredited testing organization?
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Operators properly evaluated/qualified?
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Signal person(s) trained, qualified and authorized?
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Fire extinguisher located in cab?
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Tag lines used on loads that swing/rotate?
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Are cranes operated within the wind speed service limit?
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Crane operators trained to avoid two-block condition?
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Good compliance/no safety violations?
Demolition
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Will this section be included in this report?
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Engineering survey completed, available for review?
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Structure shored/braced if damaged by fire/flood/etc.?
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Utilities shut off or controlled outside the building?
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Glass fragmentation hazards removed?
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Wall openings protected to height of 42 inches?
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Debris landing area (w/o chutes) barricaded 6 ft. back?
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Warning signs for falling material posted each level?
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Non-debris floor openings properly guarded?
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Entrances guarded 8 ft. out on multi-story building?
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Stairs/passageways/ladders in clean & safe condition?
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Are the walls/floors braced if the structure to be demolished has been damaged by fire, flood, explosion, or other cause?
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Debris landing area outside building protected?
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Does the storage of waste material/debris exceed the allowable floor load?
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Chute openings closed when not in use?
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Chute openings do not exceed 48 in. in height?
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Chute openings protected by guardrail?
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Gate installed at chute discharge and monitored?
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Discharge chute closed off when operations cease?
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Space between chute and structure covered?
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Bumper 4 in. thick/6 in. high at chute opening?
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Floor openings curbed when equipment in use?
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Periodic inspections made by competent person?
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Good compliance/no safety violations?
Electrical Safety
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Will this section be included in this report?
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Equipment installed/used as listed or labeled?
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Ground pin attached to electrical cords?
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GFCI used for temporary power connections?
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Flexible cords not daisy-chained?
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Flexible cords maintained in good condition?
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Light bulbs protected from accidental breakage?
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All sockets in temporary lighting have bulbs?
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Temporary lights not suspended by electric cords?
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Breakers/switches legibly marked to indicate purpose?
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Cords protected/kept clear of work areas or walkways?
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Employees avoid working near unprotected energized circuits?
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Deenergized circuits locked or tagged out?
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Signs posted restricting access to locations w/exposed live parts?
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Electrical panels/circuits effectively enclosed?
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Electrical receptacles have an approved cover/faceplate?
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Conductors entering boxes/cabinets protected from abrasion?
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Proper clearance maintained in front of/around panels?
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Weatherproof enclosures on panels, outlets, etc. in damp/wet locations?
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Repaired extension cords (No. 12 or larger) meet manufacturer’s specs?
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Good compliance/no safety violations?
Emergency Action Plan
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Will this section be included in this report?
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Is Emergency Action Plan in writing (if 11+ employees)?
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Does EAP address emergency escape procedures and escape route assignments?
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Does EAP address procedures for those who remain behind for critical shutdown?
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Does EAP address procedures to account for employees after evacuation is completed?
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Does EAP address rescue and medical duties for designated employees?
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Does EAP address means of reporting fires and other emergencies?
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Has an effective alarm/communication system been established?
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Are evacuations established based on emergency circumstances?
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Is sufficient number of employees trained to assist in safe evacuation?
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Do covered employees receive initial EAP training (i.e. when plan is developed)?
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Do covered employees receive training when their duties change?
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Do covered employees receive training whenever the EAP changes?
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Is the written EAP available at the workplace for employee review (if 11+ employees)?
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Good compliance/no safety violations?
Exits/Egress
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Will this section be included in this report?
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Exits available and free of obstructions?
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Exits and access to exits marked with signs?
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Good compliance/no safety violations?
Fall Protection
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Will this section be included in this report?
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Suitable fall protection provided/used?
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Workers utilize PFAS as required?
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Steps taken and adequate to prevent falls thru holes?
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Ramps, walkways, catwalks etc. provided w/ guardrails at heights of 6ft.+?
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Safety monitor used when fall arrest/restraint not utilized?
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Suitable fall protection provided/used?
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Suitable fall protected provided/used?
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Steps taken to prevent falling object hazards?
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Guardrails installed, maintained and compliant?
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Top and mid-rail in place and proper height?
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Screens/mesh extend from top rail to walking/working level along entire opening btwn rail supports?
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Guardrails able to withstand 200 lb. force?
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Guardrail deflection less than 39in. above the walking/working level when tested?
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Top rails & midrails min. 0.25in. nominal diameter or thickness & flagged w/ high-vis. material where required?
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Access to hoisting area adequately guarded?
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Dee-rings & snaphooks proof-tested to minimum tensile load?
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Lifelines protected against cuts/abrasions?
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Suitable anchorage provided/used?
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PFA rigged to prevent contact with lower surface?
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PFA rigged to limit free fall to no more than 6 ft?
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Harness D-Ring located btwn shoulder blades?
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Harnesses inspected/maintained in good condition?
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Lanyards inspected, maintained, spec. tag intact/legible?
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PFA not attached to guardrail system?
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Warning line erected on unprotected roof edge?
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Access path formed by warning lines where required?
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Unused access points blocked by warning line?
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Warning line flagged and suspended at proper height?
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Control line 6 ft. from leading edge for roofing activities?
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Control line 6 ft. from leading edge when erecting precast?
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Safety monitor same surface with visual/voice contact?
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Safety monitor performs only monitoring duties?
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Floor hole covers secured, substantial, marked?
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Toeboards erected to prevent falling objects?
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Workers trained on recognizing/minimizing fall hazards?
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Fall Protection training certified/documented?
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Retraining occurs if changes in policy or employee violates policy?
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Harnesses worn/fitted properly?
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Guardrail posts not more than 8 feet OC?
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Warning line 15 ft. back for non-roofing activities?
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Good compliance/no safety violations?
Fire Safety
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Will this section be included in this report?
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Fire extinguishers in good condition/fully charged?
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Fire extinguishers inspected periodically?
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Fire extinguishers maintained annually?
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Travel distance to fire extinguisher within 100 feet?
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Fire extinguisher within 50 ft. of flammables?
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Minimum one fire extinguisher per floor?
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Approved/UL listed fire extinguishers provided?
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Access to fire extinguishers maintained?
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Fire extinguishers conspicuously located?
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Fire extinguishers mounted?
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Flammables stored in approved/closed containers?
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Gasoline stored in approved safety can or DOT container?
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Smoking prohibited where fire hazard exists?
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Scrap piles no closer than 10 ft. from buildings?
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Flammable liquids protected from ignition sources?
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Flammable not stored near emergency pathways?
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Fire extinguisher kept near gas powered equipment?
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LP tanks in storage are upright and secured to prevent tipping?
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LP tanks are NOT stored inside of buildings?
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Fire extinguisher available near LP storage locations?
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LP stored in ventilated enclosure?
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LP storage area protected against tampering?
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Containers located to minimize exposures?
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Good compliance/no safety violations?
Forklifts
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Will this section be included in this report?
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Forklifts inspected daily?
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Forklifts free of known defects/damage?
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Forklifts removed from service if defective?
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Forklift operators trained?
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Operators properly certified by employer?
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Forklift operators evaluated every 3 years?
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No modifications affecting lift capacity?
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Forks lowered when truck is unattended?
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Nameplate/markings in place and legible?
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Seatbelts worn while operating forklifts?
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Operator Manual available for review (Best Practice)
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Good compliance/no safety violations?
Hazard Communication
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Will this section be included in this report?
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SDS kept at worksite for each hazardous chemical?
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SDS's readily accessible to employees as needed?
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Chemicals (in supplier container) properly labeled/legible?
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Chemicals (in secondary container) properly labeled/legible?
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Chemical inventory list maintained?
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Employees effectively trained & demonstrate competency?
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Good compliance/no safety violations?
Health Hazards
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Will this section be included in this report?
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Noise exposures monitored/controlled?
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Asbestos exposures monitored/controlled?
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CO exposures monitored/controlled?
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Lead exposures monitored/controlled?
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Welding fume exposures monitored/controlled?
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Extreme heat exposures monitored/controlled?
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Extreme cold exposures monitored/controlled?
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Steps taken to protect workers from cold stress?
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Steps taken to protect against insects/animals?
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Is Mold Remediation Plan in writing/available?
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Is Mold Remediation Plan appropriate based on size of contaminated area?
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Do workers follow the Mold Remediation Plan guidelines?
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Good compliance/no safety violations?
Heat Illness Prevention
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Will this section be included in this report?
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Is outdoor air temperature monitored?
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Is drinking water provided/accessible during work shift?
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Is shade provided when temp exceeds 80 degrees?
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Shaded area(s) accommodate the number of employees on shift?
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Preventative cool-down rest breaks encouraged?
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Employees monitored if experiencing symptoms?
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Is an Acclimatization Program in place and practiced?
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Are High-Heat Procedures in place if temp exceeds 95F?
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Are heat-illness response procedures in place?
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Heat Illness training provided at time of hire?
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Steps taken to reduce shift severity/duration?
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Appropriate clothing worn to reduce heat burden?
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Good compliance/no safety violations?
Housekeeping
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Will this section be included in this report?
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Worksite reasonably organized/good housekeeping?
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Combustible scrap/debris removed at regular intervals?
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Job trailer clean and reasonably organized?
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Material staging area kept reasonably organized?
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Gang box(es) reasonably clean and organized?
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Garbage disposed of at frequent/regular intervals?
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Loose scrap/light materials susceptible to wind secured?
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No protruding nails on scrap lumber?
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Containers used for oily/flammable waste covered?
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Good compliance/no safety violations?
Ladders/Stairs
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Will this section be included in this report?
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Ladders inspected/no visible defects?
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Side rails extend 3 ft. above landing surface?
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Ladders set up at 4:1 angle?
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Ladders set up on stable/level surface?
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Top of ladder secured to prevent side shift?
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Base of ladder secured when conditions warrant?
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Ladders used correctly/as intended by mfg?
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Stairs/ladder/ramp at elevation break of 19+ inches?
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Spreaders fully engaged on stepladders?
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Workers avoid using top 2 steps of stepladder?
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Area at top and bottom of ladder kept clear?
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At least one hand free to grasp ladder?
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Loads not carried that could cause loss of balance/fall?
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Job-made ladders compliant?
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Non-conductive ladder used if exposed to electrical hazard?
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Damaged ladders tagged and removed from service?
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Handrails on stairs with 4 or more risers?
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Treads/landings on pan stairways filled?
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Good compliance/no safety violations?
Mechanized Equipment
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Will this section be included in this report?
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Equipment in good condition/no obvious defects?
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Seatbelts on earth-moving equip. w/ROPs?
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Seat belts worn on equipment with ROPs?
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Parking brake set when equipment is parked?
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Wheels chocked when needed (i.e. parked on incline)?
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Bidirectional machines equipped with functional horn?
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Reverse alarm and/or spotter when backing?
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No passengers allowed on single-operator equipment?
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Windshields in good condition/no cracks?
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Personnel platform secured to carriage/forks?
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Personnel on raised platform have access to operating controls?
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Beacon light activated on equipment when conditions warrant?
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Slow Moving Vehicle placard when operating in traffic?
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Blades/buckets/dump bodies lowered or blocked when not in use?
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Operator(s) competent/familiar with equipment controls?
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Equipment/attachments safe distance from energized power lines?
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Good compliance/no safety violations?
Medical/FA Services
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Will this section be included in this report?
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First aid supplies easily accessible when required?
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First aid supplies refilled/maintained?
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Certified FA/CPR provider available at remote worksites?
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Emergency numbers posted when 911 service unavailable?
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Location of nearest medical facilities known/posted?
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Eye/body flushing facilities available when needed?
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Eye wash station(s) properly maintained?
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AED system status indicator show green?
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AED pads current?
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Employees trained in AED use and current?
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AED visible and unobstructed?
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AED in good condition/properly maintained?
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Good compliance/no safety violations?
MEWP's (Aerial/Boom Lifts)
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Will this section be included in this report?
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Workers use harness/lanyard tied to approved anchor in basket?
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Workers not tied off to adjacent structure/equipment?
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Operator(s) trained and/or authorized?
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Both feet on floor of basket?
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Boom/basket load limits not exceeded?
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MEWP is stationary when elevated?
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MEWP controls clearly marked/identified?
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MEWP is inspected prior to use/documented?
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MEWP is at least 10 feet from energized power lines?
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Access gate/opening closed when working in MEWP?
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MEWP operated on level surface per mfg. specs?
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Outriggers (when available) utilized as needed?
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Work platform kept reasonably clear of debris?
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Is MEWP operated within the wind speed service limit?
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Is a legible copy of Operators Manual kept with MEWP?
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Does MEWP have current annual inspection sticker?
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Is there a written Rescue Plan to address falls from platform?
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Have operators received Fall Rescue training?
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Good compliance/no safety violations?
MEWP's (Scissor Lifts)
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Will this section be included in this report?
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MEWP inspected and free of defects?
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MEWP is inspected prior to use/documented?
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Both feet on floor of lift?
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Workers trained on use of MEWP?
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MEWP is at least 10 feet from energized power lines?
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MEWP operated on level surface per mfg. specs?
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No modifications/additions affecting lift capacity?
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Directional controls return to neutral when released?
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Directional controls clearly marked?
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Access gate/opening closed when working in MEWP?
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Is MEWP operated within the wind speed service limit?
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Is a legible copy of Operators Manual kept with MEWP?
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Does MEWP have current annual inspection sticker?
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Outriggers (when available) utilized as needed?
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Employees utilize PFAS when working from scissor lift?
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Barricades erected to keep bystanders clear (as needed)?
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Floor of lift kept reasonably clean?
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Good compliance/no safety violations?
PPE
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Will this section be included in this report?
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PPE provided as required?
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PPE used/worn as required?
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PPE maintained in good/sanitary condition?
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Eye protection worn as required?
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Face protection used when required?
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Approved eye protection worn by those using prescription lenses?
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Eye protection meets ANSI standards?
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Hard hats worn as required?
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Hand protection worn when needed?
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Recommended Product:
- Ansell 103387 : https://pointmansafety.com/shop/hand-protection/gloves/cut-resistant-gloves/ansell-103387/
- Ansell 103335: https://pointmansafety.com/shop/hand-protection/gloves/cut-resistant-gloves/ansell-103335/
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Safety footwear worn as needed?
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Respirators provided/used as required?
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Workers reviewed App D/voluntary dust mask use?
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Hearing protection used as required?
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High-visibility clothing worn as required?
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Appropriate shade protection used by welders?
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Replacement PPE readily available?
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Good compliance/no safety violations?
Postings/Safety Signs
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Will this section be included in this report?
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OSHA Workplace Poster displayed?
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Emergency numbers/contacts posted?
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OSHA 300 Summary posted Feb. 1st to Apr. 30th?
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Danger/caution signs posted as needed?
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Warning signs around perimeter of worksite?
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Good compliance/no safety violations?
Public Protection
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Will this section be included in this report?
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Public warned of potential for sudden/loud impact noises?
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Public exposure to airborne contaminants (dust/fumes/smoke) controlled?
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Construction operations near pedestrian/vehicular traffic controlled?
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Where pedestrian areas are closed, suitable/safe alternatives provided?
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Lighting (incl. welding flash) directed/shielded to minimize impact on public?
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Radiation exposure hazards controlled and shielded to protect public?
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Areas where public is exposed to mobile equip. are barricaded?
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Barriers, enclosures, netting used to protect public from falling/wind-borne objects?
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Measures taken to restrict public access to jobsite?
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Measures taken to restrict public access to haz. equipment/supplies?
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Operations generating waste/debris controlled to min. exposure to adjacent areas?
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Controls in place where water run-off may pose a pollution hazard?
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Utilities located and marked prior to start of construction?
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Haz. materials stored away from public in approved/labeled containers or structures?
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Hazards associated with vibrations (pile driving, blasting, etc.) analyzed?
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When blasting occurs, an audible warning signal is established to warn public?
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Excavations/trenches in public areas backfilled as soon as practicable?
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Personnel trained on action to take if emergency arises affecting public?
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Good compliance/no safety violations?
Respiratory Protection
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Will this section be included in this report?
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Respiratory Protection Program established?
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Respirators used in hazardous atmospheres?
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Respirators properly maintained/sanitary?
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Medical evaluation completed prior to fit-test?
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Fit-test completed prior to initial use/annually?
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Facial hair does not compromise respirator seal?
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Approved respirator for application used?
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Employees trained in proper respirator use?
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Appendix D reviewed when voluntary use?
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Compressed air quality at least Grade D?
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Compressors maintained as required?
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Good compliance/no safety violations?
Rigging
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Will this section be included in this report?
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Rigging equipment inspected/good condition?
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Damaged/defective rigging removed from service?
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Rigging equipment properly tagged/labeled?
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Rigging used per manufacturer’s specifications?
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Rigging equipment properly stored?
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Good compliance/no safety violations?
Safety Training
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Will this section be included in this report?
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Toolbox talks completed daily?
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Toolbox talks completed weekly?
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Toolbox talks documented?
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Equipment/machine operator training documented?
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Job-specific safety training provided/documented?
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Safety Orientation Training provided?
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Good compliance/no safety violations?
Scaffolds (Rolling/Baker)
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Will this section be included in this report?
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Scaffolds inspected/free of defects?
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Working platforms fully planked/decked?
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Platform clean/free of excessive debris?
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Only supplies needed stored on scaffolds?
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Fall protection provided above 10 feet?
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Scaffolds and components do not exceed rated capacities?
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Employee remains within wheels/supports of scaffold?
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Scaffold bracing is secured, squared, aligned?
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Wheel/caster brakes operable and set as required?
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Caster/wheel stems pinned/secured to scaffold legs?
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Employee only rides scaffold if surface is level/no obstructions?
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Outriggers used when platform extends beyond supports?
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Outriggers (if required) properly installed?
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Workers trained on use of scaffolds?
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Are scaffolds used within the wind speed service limit?
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Scaffold integrity not compromised by intermixing parts?
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Modified scaffold components approved by CP?
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Good compliance/no safety violations?
Scaffolds (Supported)
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Will this section be included in this report?
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Scaffolds inspected by competent person?
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Planking is free of visible defects?
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Framing is free of visible defects?
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Bracing is free of visible defects?
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All other scaffold components free of visible defects?
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Working platforms fully planked/decked (spacing 1" or less)?
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Maximum distance from face for outrigger scaffolds is 3” or less?
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Fall protection provided/used on scaffold above 10 feet?
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Legs/frame bear on base plates/mud sills?
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Footings level, rigid, no visible settling?
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Ladder provided/used to access platform?
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Only scaffold-grade lumber used?
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Platform clean/free of excessive debris?
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When platforms overlap, overlap is 12 inches or more?
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Platform supports plumb/braced to prevent swaying?
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Toeboards used to prevent tools/materials falling on employees?
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Makeshift devices not used to gain additional height?
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Scaffolds and components do not exceed rated capacities?
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Only materials needed stored on scaffold?
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Non-cleated platforms extend at least 6 in. over support?
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Platforms <10 ft. do not extend more than 12 in. past support?
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Platforms (10+ ft.) do not extend more than 18 in. past support?
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Platform attached to forks when supported by forklift?
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Scaffold not moved horizontally when occupied?
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Workers not allowed on scaffolds covered in snow/ice?
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Bracing installed per mfg. recommendations (i.e. 4:1 height)?
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Cross-bracing is installed/maintained?
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Top rail of guardrail (or equivalent) at proper height?
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Midrails (or equivalent) installed between toprail and platform?
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Midrail cross-bracing midpoint between 20-30 inches?
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Toprail cross-bracing midpoint between 38-48 inches?
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Workers trained on use of scaffolds?
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Workers trained to erect/disassemble/move scaffolds?
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Proper distance maintained from exposed energized power lines?
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Scaffold integrity not compromised by intermixing parts?
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Modified scaffold components approved by CP?
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Good compliance/no safety violations?
Scaffolds (Suspension)
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Will this section be included in this report?
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Scaffolds inspected/free of defects?
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Supports (beams/hooks/clamps) rest on surface rated for load?
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Outrigger beams made of structural metal or equivalent strength?
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Outrigger beams restrained to prevent movement?
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Outrigger beams adequately secured to deck (bolts, counterweights)?
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Competent Person approves suspension design prior to use?
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Only approved, specifically designed counterweights allowed?
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Counterweights mechanically attached to outrigger beams?
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Tiebacks used when outrigger beams not mechanically fastened?
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Outrigger beams perpendicular to building when possible?
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Tiebacks secured to structurally sound anchor?
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Tiebacks installed perpendicular or at opposing angles?
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Wire rope shackle/clevis placed directly over center line of stirrup?
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Support devices (i.e. hooks, clamps, etc.) made of steel/iron?
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Support devices (i.e. hooks, clamps, etc.) supported by bearing blocks?
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Support devices (i.e. hooks, clamps, etc.) secured against movement?
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Min. 4 wraps on drum hoist at lowest point of travel?
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No repairs made to wire rope used for suspension?
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Wire ropes inspected/maintained in good condition?
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Minimum 3 clips installed on wire rope?
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Clips installed per manufacturer recommendations?
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Gears and breaks on power-operated hoists guarded?
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Brake engages immediately upon uncontrolled movements?
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Manually operated hoist has positive crank force to descend?
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Steps taken to prevent scaffold from swaying when required?
-
Equipment designed solely for escape/rescue not used as work platform?
-
Proper distance maintained from exposed energized power lines?
-
Good compliance/no safety violations?
Scaffolds (Mast Climber)
-
Will this section be included in this report?
-
Scaffolds inspected/free of defects?
-
Scaffold integrity not compromised by intermixing parts?
-
Modified scaffold components approved by CP?
-
Are access panels clear of material and equipment?
-
Are safety guardrails in position and doors operational (no fall hazard)?
-
Is a legible copy of owner's manual kept on site?
-
Is construction traffic controlled on and around scaffolding (proper barriers installed)?
-
If the work platform is accessed from inside the building or off a scaffold stair tower, is transfer safe and free from obstruction?
-
Mast climbing is not impeded in any way?
-
Access walkway is clear of debris and working properly?
-
Minimum clearance from overhead power lines is maintained according to local regulation?
-
On special facade shapes, cross box kits, face guardrails and plank guardrails are properly installed and secure?
-
Perimeter of setup is safe and delimited (warning tape, concrete blocks)?
-
Setup and installation meet the requirements prescribed by owner's manual or approved engineering drawing?
-
The platform clears all obstacles (building, balconies, etc.) and can be raised or lowered?
-
Work and circulation areas on the platform are clear of any obstruction?
-
Base is level and cribbing under jacks has not moved?
-
Cables and control levers have been verified and are functioning properly?
-
Each cylinder hook, secondary hook and lowering cam is in good condition and functioning properly?
-
Each cylinder, hydraulic hose and hydraulic component is free of leaks and signs of wear?
-
Each roller has been greased?
-
Each roller has been verified and is in good condition?
-
Gasoline and engine oil levels are appropriate or have been replenished?
-
Air filter has been verified and is in good condition or has been replaced, if necessary?
-
Hydraulic oil level has been verified and hydraulic tank has been replenished, if required, with oil recommended by manufacturer?
-
Lifting mechanism is clear of debris (mortar, masonry material, etc.) and shows no signs of excessive wear?
-
Motorized unit structure has been inspected and shows no signs of damage or distortion?
-
On an electrical unit, the power cable has been inspected and shows no signs of damage?
-
Input power is adequate and phases are in sync?
-
On an electrical unit, the routing of power cable is free from obstruction and the cable recoils properly?
-
Rubber on each cylinder hook has been verified as described in Owner's manual procedure and is in good condition?
-
Each backup safety hook has been inspected and shows no sign of engagement prior to inspection?
-
Each safety hook is clean and can move freely?
-
Motorized unit is placed out of service if any safety hook is found to be defective or shows signs of having been engaged previously?
-
Mast bolts are tightened at the proper torque (120 lb-ft or 163 N-m)?
-
Mast bolt washers have been replaced if bent?
-
Mast sections have been inspected and show no signs of damage or distortion?
-
Mast ties are in good condition, show no signs of distortion and are secure?
-
Masts are plumb (both front and side axis) and all bolts and nuts are in position?
-
Bridges have been inspected and their structure shows no signs of damage or distortion?
-
On angled or 90 degrees bearing bridges, is proper overlap and special chains installed on bridge and motorized unit undercarriage?
-
On linear bearing bridges, is 6-12 in. overlap maintained at each end & bridge safety chains tied properly w/slack not exceeding 1 in.?
-
Plank outriggers are clean and in good condition?
-
Outrigger lock bolts are all tightened properly and plank stop pins are in place?
-
Planking is in good condition and set properly?
-
Planking clears all obstacles (building, balconies, etc.) and is properly supported, overlapped and secured?
-
Loads on the platform do not exceed those prescribed by the capacity charts and are equally distributed?
-
Good compliance/no safety violations?
Scaffolds (Pump Jack)
-
Will this section be included in this report?
-
Scaffolds inspected/free of defects?
-
Scaffold integrity not compromised by intermixing parts?
-
Modified scaffold components approved by CP?
-
Poles are straight and undamaged?
-
No makeshift components are used?
-
Pole systems >24' hoisted into position using a rope?
-
Metal braces secured to structure with 3" screws or equivalent?
-
Above 24' intermediate braces are at 16' spacing?
-
Pole system braces secured to solid support of at least 1/2" plywood?
-
Max. working height of pole system scaffolds is 50' or less?
-
No wooden poles used to support aluminum pole system components?
-
Pole system scaffold platforms installed 14" or less away from wall?
-
Pole system scaffold work bench not used as work platform?
-
Pole system scaffolds on base plates and mud sills?
-
Work from pole system scaffolds performed from level platform?
-
Area below pole system scaffolds is cordoned off, or no employees below?
-
Walls are within 14" or end rails are used to prevent falls?
-
Max 2-men (400lbs) & 100 lbs. of tools/materials used on pole system scaffolds?
-
Proper distance maintained from exposed energized power lines?
-
Good compliance/no safety violations?
Scaffolds (Stairtower)
-
Will this section be included in this report?
-
Competent person inspects stairtower each shift/as needed?
-
Bottom step no more than 24 in. high?
-
Stair rail (top & mid) provided on each side?
-
Handrails provide adequate handhold for grasping?
-
Handrails smooth and free of snags?
-
Ends of stair rails do not pose a projection hazard?
-
Handrails provide min. 3 in. clearance?
-
Stair rail at proper height (btwn. 28-37 in.)?
-
Landing platform (min. 18x18 in.) at each level?
-
Min. 18 in. clearance between stair rails?
-
Treads/landings slip-resistant?
-
Riser/tread height uniform?
-
Bracing installed per mfg. recommendations (i.e. 4:1 height)?
-
Stairtower placed on firm foundation?
-
Footings are level/no signs of settling?
-
Stairtower is plum/braced to prevent swaying?
-
Stairtower removed from service if defective?
-
Scaffold integrity not compromised by intermixing parts?
-
Modified scaffold components approved by CP?
-
Good compliance/no safety violations?
Silica Exposure
-
Will this section be included in this report?
-
Controls (based Table 1 Tasks) in place to minimize silica exposure?
-
Controls in place when using stationary masonry saws?
-
Controls in place when using handheld power saws?
-
Controls in place when using walk-behind saws?
-
Controls in place when using jackhammers/powered chipping tools?
-
Controls in place when using handheld grinders for mortar removal?
-
Controls in place when using handheld grinders (other than mortar removal)?
-
Controls in place when using walk-behind milling machines/floor grinders?
-
Controls in place when using crushing machines?
-
Exhaust provided for indoor tasks where silica exposure occurs?
-
When wet-method is used, is water applied at proper rate to minimize dust?
-
When cab is used to control dust, is it air tight with climate controls?
-
Proper respirator used (as required) and worn properly?
-
Wet sweeping or HEPA vacuuming used to clean up silica dust?
-
Compressed air is prohibited when cleaning silica dust?
-
Written exposure control plan developed/implemented?
-
Exposure control plan reviewed at least annually?
-
Competent person conducts frequent site inspections?
-
Medical surveillance program in place?
-
Initial medical examination completed within first 30 days of assignment?
-
Medical evaluation completed every 3 years or more often as needed?
-
Employees trained on hazards associated with silica exposure?
-
Records of air sampling and medical surveillance maintained?
-
Good compliance/no safety violations?
Steel Erection
-
Will this section be included in this report?
-
Site layout graded, drained and adequate space?
-
Documentation rec'd that footings can support load?
-
Crane(s) visually inspected at start of shift?
-
Rigging equipment inspected at start of shift?
-
Workers not allowed under suspended load?
-
Multiple lifts do not exceed 5 members?
-
Multiple lifts rigged 7 feet apart?
-
Multiple lifts rigged at center of gravity/balanced?
-
Decked floor at least 30 ft. below erectors?
-
Metal decking secured upon placement?
-
Guardrails/toeboards around structural openings?
-
Floor opening covers substantial, marked, secured?
-
Columns anchored by min. 4 anchor rods/bolts?
-
Structural members secured with two bolts per connection?
-
Diagonal bracing secured with one bolt per connection?
-
Tools aloft secured against accidental displacement?
-
Contractors barred from working below erection activities?
-
Steel workers above 15 ft. protected from fall hazards?
-
Connectors 2 stories/30 ft. up protected from fall hazards?
-
Perimeter cables installed when decking completed?
-
Perimeter cables flagged at 6 foot intervals?
-
Custody of fall protection transferred when work is finished?
-
Ramps/runways properly guarded?
-
Good compliance/no safety violations?
Stormwater Management
-
Will this section be included in this report?
-
Are all slopes and disturbed areas not actively being worked properly stabilized?
-
Are natural resource areas (e.g., streams, wetlands, mature trees, etc.) protected with barriers?
-
Are perimeter controls and sediment barriers adequately installed (keyed into substrate) and maintained?
-
Are discharge points and receiving waters free of any sediment deposits?
-
Are storm drain inlets properly protected?
-
Is the construction exit preventing sediment from being tracked into the street?
-
Are washout facilities (e.g., paint, stucco, concrete) available, clearly marked, and maintained?
-
Are vehicle and equipment fueling, cleaning, and maintenance areas free of spills, leaks, or any other damaging material?
-
Are materials that are potential stormwater contaminants stored inside or under cover?
-
Are non-stormwater discharges (e.g., wash water, dewatering) properly controlled?
-
Good compliance/no safety violations?
Temporary Heating Devices
-
Will this section be included in this report?
-
Fresh air/ventilation provided as needed?
-
Circulating type heating devices have min. 12” side/rear clearance?
-
Radiant type heating devices have min. 36” side/rear clearance?
-
Proper insulating material placed under heater on wood floors?
-
Heaters placed at least 10’ from tarps, canvas, or similar coverings?
-
Tarps, canvas or similar coverings used near heaters are secured?
-
Heating devices used on stable, level surface?
-
Salamanders used per manufacturers' instructions?
-
Good compliance/no safety violations?
Tools (Hand & Power)
-
Will this section be included in this report?
-
Hand and power tools in safe operating condition?
-
Guards in place/functional on power tools?
-
Impact tools free of mushroom heads?
-
Handles free of splinters/cracks and kept tight in tool?
-
Power tools double-insulated or grounded?
-
Electric cords NOT used to hoist/lower power tools?
-
Secondary restraint used on pneumatic tools to prevent hose whip?
-
Safety clips/retainers installed/maintained on pneumatic impact tools?
-
Safety device on muzzle of pneumatic fasteners?
-
Compressed air under 30psi when used for cleaning?
-
Tool(s) used withing mfg. safe operating pressure?
-
Air hose NOT used to lower/hoist pneumatic tools?
-
Pressure release on hoses exceeding 1/2-inch inside diameter?
-
Power tools stopped during refueling/maintenance?
-
Angle grinders equipped with safety guards?
-
Circular saws adequately guarded?
-
Hand-fed ripsaw (table saw) adequately guarded?
-
Load capacity legibly marked on jacks/not exceeded?
-
Raised loads are cribbed/blocked when using jacks?
-
Air receiver equipped w/working pressure gauge?
-
Air receiver equipped w/ pressure release valve?
-
Equipment/machine guards in place and functional?
-
Approved clamps used on air hose connections?
-
Good compliance/no safety violations?
Tools (Powder Actuated)
-
Will this section be included in this report?
-
Only trained employees use powder-actuated tools?
-
Powder-actuated tools (when in use) tested daily?
-
Defective tools immediately removed from service?
-
Tools remain unloaded until just prior to use?
-
PAT's are always pointed away from employees?
-
Hands/body parts kept clear of open barrel end?
-
Loaded tools are attended at all times?
-
Fasteners only driven into suitable/safe surfaces?
-
Tools prohibited in explosive/flammable atmospheres?
-
Tools equipped with approved shield, guard, attachment?
-
Only ANSI approved tools used?
-
Powder-actuated tools and loads marked and stored properly?
-
Powder-actuated loads (spent and unspent) properly discarded?
-
Good compliance/no safety violations?
Trenching/Excavation
-
Will this section be included in this report?
-
Competent Person completes daily inspection?
-
Employees protected from cave-in by protective system (if equal to or greater than 5')?
-
Sloping/benching adequate for soil type?
-
Spoils/material/equipment set back 2 feet from edge?
-
Proper/safe means of access/egress provided?
-
Travel distance to egress no more than 25 feet?
-
Utilities located/identified prior to start of excavation?
-
Surface encumbrances removed or supported?
-
Water runoff controlled to prevent accumulation?
-
Access prohibited when water accumulation is uncontrolled?
-
Trench barricaded when left unattended?
-
Manual/visual test used to confirm soil classification?
-
Workers exposed to traffic wearing high-viz clothing?
-
Stability of adjacent structures ensured?
-
Backfilling occurs as work proceeds?
-
Soil not excavated more than 2 ft. below protective system?
-
Pavements/structures not undermined unless supported?
-
Atmospheric conditions tested prior to entry?
-
Good compliance/no safety violations?
Welding & Cutting (Hot Work)
-
Will this section be included in this report?
-
Valve caps in place when storing/transporting cylinders?
-
Cylinders in transportation secured in vertical position?
-
Cylinder valves closed when work is finished?
-
Cylinders secured in upright position?
-
Fuel gas cylinders separated from O2 cylinders 20 ft./5 ft. high 30 min. fire rating?
-
Welding hoses in good condition?
-
Regulators/gauges/valves in proper working order?
-
Flashback arrestors utilized?
-
Manual electrode holders w/proper capacity used?
-
Electrode holders fully insulated?
-
Arc welding cables/connectors fully insulated?
-
Is weld cable free of repair/splices for a min. of 10 feet from the electrode holder?
-
Cable lugs or splices equal to cable capacity and completely insulated?
-
Are cables in need of repair removed from service as required?
-
Are worn or exposed areas protected by means of adequate insulation?
-
Does ground return cable carrying capacity exceed load demand as required?
-
Are flammable gas/liquid pipelines and electrical conduits excluded from use as ground return?
-
Does electrical contact exist at all joints of ground return circuit as required?
-
Are all joints of continuously employed ground return circuits bonded and inspected as required?
-
Are all frames for arc welding and cutting machines grounded as required?
-
Do grounding circuits have sufficiently low resistance to allow for fuse or circuit interruption?
-
Are all ground connections inspected for mechanical and electrical soundness?
-
Are noncombustible/flameproof screens used for shielding as required?
-
Fire extinguishing equipment in close proximity?
-
Fire watch maintained as required?
-
Combustibles removed/protected from heat/sparks/slag?
-
Good compliance/no safety violations?
Temporary Fencing
-
Will this section be included in this report?
-
When moveable fencing used, is it sandbagged to prevent it from moving?
-
If used, are sandbags maintained intact without tears or holes and positioned on the interior side of the construction fence?
-
Are fences locked when construction personnel are not present?
-
Does fencing have signs warning of the safety risk of trespassing, as well as the legal penalties of doing so?
-
Are building/structure exits arranged and maintained as to provide free and unobstructed egress from all parts of the building/structure?