Information
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THIS SITE HAS BEEN RATED:
- A
- B
- C
- D
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Document No.
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Job #
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Job Name
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Conducted on
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Prepared by
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Location
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Personnel
Incident and Injury Free (IIF)
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Is the IIF board posted and updated?
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Is supervision participating in stretch and flex?
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Is supervision participating in the MTA's
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Percentage of co-workers gone through IIF orientation
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Have this project reported any incident this month?
OSHA and B | DC, General Requirements and Posting
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Is a well stocked first aid cabinet on site and inspected weekly?
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Is the first aid log posted on the cabinet?
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Is incident reporting procedure posted?
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Is the 5-in-1 poster & emergency action plan posted?
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Are toolbox meetings being conducted and documented?
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Are MTA's conducted and documented?
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Are First Aid / CPR trained co-worker on site?
Personal Protective Equipment (PPE)
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Are all coworkers wearing hardhats, and eye protection?
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Are coworkers wearing ear plugs where they are required?
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Are co-workers wearing face-shield when shipping, blowing the deck or cutting steel?
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Are co-workers wearing traffic vest where they are requirred?
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Are co-workers wearing appropriate gloves for the task?
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Are co-workers wearing respirators when graining or working on a dusty environment?
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Are coworkers wearing proper clothing and work boots?
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Do coworkers have tarsal guards on during required tasks?
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Did coworkers inspect PPE prior to the start of their shift?
Personal Fall Arrest System
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Are coworkers using these system when required?
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Have the coworkers been trained in the use of these system and using system correctly?
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Is the equipment installed correctly and in good condition?
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Are proper tie-off points used?
Sanitation
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Are toilet facilities adequate and reasonably clean?
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Are drinking cups placed into the trash containers and the trash containers located next to all water cans?
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Are water containers cleaned and clearly marked of the contents and dated?
Fire Protection
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Have coworkers been trained in the use of fire extinguishers?
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Are extinguishers inspections current and extinguishers are in good working order?
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Is there a fire extinguisher within100 feet of all work areas?
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Do fuel cans have flame-arrester screen and self closing lid?
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Is a fire extinguisher located 25 to 75 feet from outside storage tanks and the storage tank(s) grounded?
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Are adequate "NO SMOKING" signs provided in fuel storage areas?
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Are portable storage containers properly marked?
Signs and Barricades
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Are signs and barricades used to protect the public from job hazards?
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Are stripping signage and barricades adequate?
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Are leading edge signage in use when needed?
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Are coworkers trained in the difference between caution and danger tape?
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Is caution and danger tape being used properly and removed when not needed?
House Keeping, Material Handling, and Rigging
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Are all aisle-ways and emergency routes clear of materials and debris?
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Are storage material near guardrails or leading edge?
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Are nails removed from scrap lumber?
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Are materials on upper floors secured to prevent displacement?
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Are non-compatible materials separated?
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Is picking eye available and used on forklift?
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Is rigging inspected daily and in good condition when in use?
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Are nylon straps free from cuts, frayes, or damage?
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Do wire ropes have legible tags and free from damage? (Not kinked, crushed or bird caged) ?
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Are whistles being used when flying material overhead?
Tools
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Are tools requiring guards equipped and in good working order?
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Are accessory handles present on drills, grinders?
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Are carpenters using two hands on saw?
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Are electrical cords in good condition?
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Are the data plate on tools legible?
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Are tools being inspected and used properly for the task?
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Are hoses on the air compressor secured?
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Has the saw depth been checked prior to cutting?
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Are coworkers trained to operate powder actuated tools?
Electrical
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Are GFCIs being inspected on a weekly basis and in good working order?
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Are temporary lights properly suspended?
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Are all electrical boxes, cords, receptacles, breakers, etc. being used for their intended use per NFPA, NEC, OSHA and their UL rating?
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Are cords running from boxes protected from cutting or pulling from box?
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Are extension cords being inspected daily?
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Are ground pin present on tools?
Ladders
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Are the spreaders on the step ladders locked?
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Are ladders inspected and in good condition with all required labels?
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Do side rails extend 36 inches above landings or ladder extensions installed?
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Are extension or job made ladders tied off or is an coworker holding the ladder?
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Are doorways barricades when ladders are set in from of them and a clear access/egress to the ladder?
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Are coworkers using ladders properly?
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Are job made ladder built properly (no double-headed nails)?
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Is the ladder placed at the proper angle (1-4)?
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Are double ladder or 2nd ladder when 25 + co-workers on deck?
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Are the manufacturer's labels affixed and legible?
Excavations
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Are coworkers protected from falling into pier or similar holes?
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Is the competent person present?
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Are excavations that are 5 feet or deeper in depth properly sloped, benched or shored?
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Have provisions been made to control water accumulation?
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Have excavations of 20 feet or more in depth been designed by a PE?
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Is heavy equipment kept a safe distance from the edge and the spoil pile a minimum of 2' from the excavation?
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Has proper access and egress been provided? (1 ladder every 25 coworker or every 25')
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Are the utility locates less then 10 days old and clearly marked?
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Is excavation properly barricaded and signs posted?
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Are utility locates clearly communicated with backhoe operator or were they pot-holed to the depth?
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Are under ground utilities protected while excavation is open?
Floor and Wall Openings, Stairways and Roofs
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Do all holes (2" or more) or perimeters that are 6 feet or more above a lower level have guardrails or hole covers?
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Are hole covers secured, marked "hole" or "cover" and capable of supporting intended loads?
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Are coworkers protected from falling objects?
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Are stacked materials kept at a safe distance from the toe boards?
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Do guardrails and stair nails meet OSHA requirements?
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Are steel stair pan treads filled?
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Is proper fall protection provided when needed?
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Are stairs and ladders properly constructed (no double-headed nails)?
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Are guardrail cables flagged every 6' with high visibility material?
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Is there access/egress for changes in elevation greater than 19" for walking working surfaces?
Structural
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Is there proper access/egress on elevated decks?
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Is there proper fire extinguishing equipment available?
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Are all protruding vertical and horizontal rebar capped?
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Is shoring and scaffolding installed properly and inspected before pour?
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Is housekeeping on elevated deck in order?
Heavy Equipment
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Are seat belts being used by operators?
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Are riders not allowed on the equipment?
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Does equipment have a functional back-up alarm?
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Are the operators driving equipment at safe speeds?
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Is the operator trained?
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Has the equipment been inspected and in good working order?
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Are picking eyes readily available for lifts?
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Is equipment attended to while running?
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Is parking brake set and all forks and buckets lowered to ground when equipment is not in use?
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Does equipment have fire extinguishers and required manufacturer labels?
Welding and Cutting - Supplement A
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Are all cylinders secured in an upright position?
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Is proper eye protection being used?
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Is there at least one 10 lb. extinguisher within 50 feet of oxygen and acetylene storage areas?
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Are oxygen and acetylene bottles stored 20 feet apart?
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Is there a fire watch for welding or cutting above combustible materials
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Is cutting torch in good working order?
Scaffolds - Supplement B
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Is fall protection provided for coworkers erecting or dismantling scaffold?
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Are scaffold set on firm, secure footings with base plates and mud sills?
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Are scaffolding components inspected and in good condition?
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Has the scaffold been tied off every 25 feet in height (ties must be installed when the height of the scaffold is more than 4 times than the minimum base width)
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Are scaffold boards properly overlapped and secured? (12")
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Are rolling scaffolds moved correctly? (Not being surfed from platform)
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Is fall protection and falling object protection provided?
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Have coworkers been trained in the hazards associated with scaffolds and scaffold work?
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Is the area below the scaffolding barricaded or toe-boards erected?
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Have the scaffolding been inspected and tagged?
Cranes - Supplement C
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Is the annual inspection current?
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Are the daily inspections being conducted?
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Is the operator's manual and load chart in the crane?
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Has the crane received the proper routine maintenance?
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Are operator's record of maintenance & crane company work-orders kept?
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Does the LMI and Anti-Two block work?
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Is there a fire extinguisher on the crane?
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Is the crane cab free from window crack?
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Is all rigging in good condition and inspected before each use?
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If outriggers are used, are they on a level surface?
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Is proper cribbing or matting used?
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Is the entire swing radius barricaded?
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Can the crane operator see the signal-person?
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Are the ANSI approved hand signals being used?
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Are two way radios being used to communicate with the opperator?
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Are cranes located a safe distance from power lines?
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Are chain sling inspected and documented (Monthly)?
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Is the rigging appropriate for the lift?
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Are tag-lines being used to control the load?
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Is weather conditions adequate for lifts?
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Is the crane appropriately sized?
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Is there a copy of the crane operator's qualification on file?
Aerial Lifts - Supplement D
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Are coworkers using proper fall protection?
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Are coworkers remaining on the platform at all times?
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Is the gate or chain closed when occupied?
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Are lifts set on level ground, per manufacturer's recommendations?
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Is operator trained?
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Are tools and materials secured from displacement?
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Has the equipment been inspected prior to use?
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Is the lifting capacity visible and appropriate for the task?
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Are office trailer clean and organized?
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Are electrical panels secured and safe?
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Are lanyards / retractable attached to proper anchorage points?
Hazard Communication
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Do the co-workers know the location of the master MSDS book?
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Are MSDS sheets maintained on each product in use?
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Are MSDS labels on each chemical container that is unmarked?
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Are co-workers properly trained on hazardous chemical present?
Office Trailer
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Are office trailer clean and organized?
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Have all waste bins emptied?
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Are electrical panels secured and safe?
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Are electrical panels secured and safe?
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If generator is used it is at a safe distance and have fire extinguisher within 25'?
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Scoring:
5 = Compliant or 95 - 100%, 4 = Positive Effort or 75 - 94%, 3 = Other or 50 - 74%, 2 = Serious or 25 - 49%,
1 = Repeat Serious or 0 - 24% -
This inspection reflects the condition of the job-site at the time of inspection and is limited by the portion of the site that was inspected
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This audit should be done on a monthly basis by the Superintended, designated B | DC coworker and turned in to the Safety Department, Project Manager and a copy of the audit should be filed in the job office.
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Superintendent's Name
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Select date
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Personnel Present
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"COMMITTED TO CREATING A HEALTHY LIFE, FREE OF INJURY, FOR ALL CO-WORKERS"