Information
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Audit #:
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Project
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Foreman
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Conducted on
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Prepared by
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Location
Previous Jobsite Safety Survey
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Review daily tailboard talk
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Was previous survey reviewed?
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Are there any outstanding items?
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Project JHA signed and clinic directions posted
Personal Protective Equipment
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Hard Hat<br>
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Safety Glasses
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Gloves
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High-Visibility Vest
Material Handling & Ergonomics
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Material Handling Aids
Electrical
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GFCI Inspections Current
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Proper Support for Cables
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Enclosures Intact
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Cord & Cable Condition
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Weather Protection
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Temporary Lighting
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LOTO & Electrical Safe Work Practices
Walking & Working Surfaces
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Housekeeping
Ladder Use
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Stepladders
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Extension Ladders
Fall Protection
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Guardrails
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Holes Covered
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Personal Fall Arrest System
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Safety Chains Used on Lifts
Fire Protection
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Fire Extinguishers
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Hot Work Procedures
Employee Health
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Dust Control
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Sanitation
Scaffolding
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Inspected by Competent Person
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Baseplates & Mudsills
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Guardrails
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Working Level Completely Decked
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Diagonal Brace on Rolling Tower
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Proper Access (Ladders & Stairs)
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Miscellaneous (pins, wind clips, anchorage)
Excavations
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Proper Slope & Shore
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Egress within 25 Feet
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Ladder Use
Cranes & Rigging
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Equipment grounds installed, where applicable
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Crews Under Loads
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Tag lines used on all loads
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Sling Condition & Storage
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Protection setup for equipment below work area
Employee Safety Contacts
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Name & Comments:
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Name & Comments:
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Name & Comments: