Information
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PROJECT NAME
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PROJECT NUMBER
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GENERAL CONTRACTOR
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CONDUCTED ON
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PREPARED BY
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Location
Status
PERSONNEL
SCHEDULE
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How Many Days Per Week are We Working?
- 1
- 2
- 3
- 4
- 5
- 6
- 7
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Day Shift Work?
- Yes
- No
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Night Shift Work?
- Yes
- No
Names of all General Foreman / Foreman
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Foreman
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Foreman's Name
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Shift
- Day
- Night
PROJECT PHASE
PROJECT STATUS
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Current Phase of the Project
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Look Ahead for Next Week
PROJECT MANUALS & POSTINGS
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Federal & State Posters
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Anti-Harrassment
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Safety Manual
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MSDS
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Toolbox Talks
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NOI, Employee Warnings, Termination Slips
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Weekly Job site Safety Inspections conducted?
FLOORS
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Slip, Trip, or Fall Hazards
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Openings covered or enclosed
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Clean, orderly and free of oil or grease hazards
STAIRS
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Uniform height & tread depth
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Grating-type tread on exterior stairs
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Sturdy railings on all open sides
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No storage of materials on stairs
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Proper lighting on stairs
SCAFFOLDS
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Level and plumb
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Proper access to scaffolding
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Fully planked
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Wheels in locked position when in use
LIGHTING
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Illumination level sufficient for work being performed
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All temporary lighting cages closed
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Temporary lighting on separate branch circuit
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Temporary lighting utilizes non-conductive supports
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Temporary lighting supported every 10 feet
PORTABLE TOOLS & EQUIPMENT
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Electrically grounded
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Guards and safety fixtures safe and operable
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Personnel trained on their use of tools
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Cords in good condition
ELECTRICAL
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Panels clearly identified and secured
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Only qualified electricians allowed access
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Extension cords free of frays and absent of splices
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Panel schedules updated
LOCK-OUT TAG-OUT SYSTEMS
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Locks with individual keys given to each electrician
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Personalized danger tags provided to each person
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Lock-out system will reduce power to zero-energy state
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All personnel test to confirm zero energy
PERSONAL PROTECTIVE EQUIPMENT
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Gloves properly chosen for work performed
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100% eye protection in use by personnel
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Hard hats used by personnel
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Foot protection properly selected for work performed
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Hearing protection selected for areas above noise standard (85dB)
LADDERS
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Serviceable
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Proper use
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Not on top two steps
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Proper height for the task
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Stepladders in the fully opened and locked position
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Straight ladders used for access are 3 feet above edge
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Proper ratio (4:1)
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3 points of contact when ascending and descending
FALL PROTECTION
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100 % tied off
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Anchor point capable of supporting 5000 lbs.
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Utilized while in man-lifts or bucket trucks
EXCAVATION AND TRENCHING
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All trenches and excavations have been inspected
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Spoil piles located 2 feet from edge
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Access & Egress located within 25 feet of personnel
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At 5 feet, protective system in place (shielding or shoring)
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All soil treated as type 'C' and slipped at 1 1/2 : 1
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Excavations over 20 feet designed by Engineer
ADDITIONAL COMMENTS:
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Additional Comments?
SIGN OFF
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Individual Conducting Inspection
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Project Superintendant