Munger Construction- Safety Observation Tier 2

• Project/Jobsite Name / Project Number:

  Select

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• Inspection date:

  Date
• Location:
  Address

• Munger Project Manager:

  Select Bell, Michael Benbow, Geoff Buydos, Mike Candee, Chris Cormier, Mike Sr. Cormier, Mike Jr. Croteau, Scott DeMaio, David DeMaio, James DeMaria, Peter Desarbo, John Egersheim, Joe Esposito, Nick Hintz, Mark Kallert, Bill Kostek, Alan Koziy, Mike Kruglik, Kyle Kruglik, Peter Lamberton, Dan Lamberton, Stewart Landon, Jeff Lushinks, John Martucci, John Mozzichi, Mike Pierandi, Joe Raccio, Joe Robarge, Brian Silvis, Tyler Bombaci, Paul

  • Bell, Michael
  • Benbow, Geoff
  • Buydos, Mike
  • Candee, Chris
  • Cormier, Mike Sr.
  • Cormier, Mike Jr.
  • Croteau, Scott
  • DeMaio, David
  • DeMaio, James
  • DeMaria, Peter
  • Desarbo, John
  • Egersheim, Joe
  • Esposito, Nick
  • Hintz, Mark
  • Kallert, Bill
  • Kostek, Alan
  • Koziy, Mike
  • Kruglik, Kyle
  • Kruglik, Peter
  • Lamberton, Dan
  • Lamberton, Stewart
  • Landon, Jeff
  • Lushinks, John
  • Martucci, John
  • Mozzichi, Mike
  • Pierandi, Joe
  • Raccio, Joe
  • Robarge, Brian
  • Silvis, Tyler
  • Bombaci, Paul

• Munger Superintendent/ Supervisor:

  Select Bell, Michael Benbow, Geoff Buydos, Mike Candee, Chris Cormier, Mike Sr. Cormier, Mike Jr. Croteau, Scott DeMaio, David DeMaio, James DeMaria, Peter Desarbo, John Egersheim, Joe Esposito, Nick Hintz, Mark Kallert, Bill Kostek, Alan Koziy, Mike Kruglik, Kyle Kruglik, Peter Lamberton, Dan Lamberton, Stewart Landon, Jeff Lushinks, John Martucci, John Mozzichi, Mike Pierandi, Joe Raccio, Joe Robarge, Brian Silvis, Tyler Bombaci, Paul

  • Bell, Michael
  • Benbow, Geoff
  • Buydos, Mike
  • Candee, Chris
  • Cormier, Mike Sr.
  • Cormier, Mike Jr.
  • Croteau, Scott
  • DeMaio, David
  • DeMaio, James
  • DeMaria, Peter
  • Desarbo, John
  • Egersheim, Joe
  • Esposito, Nick
  • Hintz, Mark
  • Kallert, Bill
  • Kostek, Alan
  • Koziy, Mike
  • Kruglik, Kyle
  • Kruglik, Peter
  • Lamberton, Dan
  • Lamberton, Stewart
  • Landon, Jeff
  • Lushinks, John
  • Martucci, John
  • Mozzichi, Mike
  • Pierandi, Joe
  • Raccio, Joe
  • Robarge, Brian
  • Silvis, Tyler
  • Bombaci, Paul

• Munger Manpower Onsite:

• Subcontractors Onsite (company names):

• Subcontractor Manpower Onsite (total workers):

• Weather:

• Upcoming critical task/ scope:

• Pointman Consultant Onsite (inspection completed by):

Project Overview

• Project description / tasks observed during inspection:

Munger Self Performing Observations

• Worker safety behaviors/ positive findings:

• Weekly toolbox talk completed?

  Yes

  No

  N/A

• what is the toolbox talk topic covered for this week?

• Specific Munger workers recognized for positive safety behaviors i.e. positive interaction with Pointman consultant, brought attention to a hazard/ corrective action, made a safety suggestion:

• Have any infractions occurred during the site safety inspection (reference Munger Employee/Subcontractor Accountability SOP) (NA if NO)

  Yes

  No

  N/A

• Infraction Description (Munger employee or subcontractor)

• Infraction Severity:

  Minor Infraction

  Serious Infraction

• Infraction notice of violation documented?

  Yes

  No

  N/A

• Infraction corrective action established:

• Is PPE worn as required for tasks and hazards? (overview of site compliance) 1926.95(a)

  Good

  Fair

  Poor

  N/A

• Foot protection is worn meeting Z41.1-1967? (sturdy work boots in good condition)

  Yes

  No

  N/A

• Workers are observed wearing hardhats? 1926.100(a) <br>

  Yes

  No

  N/A

• Workers are observed using hearing protection when applicable? 1926.101(a)

  Yes

  No

  N/A

• Workers are observed wearing eye and face protection when applicable? 1926.102(a)(1)

  Yes

  No

  N/A

• Workers are observed wearing respiratory protection when applicable? 29 CFR 1910.134

  Yes

  No

  N/A

• Why is respiratory protection being worn?

• Are workers medically cleared and fit tested for REQUIRED respiratory protection?

  Yes

  No

  N/A

• Are workers wearing hi-vis shirts or vests?

  Yes

  No

  N/A

• Are workers wearing gloves for specific material handling hazards (lacerations, cuts, crushing, etc)?

  Yes

  No

  N/A

• Other PPE observations/ recommendations:

• PPE requests from Munger employees/ supervisors:

• Pointman PPE provided:

• Are materials stored in tiers shall be stacked, racked, blocked, interlocked, or otherwise secured to prevent sliding, falling or collapse?1926.250(a)(1)

  Yes

  No

  N/A

• Are aisles and passageways shall be kept clear to provide for the free and safe movement of material handling equipment or employees? 1926.250(a)(3)

  Yes

  No

  N/A

• Are materials on roofs stored minimum 10' from roof edge or drop below? 1926.250(b)(1)

  Yes

  No

  N/A

• Are storage areas shall be kept free from accumulation of materials that constitute hazards from tripping, fire, explosion, or pest harborage? 1926.250(c)

  Yes

  No

  N/A

• Is waste/ construction debris removed from site/ stored in dumpsters?

  Good

  Fair

  Poor

  N/A

• What is the overall housekeeping condition of the jobsite?

  Good

  Fair

  Poor

  N/A

• Is rigging equipment (slings/ chains/ spreader bars, etc) in good condition for material handling? 1926.251(a)(1)

  Good

  Fair

  Poor

  N/A

• Other material storage / housekeeping observations/ recommendations:

• Are fall hazards present and workers exposed? (NA if No)

  Yes

  No

  N/A

• Are workers protected on walking/working surface (horizontal and vertical surface) with an unprotected side or edge which is 6 feet (1.8 m) or more above a lower level shall be protected from falling by the use of guardrail systems, safety net systems, or personal fall arrest systems?1926.501(b)(1)

  Yes

  No

  N/A

• Workers utilize PFAS as required? 1926.501(b)(1)

  Yes

  No

  N/A

• Fall protection equipment is properly selected?

  Yes

  No

  N/A

• Fall protection equipment is in good condition / inspected?

  Yes

  No

  N/A

• Suitable anchorage provided/used? 1926.502(d)(15)

  Yes

  No

  N/A

• PFA rigged to limit free fall to no more than 6 ft? 1926.502(d)(16)(iii)

  Yes

  No

  N/A

• Steps taken and adequate to prevent falls thru holes? 1926.501(b)(4)(i)&(ii)

  Yes

  No

  N/A

• Ramps, walkways, catwalks etc. provided w/ guardrails at heights of 6ft.+? 1926.501(b)(6)

  Yes

  No

  N/A

• Steps taken to prevent falling object hazards? 1926.501(c)

  Yes

  No

  N/A

• Guardrails installed, maintained and compliant? 1926.502(b) (42'' plus or minus 3")

  Yes

  No

  N/A

• Guardrails able to withstand 200 lb. force? 1926.502(b)(3)

  Yes

  No

  N/A

• Other fall protection observations/ recommendations:

• Are there any incidents to report today?

  Yes

  No

  NA

• Describe the incident for further investigation:

• Are there any injuries to report today?

  Yes

  No

  NA

• Describe the injury for further investigation:

• Safety Observation:

• Safety Observation:

• Safety Observation:

• Safety Observation:

• Safety Observation:

• Safety Observation:

• Safety Observation:

• All hazards, recommendations, and safety related items listed in this report are subject to change throughout the shift. All imminent danger or serious safety hazards will be reported directly to the onsite foreman /supervisors. it is the responsibility of Munger Construction to abate all hazards noted in this report. This is a service provided by our company and is not intended to detect or identify all potential causes of loss, code violations, or exceptions to good practice and does not relieve your company of responsibilities to identify and correct unsafe practices or conditions on the premises and in its operations. We do not assume any liability because of conducting or providing such service.

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