Metro Safety Walk

• Metro waterproofing

• Job Site

• Conducted on

  Date

• Prepared by

• Forman on job site

1. PPE

• 1.1. Do employees have on hardhats?

  Yes

  No

  N/A

• 1.2. Do employees have on safety glasses?

  Yes

  No

  N/A

• 1.3. Are employees wearing gloves

  Yes

  No

  N/A

2. Boom and scissor lift

• 2.1. Is there boom or scissor lifts being used on the job?

  Yes

  No

  N/A

• 2.2. Do employees have fall protection training?

  Yes

  No

  N/A

• 2.3. Do employees have their harness on?

  Yes

  No

  N/A

• 2.4. employees tied off properly in lifts?

  Yes

  No

  N/A

3. Scaffolds

• 3.4. Was the scaffold installed by Metro waterproofing?

  Yes

  No

  N/A

• 3.1. Does employee have scaffold training?

  Yes

  No

  N/A

• 3.2. Unsafe or incomplete scaffold?

  Safe

  At Risk

  N/A

• 3.3. Lack of inspection protocol for scaffold?

  Safe

  At Risk

  N/A

• 3.5. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)

  Safe

  At Risk

  N/A

4. Truck

• Does the truck have a Fire extinguisher on it?

  Yes

  No

  N/A

• 4.2. Is truck taking care of maintain?

  Yes

  No

  N/A

• 4.3. Does truck have a first aid kit on it?

  Yes

  No

  N/A

• 4.4. Does truck have a safety net on it?

  Yes

  No

  N/A

5. Hot waterproofing

• 5.1. Is propane being stored properly away from kettle?

  Yes

  No

  N/A

• 5.2. Is the fire extinguisher present near propane tanks?

  Yes

  No

  N/A

• 5.3. Is Kettle area flagged off?

  Yes

  No

  N/A

• 5.4. Does kettle guy have apron and face shield on?

  Yes

  No

  N/A

6. Ladders

• 6.1. Unsafe or damaged ladders?

  Safe

  At Risk

  N/A

• 6.2. Unsafe positioning of ladders?

  Safe

  At Risk

  N/A

• 6.3. Ladder not properly secured?

  Safe

  At Risk

  N/A

• 6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

  Safe

  At Risk

  N/A

7. Swing Stages

• 7.1. Is there swing states being used on job?

  Yes

  No

  N/A

• Yes

  No

  N/A

• 7.2. Does employees have proper training and knowledge?

  Yes

  No

  N/A

• Yes

  No

  N/A

• 7.3. Is swing states properly installed on the roof with tiebacks?

  Safe

  At Risk

  N/A

• 7.4. Is roof being protected correctly?

  Yes

  No

  N/A

12. Work Environment

• Ask men if they are doing flex and stretch

  Yes

  No

  N/A

• 12.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  Safe

  At Risk

  N/A

• 12.2. Insufficient lighting?

  Safe

  At Risk

  N/A

• 12.3. Inadequate housekeeping?

  Safe

  At Risk

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken