MTA C&D E.S Construction site inspection form 12D

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Project name

• Location
  Address

• EED Inspector name

Work area set up

• Silica signs posted

  Yes

  No

  N/A

• Silica red work area tape at entrance to the area

  Yes

  No

  N/A

• Silica HEPA vacuums being used

  Yes

  No

  N/A

• Power tools with factory attached HEPA vacuums being used

  Yes

  No

  N/A

• Sewer and track drains have been sealed

  Yes

  No

  N/A

• What environmental dust controls are being used: water spraying with additives

  Yes

  No

  N/A

• OSS approval letter for the product on site

  Yes

  No

  N/A

• List how the contractor workers are using adequate water supply to keep dust down. List all that apply

• How’s the contractor collection spent water

• Has the contractor tested the water prior to disposal

  Yes

  No

  N/A

Observation Log

• Work area:

• Contract number

• General Contractor

• Contractor schedule sent to EED

  Yes

  No

  N/A

• Environmental Consultant

• NYCT Contractors approved work plan is on site

  Yes

  No

  N/A

• Has baseline sampling been performed as per work plan

  Yes

  No

  N/A

• Explain why not

• Has the contractor conducted personal air monitoring on the first day of each job activity on the site

  Yes

  No

  N/A

• Were the sample results forwarded to EED

  Yes

  No

  N/A

• Safety engineer on site (Name)

• Has the safety engineer conducted a daily Safety meeting for all workers on site

  Yes

  No

  N/A

• Contractor defiency

• Explain why and when

• Corrective action taken

• Corrective action closed

  Date

• Contractor PPE on site

• Contractor equipment on site