Monthly Safety Review

• Project Name (Subdivision/Lot #)

• Project Address

• Customer / Client Name

• Subcontractor's Onsite

• BFS Representative Completing Form

• Conducted on

  Date

• Project Description

ADMINISTRATIVE:

• Are all Subcontractors Contracts signed, on file and available for review

  Compliant

  Non-Compliant

  N/A

• Are Subcontractors Insurance on file and available for review

  Compliant

  Non-Compliant

  N/A

• Is the Safety Addendum signed, on file and available for review

  Compliant

  Non-Compliant

  N/A

• Are all Project Manager's completing 1 Weekly Safety Inspection per week to meet CFR 1926.20b - Frequent and Regular Inspections?

  Compliant

  Non-Compliant

  N/A

GENERAL AREAS/SITE COMPLIANCE:

• Is a fire extinguisher and first aid kit available onsite

  Compliant

  Non-Compliant

  N/A

• Heat Stress – Is there adequate potable drinking water

  Compliant

  Non-Compliant

  N/A

• HazCom – Substance list and safety data sheets on site

  Compliant

  Non-Compliant

  N/A

• Toolbox Talk – Available onsite

  Compliant

  Non-Compliant

  N/A

• Forklift Operations – Review daily forklift Inspection report, operators trained, seat belt use

  Compliant

  Non-Compliant

  N/A

• Cranes – Swing radius protected, and, Daily inspections Completed

  Compliant

  Non-Compliant

  N/A

• Is there a competent person with knowledge of safety onsite

  Compliant

  Non-Compliant

  N/A

HOUSEKEEPING/SANITATION:

• Is there clear access/egress through walkways/exits

  Compliant

  Non-Compliant

  N/A

• Are building materials stored/stacked neatly onsite

  Compliant

  Non-Compliant

  N/A

• Is a dumpster available onsite and adequately maintained

  Compliant

  Non-Compliant

  N/A

• Are toilet facilities available and adequately maintained

  Compliant

  Non-Compliant

  N/A

PPE:

• Are hardhats being worn at all times

  Compliant

  Non-Compliant

  N/A

• Are Work boots being worn onsite, no sneakers

  Compliant

  Non-Compliant

  N/A

• When required is eye protection and gloves being used

  Compliant

  Non-Compliant

  N/A

• Are Respirators used when/where appropriate

  Compliant

  Non-Compliant

  N/A

• All Failed areas Above Must have Details of a Corrective Action Plan

FALL PROTECTION:

• Guardrails-Installed on all Balconies, Wall/Window Openings that are 6' Above Grade

  Compliant

  Non-Compliant

  N/A

• Guardrails are Installed for Stairs with 4 or more Risers

  Compliant

  Non-Compliant

  N/A

• Personal Fall Protection Systems in place and utilized to manufacturers specifications

  Compliant

  Non-Compliant

  N/A

• Written Fall Protection Plan- available where a fall protection system is infeasible

  Compliant

  Non-Compliant

  N/A

• All Failed areas Above Must have Details of a Corrective Action Plan

LADDERS/SCAFFOLDS:

• Are ladders in good condition and being used to manufacturers specifications

  Compliant

  Non-Compliant

  N/A

• Are Type 1 or 1A construction rated ladders being utilized onsite

  Compliant

  Non-Compliant

  N/A

• Are extension ladders secured and extending 3’ above the working surface

  Compliant

  Non-Compliant

  N/A

• Scaffolds–Secured and installed to manufacturers specifications

  Compliant

  Non-Compliant

  N/A

• Scaffolds–Is there tools/material accumulation overloading work platforms

  Compliant

  Non-Compliant

  N/A

• All Failed areas Above Must have Details of a Corrective Action Plan

POWER TOOLS:

• All power/hand tools in good condition and being utilized to manufacturers specifications

  Compliant

  Non-Compliant

  N/A

• Are all guards and safety devices operable and in place to manufacturers specifications

  Compliant

  Non-Compliant

  N/A

• All power cords/cord sets in good condition

  Compliant

  Non-Compliant

  N/A

• All Failed areas Above Must have Details of a Corrective Action Plan

• Field Representative (Printed Name)

• Representative Completing Form Signature

  Sign

• Affected Subcontractor Supervisor Signature (If on site)

  Sign