Information
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Document No.
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Audit Title
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Client / Site
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Prepared by
Project Information
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Project Name & Project Number
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Assessment Date
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Person Completing Assessment
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Project Location
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Brief Project Description - Include Square Footage
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Number of Employees Currently on Project
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MECO Self Performed Work
- Concrete
- Mechanical
- Electrical
- Drywall
- General Works
- Masonry
- Carpentry
- General Labor
- Other
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Number of Subcontractors Currently on the Project
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Were Assessment Results Reviewed with the Project Team Prior to Leaving the Project?
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Inspector's Signature
General Project Comments
Field Condtion Project Assessment
Compliant / Safe Observations Identified
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Safe Observations
Observation
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Observation Category
- Confined Space
- Cranes
- Hoisting Equipment
- Demolition
- Electrical
- Environmental
- Excavation / Trenching
- Falling Object Protection
- Fall Prevention / Protection
- Fire Protection
- Hazardous Materials
- Hazardous Energy Sources
- Heat Management
- Housekeeping
- Infection Control
- Interim Life Safety
- Ladders
- Lighting
- Line of Fire
- Lock Out / Tag Out
- Manual Material Handling
- Material Handling
- Motorized Equipment
- P.P.E.
- Body Position
- Rigging Equipment
- Sanitation
- Cold Management Plan
- Scissors Lift / AWP
- Concrete
- Stairways
- Site / Public Protection
- Steel Erection
- Welding / Cutting
- Work Zone / Traffic Control
- Work Positioning
- Other
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Contractor
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Safe Observation Comments
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Safe Observation Photo
Non-Compliant / Non-Conforming Field Conditions Observed
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Non-Compliant / Non-Conforming Field Conditions Observed
Observation
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Observation Category
- Confined Space
- Cranes
- Hoisting Equipment
- Demolition
- Electrical
- Environmental
- Excavation / Trenching
- Falling Object Protection
- Fall Prevention / Protection
- Fire Protection
- Hazardous Materials
- Hazardous Energy Sources
- Heat Management
- Housekeeping
- Infection Control
- Interim Life Safety
- Ladders
- Lighting
- Line of Fire
- Lock Out / Tag Out
- Manual Material Handling
- Material Handling
- Motorized Equipment
- P.P.E.
- Body Position
- Rigging Equipment
- Sanitation
- Cold Management Plan
- Scissors Lift / AWP
- Concrete
- Stairways
- Site / Public Protection
- Steel Erection
- Welding / Cutting
- Work Zone / Traffic Control
- Work Positioning
- Other
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Category Clarification
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Hazard Classification
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Contractor
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Location
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Observation Comments
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Non-Compliant or Non-Conforming Observation Photo
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Corrective Action Required / Discussed
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OSHA or Company Policy Referenced
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Has the Issue Been Corrected
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Corrective Actions Taken & Date
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Corrected Observation Photo
General Comments or Recommendations
- Comment or Recommendation
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Comment or Recommendation
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Photo or Attached Media
