Information
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Jobsite Safety Inspection:
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Document No.
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Client Site: Level 10
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Conducted on
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Prepared by:
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Location:
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Personnel
Weather Conditions
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Picture of site conditions.
Employee Observation / Personal Protective Equipment
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Hard Hats (mandatory)
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Eye / Face Protection (mandatory)
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Ear Protection
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Dust Masks / Respirators
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Safe Lifting Practices / Back Belts
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Clothing / Knee Pads / Class 2/3 Vests
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Footwear / Foot Protection
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Gloves / Hand Protection
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Personal Fall Arrest / Restraint Equipment
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Housekeeping
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Exits / Stairs / Walkways Clear
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Piling & Stacking
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Debris Removal
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Nails Bent or Removed
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Ladders & Stairs
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Ladder Condition / Use
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Ladder Tied Off / 3' Above Landing
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Stairs & Ramps
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Railings / Covers / Cables
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Perimeter / Stairs
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Floor / Wall Openings
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Walk ways
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Cables secured (fall protection) 3 clips
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Scaffolding
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Railings
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Tied to Building
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Planks & Platforms
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Access
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Fire Protection
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Extinguisher
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Flammable Materials Storage
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Welding / Cutting Equipment
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Fire watch required?
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First Aid Station
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Kits & Supplies
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Sanitation / Hand Washing
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Clean Cool Water / Shade
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Electrical
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Lighting / Covers
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Grounding (generators)
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Power Cords, Plugs & Receptacles
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Temp Power Boxes / GFI
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Tools
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Condition
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Guarded / Power Cords
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PAT Signs & Training Cards
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Air Hose & Whip Check
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Site/Public & Environmental Protection
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Excavations / Trenches
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Competent Person
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Earthmoving Equipment - Alarms / S.B. ' s
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Concrete Pours
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Forklifts / Cranes / Rigger
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Trench Plates - In Place & Safe Off
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Lighting / Fences
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Posting Requirements / Signs
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Rebar Protection / Barricades
California Air Resource Board Compliance
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Visual Inspection of diesel exhaust
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Three minute idling time
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Portable Equipment Registration Program
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Equipment Identification Number
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Environmental
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SWPPP (Picture of Gauge and NOAA)
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Double Containment
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Environmental / Storm Water
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Programs / Information
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HEAT ILLNESS
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Jobsite Safety Meeting
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Pre-Task Meetings
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Fall Protection Plans
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Foreman Safety Talks / Crew Rotation
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Rest Periods
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Orientation: New Employee
SSP Program
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Signature Sheets
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Safety Coordinator Named / OSHA 30
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Sub Safety Inspections
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Sub Safety Paperwork Reviewed
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Lifts (condition of & proper use of)
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Scissors
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AERIAL LIFTS ( Fall Protection)
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Additional Photos Taken
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General Comments:
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Signature
