INFORMATION

  • Audit Title

  • PROJECT NUMBER

  • GENERAL CONTRACTOR

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PROJECT STATUS

SCHEDULE:

  • How Many Days Per Week Are We Working?

  • Day Shift Work?

  • Hours per Day

  • Night Shift Work?

  • Hours per Day

PROJECT SUPERVISION

    Foreman
  • Foreman's Name

  • Shift

  • Is a Safety Coordinator required for this project per Miller Electric Company Policy? (>49 Personnel)

  • Is a Safety Coordinator assigned to this project?

  • Violation of company policy per Memorandum Dated March 14th, 2013.

  • Explanation

  • Safety Coordinator's Name

  • Is there a Job Steward assigned to this project?

  • Job Steward's Name

PROJECT PHASE

  • Number of weeks we have been conducting work on this project

  • Percent Complete?

PROJECT STATUS

  • Current Phase of the Project

  • Look Ahead for Next Week

JOB INFORMATION

JOB INFORMATION

  • OSHA 300 forms complete and posted from February 1 - April 30?<br>

  • 29 CFR 1904.32(b)(5-6)

  • Discrepancy

  • OSHA and DOL Posters posted?

  • 29 CFR 1903.2

  • Discrepancy

  • Emergency phone numbers posted?

  • 29 CFR 1926.35(b)(5-6)

  • Discrepancy

  • Tool-Box Safety Talks up to date?

  • 29 CFR 1926.21(b)(2)

  • Discrepancy

  • Weekly Required Job-site Safety Inspections conducted as required?

  • 29 CFR 1926.20(b)(2)

  • Discrepancy

  • MSDS Available on-site?

  • 29 CFR 1926.59(g)(1)

  • Discrepancy

  • Are containers of hazardous chemicals labeled, tagged, or marked?

  • 29 CFR 1926.59(f)(1)

  • Discrepancy

  • First Aid supplies available and easily accessible?

  • 29 CFR 1926.50(d)(1)

  • Discrepancy

SANITATION

SANITATION

  • Is an adequate supply of potable water provided?

  • 29 CFR 1926.51(a)(1)

  • Discrepancy

  • Are portable water containers tightly closed and equipped with a tap?

  • 29 CFR 1926.51(a)(2)

  • Discrepancy

  • Are ample toilets provided for the number of employees on site?

  • <20 = One
    >20 = One toilet seat + one urinal per 40 workers
    >200 = One toilet seat + one urinal per 50 Workers

  • 29 CFR 1926.20(c)(1)

  • Discrepancy

LIFE SAFETY CODE

LIFE SAFETY CODE

  • Have emergency exits been identified and equipped with adequate signage?

  • NFPA 101.7.5

  • Discrepancy

  • Are all emergency exits accessible and free from obstructions to allow all employees to safely exit the building?

  • NFPA 101.7.5

  • Discrepancy

  • Do all emergency exit doors open in the direction of egress from the building?

  • NFPA 101.7.5

  • Discrepancy

HOUSEKEEPING

HOUSEKEEPING

  • Are work areas neat?

  • 29 CFR 1926.25(a)

  • Discrepancy

  • Are projecting nails or screws bent over or removed?

  • 29 CFR 1926.25(b)

  • Discrepancy

  • Are waste containers provided and used?

  • 29 CFR 1926.25(c)

  • Discrepancy

  • Passageways and walkways clear?

  • 29 CFR 1926.25(a)

  • Discrepancy

  • Cords and leads off floor?

  • 29 CFR 1926.416(b)(2)

  • Discrepancy

  • Is combustible scrap and debris removed at regular intervals?

  • 29 CFR 1926.25(b)

  • Discrepancy

  • Are safe means provided for the removal of combustible scrap and debris?

  • 29 CFR 1926.25(b)

  • Discrepancy

ELECTRICAL

ELECTRICAL

  • Are employees, working in areas with potential electrical hazards, utilizing electrical protective equipment?

  • 29 CFR 1926.416(a)(1)

  • Discrepancy

  • Is electrical equipment with recognized hazards removed from service?

  • 29 CFR 1926.403(b)(1)

  • Discrepancy

  • Are disconnecting means clearly marked to indicate purpose?

  • 29 CFR 1926.403(h)

  • Discrepancy

  • Is sufficient working space provided for safe operation and maintenance of electrical equipment?

  • CLEARANCE DISTANCE (in feet squared)

    VOLTAGE
    0 - 150 (a)3 (b)3 (c)3
    151 - 600 (a)3 (b)3.5 (c)4

    (a) = Exposed live parts on one side and no live or grounded parts on other side of the working space, or exposed live parts on both sides effectively guarded by insulating material. (insulated wire or busbars operating @ <300v are not considered live.
    (b) = Exposed live parts on one side and grounded parts on the other side.
    (c) = Exposed live parts on both sides of the workplace [ Not guarded as provided in Condition (a)] with the operator between.

  • 29 CFR 1926.403(i)(1)

  • Discrepancy

  • Are live electrical parts guarded against accidental contact?

  • 29 CFR 1926.403(i)(2)

  • Discrepancy

  • Ground fault interrupters being used?

  • 29 CFR 1926.404(b)(1)(ii)

  • Discrepancy

  • Panels and electrical rooms clearly identified and secured?

  • 29 CFR 1926.403(i)(2)(iii)

  • Discrepancy

  • Panel Schedules updated?

  • 29 CFR 1926.403(h)

  • Discrepancy

  • Are unused openings in panels outfitted with blanks?

  • 29 CFR 1926.405(b)(1)

  • Discrepancy

  • Only qualified electricians allowed access?

  • 29 CFR 1926.403(i)(2)(i)(A)

  • Discrepancy

  • Terminal boxes equipped with required covers?

  • 29 CFR 1926.405(b)(2)

  • Discrepancy

  • Are flexible cords & cables protected from damage? (Sharp corners and projections avoided)

  • 29 CFR 1926.405(a)(2)(ii)(I)

  • Discrepancy

  • Are all cord sets inspected each day prior to use?

  • 29 CFR 1926.404(b)(1)(iii)(C)

  • Discrepancy

  • Are all cord sets the appropriate 3 wire type and designed for hard or extra hard use?

  • 29 CFR 1926.405(a)(2)(ii)(J)

  • Discrepancy

  • Are damaged electrical cords or cables taken out of service?

  • 29 CFR 1926.416(e)(1)

  • Discrepancy

FIRE PREVENTION

FIRE PREVENTION

  • Adequate fire extinguishers provided? (not less than 2A for each 3000 sq. ft.)

  • 29 CFR 1926.150(c)(1)(i)

  • Discrepancy

  • Fire Extinguishers accessible?

  • 29 CFR 1926.150(a)(2)

  • Discrepancy

  • Fire Extinguishers inspected monthly?

  • 29 CFR 1926.150(a)(4)

  • Discrepancy

  • Phone no. of Fire Department posted?

  • 29 CFR 1926.150(e)(1)

  • Discrepancy

  • "No Smoking" posted and enforced near flammables?

  • 29 CFR 1926.151(a)(3)

  • Discrepancy

LIGHTING

LIGHTING

  • Illumination sufficient for work being performed? (5 ft. Candles)

  • 29 CFR 1926.56(a)

  • Discrepancy

  • All temporary lighting originated from a separate branch circuit?

  • 29 CFR 1926.405(a)(2)(ii)(C)

  • Discrepancy

  • Temporary lighting fixture cages installed and closed?

  • 29 CFR 1926.405(a)(2)(ii)(E)

  • Discrepancy

  • Temporary lamps protected against breakage?

  • 29 CFR 1926.405(a)(2)(ii)(E)

  • Discrepancy

  • All temporary lighting supported by non conductive material?

  • 29 CFR 1926.416(e)(2)

  • Discrepancy

  • Temporary Lighting supported every 10 feet?

  • 29 CFR 1926.405(j)(1)(ii)

  • Discrepancy

  • Temporary Lighting installed at appropriate height? (8 ft.)

  • 29 CFR 1926.405(j)(1)(i)

  • Discrepancy

LOCK OUT / TAG OUT

LOCK OUT / TAG OUT

  • Locks with individual keys given to each electrician?

  • 29 CFR 1910.147(c)(7)(i)(B)

  • Discrepancy

  • Personalized danger tags provided to each person?

  • 29 CFR 1926.417(c)

  • Discrepancy

  • Lock out system being utilized will reduce power to a zero-energy state?

  • NFPA 70E 120.2(b)(6)

  • Discrepancy

  • Are all employees, who work in areas where lock out procedures are used, informed of the lockout procedures?

  • 29 CFR 1910.147(c)(5)(ii)

  • Discrepancy

  • All personnel test to verify and confirm zero energy?

  • 29 CFR 1926.950(b)(2)

  • Discrepancy

FLOOR & WALL OPENINGS

FLOOR & WALL OPENINGS

  • All floor openings planked over or barricaded?

  • 29 CFR 1926.501(b)(4)(ii)

  • Discrepancy

  • Perimeter protection in place?

  • 29 CFR 1926.501(c)(3)

  • Discrepancy

  • Deck planks secure?

  • 29 CFR 1926.502(i)(3)

  • Discrepancy

  • Materials stored away from edge?

  • 29 CFR 1926.502(j)(6)(i)

  • Discrepancy

HAND, POWER & POWDER ACTUATED TOOLS

HAND, POWER & POWDER ACTUATED TOOLS

  • Are hand tools, power tools, or similar equipment inspected regularly?

  • 29 CFR 1926.300(a)

  • Discrepancy

  • Are damaged tools and equipment identified as unsafe by means of tagging, or locking the controls; or by physically removing them from their place of operation?

  • 29 CFR 1926.20(b)(3)

  • Discrepancy

  • Correct tool being used for job at hand?

  • 29 CFR 1926.20(b)(4)

  • Discrepancy

  • Electrically grounded?

  • 29 CFR 1926.302(a)(1)

  • Discrepancy

  • Guards in place on machines?

  • 29 CFR 1926.300(b)(2)

  • Discrepancy

  • Personnel adequately trained in the use of their tools?

  • 29 CFR 1926.20(b)(4)

  • Discrepancy

  • Power cords in good condition?

  • 29 CFR 1926.301(a)

  • Discrepancy

  • Operators of powder actuated tools licensed?

  • 29 CFR 1926.302(e)(1)

  • Discrepancy

FALL PROTECTION

FALL PROTECTION

  • Safety rails and cables secured properly?

  • 29 CFR 1926.502(b)

  • Discrepancy

  • If wire rope is used for top rails, is it flagged at least every 6 feet?

  • 29 CFR 1926.502(b)(9)

  • Discrepancy

  • Safety harnesses worn properly?

  • Per Manufacturer Specifications

  • Discrepancy

  • Are anchor points professionally engineered, or capable of supporting 5000 lbs.?

  • 29 CFR 1926.104(b)

  • Discrepancy

  • Adequate anchor points available?

  • 29 CFR 1926.502(d)(15)

  • Discrepancy

  • Employees exposed to fall hazards protected?

  • 29 CFR 1926.501(b)(1)

  • Discrepancy

  • 100 % use while in aerial lifts and bucket trucks?

  • 29 CFR1926.453(b)(2)(v)

  • Discrepancy

  • Employees below protected from falling objects?

  • 29 CFR1926.501(c)(1)

  • Discrepancy

STAIRS

STAIRS

  • Are stairs or ladders provided at all points of access where there is a break in elevation of 19 inches or more?

  • 29 CFR 1926.1051(a)

  • Discrepancy

  • Is there at least one clear point of access between levels of a building or structure?

  • 29 CFR 1926.1051(a)(3)

  • Discrepancy

  • Uniform height and tread depth?

  • 29 CFR 1926.1052(a)(3)

  • Discrepancy

  • Grating type tread on exterior stairs?

  • 29 CFR 1926.1052(a)(7)

  • Discrepancy

  • Sturdy railings on all open sides?

  • 29 CFR 1926.1052(c)(1)(ii)

  • Discrepancy

  • Guardrails provided on all unprotected sides and edges of stairway landings? ( > 3 risers )

  • 29 CFR 1926.1052(c)(12)

  • Discrepancy

  • Stairs free of stored materials and clutter?

  • 29 CFR 1926.1051(a)(3)

  • Discrepancy

  • Stairways equipped with adequate lighting?

  • 29 CFR 1926.56(a)

  • Discrepancy

LADDERS

LADDERS

  • Serviceable?

  • 29 CFR 1926.1053(b)(15)

  • Discrepancy

  • Proper use?

  • Not standing on the top platform or highest step?

  • 29 CFR 1926.1053(b)(13)

  • Discrepancy

  • Proper height for the task?

  • 29 CFR 1926.1053(b)(4)

  • Discrepancy

  • Stepladders in fully opened and locked position?

  • 29 CFR 1926.1053(a)(8)

  • Discrepancy

  • Straight ladders used for access extend three feet above landing?

  • 29 CFR 1926.1053(b)(1)

  • Discrepancy

  • Proper Ratio? (4:1)

  • 29 CFR 1926.1053(b)(5)(i)

  • Discrepancy

  • Three points of contact when ascending / descending?

  • 29 CFR 1926.1053(b)(21)

  • Discrepancy

  • Ladders are secured to prevent slipping, sliding or falling?

  • 29 CFR 1926.1053(b)(6)

  • Discrepancy

  • Damaged or Defective Ladders taken out of service?

  • 29 CFR 1926.1053(b)(16)

  • Discrepancy

AERIAL LIFTS

AERIAL LIFTS

  • Is each operator trained in the use of the equipment?

  • 29 CFR 1926.453(b)(2)(ii)

  • Discrepancy

  • Is aerial lift free from unauthorized field modifications?

  • 29 CFR 1926.453(a)(2)

  • Discrepancy

  • Is the lifting capacity posted and observed?

  • 29 CFR 1926.453(b)(2)(vi)

  • Discrepancy

  • Is the operator standing with feet firmly on the floor of the basket?

  • 29 CFR 1926.453(b)(2)(iv)

  • Discrepancy

  • Are all occupants utilizing fall protection?

  • 29 CFR 1926.453(b)(2)(v)

  • Discrepancy

SCISSOR LIFTS

SCISSOR LIFTS

  • Are scissor lifts inspected daily?

  • 29 CFR 1926.451(f)(3)

  • Discrepancy

  • Are all guard rails in place?

  • Are personnel utilizing personal fall arrest systems?

  • 29 CFR 1926.451(g)(4)(i) & 29 CFR 1926.451(g)(1)

  • Discrepancy

  • Is each operator trained in the use of the equipment?

  • 29 CFR 1926.454(a)

  • Name of individuals requiring training:

SCAFFOLDING

SCAFFOLDING

  • All scaffolding inspected daily?

  • 29 CFR 1926.451(f)(3)

  • Discrepancy

  • Erected on sound rigid footing?

  • 29 CFR 1926.451(c)(2)(i)

  • Discrepancy

  • Capable of supporting 4 times the maximum intended load?

  • 29 CFR 1926.451(a)(1)

  • Discrepancy

  • Tied to structure as required? (When height to base width exceeds 4:1 ratio)

  • 29 CFR 1926.451(c)(1)

  • Discrepancy

  • Each working platform fully planked?

  • 29 CFR 1926.451(b)(1)

  • Discrepancy

  • Planking is sound and sturdy?

  • 29 CFR 1926.451(a)

  • Discrepancy

  • Platform spacing 1 inch or less?

  • 29 CFR 1926.451(b)(1)(i)

  • Discrepancy

  • Proper access provided?

  • 29 CFR 1926.451(e)(1)

  • Discrepancy

  • Are hook-on ladders positioned so that the bottom rung is 24 inches or less above the support level?

  • 29 CFR 1926.451(e)(2)(ii)

  • Discrepancy

  • Spacing in between scaffold ladder rungs 16 3/4 inches or less?

  • 29 CFR 1926.451(e)(2)(vi)

  • Discrepancy

  • Employees protected from falling?

  • 29 CFR 1926.451(g)(1)

  • Discrepancy

  • Is the top rail of the guardrail system erected at the proper height? (38"-45")

  • 29 CFR 1926.451(g)(4)(ii)

  • Discrepancy

  • Is the mid-rail of the guardrail system erected at the proper height? (Halfway between top edge and scaffold platform)

  • 29 CFR 1926.451(g)(4)(ix)

  • Discrepancy

  • Employees below protected from falling objects?

  • 29 CFR 1926.451(h)(1)

  • Discrepancy

  • Are scaffold platforms, erected over 10 feet in height, equipped with toe boards?

  • 29 CFR 1926.451(h)(2)(ii)

  • Discrepancy

EXCAVATIONS

TRENCHES, EXCAVATIONS & SHORING

  • Are there open excavations on this site?

  • Excavation
  • Excavation depth

  • Excavation inspected by a competent person?

  • 29 CFR 1926.651(k)(1)

  • Discrepancy

  • Materials and spoil are stored at least 2' away from trench?

  • 29 CFR 1926.651(j)(2)

  • Discrepancy

  • Ladders provided every 25' in trench?

  • 29 CFR 1926.651(c)(2)

  • Discrepancy

  • Equipment is at a safe distance from edge of trench or excavation?

  • 29 CFR 1926.651(j)(2)

  • Discrepancy

  • Excavation inspected by a competent person?

  • 29 CFR 1926.651(k)(1)

  • Discrepancy

  • Materials and spoil are stored at least 2' away from trench?

  • 29 CFR 1926.651(j)(2)

  • Discrepancy

  • Ladders provided every 25' in trench?

  • 29 CFR 1926.651(c)(2)

  • Discrepancy

  • Equipment is at a safe distance from edge of trench or excavation?

  • 29 CFR 1926.651(j)(2)

  • Discrepancy

  • Excavation inspected by a competent person?

  • 29 CFR 1926.651(k)(1)

  • Discrepancy

  • Materials and spoil are stored at least 2' away from trench?

  • 29 CFR 1926.651(j)(2)

  • Discrepancy

  • Ladders provided every 25' in trench?

  • 29 CFR 1926.651(c)(2)

  • Discrepancy

  • Equipment is at a safe distance from edge of trench or excavation?

  • 29 CFR 1926.651(j)(2)

  • Discrepancy

  • Excavations are treated as type "C" and sloped at 1 1/2 : 1?

  • Shielding / Shoring in place?

  • 29 CFR 1926.652(a)(1)

  • Discrepancy

  • 29 CFR 1926.651(b)(1)(i)

  • Discrepancy

  • Designed by an Engineer?

  • 29 CFR 1926.652(b)(4)

  • Discrepancy

  • Excavation inspected by a competent person?

  • 29 CFR 1926.651(k)(1)

  • Discrepancy

  • Materials and spoil are stored at least 2' away from trench?

  • 29 CFR 1926.651(j)(2)

  • Discrepancy

  • Ladders provided every 25' in trench?

  • 29 CFR 1926.651(c)(2)

  • Discrepancy

  • Equipment is at a safe distance from edge of trench or excavation?

  • 29 CFR 1926.651(j)(2)

  • Discrepancy

  • Shielded / Shored according to engineering design?

  • 29 CFR 1926.652(a)(1)

  • Discrepancy

MATERIAL HANDLING

MATERIAL HANDLING

  • Materials properly stored or stacked?

  • 29 CFR 1926.250(a)(1)

  • Discrepancy

  • Employees using proper lifting techniques?

  • 29 CFR 1926.251(a)(2)

  • Discrepancy

  • Tag lines used to guide loads?

  • 29 CFR 1926.953(d)

  • Discrepancy

WELDING & BURNING

WELDING & BURNING

  • Gas cylinders stored upright?

  • 29 CFR 1926.350(a)(9)

  • Discrepancy

  • Valve protection caps in place and secured on valve cylinders when moved, transported, or stored?

  • 29 CFR 1926.350(a)(5)

  • Discrepancy

  • Secured with regulators removed and protective cap in place while being moved?

  • 29 CFR 1926.350(a)(6)

  • Discrepancy

  • Are valves closed while not in use, when cylinders are empty, or when being moved?

  • 29 CFR 1926.350(a)(8)

  • Discrepancy

  • Is a suitable chain or steadying device in place while in use to prevent cylinder from being knocked over?

  • 29 CFR 1926.350(a)(7)

  • Discrepancy

  • Are gas cylinders kept far enough away from welding operation so slag, sparks, and flames cannot reach it?

  • 29 CFR 1926.350(b)(1)

  • Discrepancy

  • Are fire resistant shields used when distance from operation is impractical?

  • 29 CFR 1926.350(b)(1)

  • Discrepancy

  • Proper separating distances between fuels & oxygen? (20' or by a 5' wall fire rated @.5 hr)

  • 29 CFR 1926.350(a)(10)

  • Discrepancy

  • Are Fuel Gas Cylinders placed with the valve end up while in use?

  • 29 CFR 1926.350(b)(3)

  • Discrepancy

  • When a special tool is required to close the valve on a cylinder, is it secured to the cylinder while in use?

  • 29 CFR 1926.350(d)(2)

  • Discrepancy

  • Goggles or shields used when welding, cutting, or heating?

  • 29 CFR 1926.353(e)(2)

  • Discrepancy

  • Fire extinguishers readily available for immediate use?

  • 29 CFR 1926.352 (d)&(e)

  • Discrepancy

  • Gas hoses in good condition?

  • 29 CFR 1926.350(f)(3)

  • Discrepancy

  • Is welding equipment kept clear of passageways, ladders, and stairs?

  • 29 CFR 1926.350(f)(7)

  • Discrepancy

  • Are current carrying parts of manual electrode holders fully insulated against the maximum voltage to ground?

  • 29 CFR 1926.351(a)(2)

  • Discrepancy

  • Are arc welding cables free from improper repairs or splices for a minimum 10 ft. from the electrode holder?

  • 29 CFR 1926.351(b)(2)

  • Discrepancy

  • Are the frames of arc welding machines grounded?

  • 29 CFR 1926.351(c)(5)

  • Discrepancy

  • Are non-combustible screens in place to protect employees from arc rays?

  • 29 CFR 1926.351(e)

  • Discrepancy

CRANES

CRANES

  • Are manufacturer's specifications regarding operation of cranes complied with?

  • 29 CFR 1926.1501(a)(1)

  • Discrepancy

  • Are cranes inspected by competent person before each use?

  • 29 CFR 1926.1501(a)(5)

  • Discrepancy

  • Are load capacity charts and special hazard warnings posted on equipment and visible to operator?

  • 29 CFR 1926.1501(a)(2)

  • Discrepancy

  • Are accessible areas within the swing radius of the crane barricaded?

  • 29 CFR 1926.1501(a)(9)

  • Discrepancy

  • Is the crane operating more than 10 feet away from powerlines?

  • 29 CFR 1926.1501(a)(15)(i-vii)

  • Discrepancy

  • Are personnel kept clear of loads about to be lifted or suspended loads?

  • 29 CFR 1926.1501(a)(19)

  • Discrepancy

  • Is the criteria for using personnel platforms being followed?

  • 29 CFR 1926.1501(g)(3)(i)

  • Discrepancy

  • Is the ANSI prescribed hand signal chart available on the jobsite?

  • 29 CFR 1926.550(a)(4)

  • Discrepancy

CONCRETE CONSTRUCTION

CONCRETE CONSTRUCTION

  • Has a limited access zone been established where erecting masonry walls?

  • 29 CFR 1926.706(a)

  • Discrepancy

  • Are employees protected from cement dust?

  • 29 CFR 1926.55(b)

  • Discrepancy

MOTOR VEHICLES / GROUND SERVICE EQUIPMENT

MOTOR VEHICLES / GROUND SERVICE EQUIPMENT

  • Are pre-operation inspection checklists being completed as required?

  • 29 CFR 1926.601(b)(14)

  • Discrepancy

  • Are seat belts provided and used?

  • 29 CFR 1926.601(b)(9)

  • Discrepancy

  • Are vehicles equipped with an operable audible warning device?

  • 29 CFR 1926.601(b)(3)

  • Discrepancy

  • Are Bi-Directional and/or vehicles with rear obstructions equipped with operable back-up alarms?

  • 29 CFR 1926.601(b)(4)

  • Discrepancy

  • Is material handling equipment fitted with Rollover Protective Structures where applicable?

  • 29 CFR 1926.1000(a)(1)

  • Discrepancy

  • Is all mobile equipment free from unauthorized modifications?

  • 29 CFR 1910.178(a)

  • Discrepancy

  • Are all equipment operators properly trained on the equipment that they are operating?

  • 29 CFR 1910.178(l)(1)(ii)

  • Discrepancy

PERSONAL PROTECTIVE EQUIPMENT

PERSONAL PROTECTIVE EQUIPMENT

  • Hard hats being worn?

  • 29 CFR 1926.100(a)

  • Number of employees without proper head protection

  • Safety Glasses being worn?

  • 29 CFR 1926.102(a)(1)

  • Number of employees without proper eye protection

  • Gloves properly chosen for work performed?

  • 29 CFR 1926.28(a)

  • Number of employees without proper hand protection

  • Voltage rated gloves on site certified within the last 6 months?

  • Miller Electric Company Policy (M.34)

  • Number of Voltage Rated Glove sets found without proper certification

  • Respirators used when required and documented properly?

  • 29 CFR 1926.103(a)(1)

  • Discrepancy

  • Hearing protection worn when required?

  • 29 CFR 1926.101(a)

  • Number of employees without proper hearing protection

  • Traffic Vests or High Visibility Garments (HVG's) being worn - if applicable?

  • IAW OA 1970 SEC. 5(a)(1)

  • Where the employer knows or should know that a hazard is likely to exist

  • Number of employees without proper HVG's

  • IAW 29 CFR 1926.651(d)

  • Where employees in or around excavations are exposed to vehicular or construction traffic

  • Number of employees without proper HVG's

  • IAW ANSI/ISEA 107-2010

  • Where personnel operating in a DOT or similar capacity are exposed to vehicular traffic over 25 MPH

  • Number of employees without proper HVG's

  • IAW General Contractor Requirements

  • Where the mandatory use of HVG's by all site personnel is required by the General Contractor

  • Number of employees without proper HVG's

RECOMMENDATIONS / SIGNATURES

RECOMMENDATIONS

  • List any recommendations or corrections

SIGNATURES

  • SAFETY REPRESENTATIVE

  • MILLER ELECTRIC COMPANY REPRESENTATIVE

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.