Munger Construction Site Safety Inspection Tier 1

• Project/Jobsite Name / Project Number:

  Select

• 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

  • 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

• 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

  • 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

• 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?

• Does Munger foreman have access to project specific heath and safety documents i.e. safety manual, site specific safety plans, JHA's)

  Yes

  No

  N/A

• 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:

• Where pedestrian areas are closed, safe alternatives are provided?

  Yes

  No

  N/A

• Other general liability / public observations/ recommendations:

  Yes

  No

  N/A

• Are jobsite safety signs posted at entrances?

  Yes

  No

  N/A

• Are traffic control signs posted when required?

  Yes

  No

  N/A

• Are hazard warning signs in place for workers and public?

  Yes

  No

  N/A

• Other signs, signals, barricades observations/ recommendations:

• Are there any active CBYD/DigSafe ticket?

  Yes

  No

  N/A

• Other permit observations/ recommendations:

  Yes

  No

  N/A

• Are frequent/regular inspections of the jobsite completed by Munger Supervisors? 1926.20(b)(2)

  Yes

  No

  N/A

• Employees are generally qualified by training or experience to operate equipment/ machinery? 1926.20(b)(4)

  Yes

  No

  N/A

• PPE (personal protective equipment) is provided to employees when required to protect workers exposed to hazards? 1926.20(f)(1)

  Yes

  No

  N/A

• Are employees generally trained on workplace/ jobsite hazards they are exposed to? 1926.20(f)(2)

  Yes

  No

  N/A

• What training is lacking?

• Are training records generally maintained onsite for employees? 1926.21(b)(2)

  Yes

  No

  N/A

• what training records are lacking?

• Are exits/egress unobstructed from the building or site? 1926.34(a)

  Yes

  No

  N/A

• Are exits marked by a visible sign? 1926.34(b)

  Yes

  No

  N/A

• Is there a documented emergency action plan (typically in the site specific safety plan)? 1926.35(a)

  Yes

  No

  N/A

• Is training conducted on the site specific or general emergency action plan? 1926.35(e)

  Yes

  No

  N/A

• Is there a new employee safety orientation active on this project?

  Yes

  No

  N/A

• Workers actively working are not using cell phones?

  Yes

  No

  N/A

• Other general heath and safety provisions observations/ recommendations:

• Is adequate supply of potable water shall be provided in all places of employment? 1926.51(a)(1)

  Yes

  No

  N/A

• Are toilets provided to employees? (1 toilet for 20 or less workers, 20 or more- 1 toilet seat/1 urinal per 40 workers)1926.51(c)(1)

  Yes

  No

  N/A

• Vermin control - Every enclosed workplace shall be so constructed, equipped, and maintained, so far as reasonably practicable, as to prevent the entrance or harborage of rodents, insects, and other vermin. 1926.51(h)

  Yes

  No

  N/A

• does noise appear to be over 90 decibels? 1926.52(a) (NA of NO)

  Yes

  No

  N/A

• What are the tasks over 90 dBA and are workers using hearing protection?

• Are lasers in use? (NA if NO)

  Yes

  No

  N/A

• Areas in which lasers are used shall be posted with standard laser warning placards? 1926.54(d)

  Yes

  No

  N/A

• Are workers exposed to hazardous chemicals listed on Table 1 to §1926.55—Permissible Exposure Limits for Airborne Contaminants?

  Pass

  Fail

  N/A

• what chemicals need to be investigated?

• is lighting generally well lite? 1926.56(a)

  Yes

  No

  N/A

• Identify poorly illuminated areas/ reference Table D-3 MINIMUM ILLUMINATION INTENSITIES IN FOOT-CANDLES

• Ventilation is adequate for identified dusts, fumes, mists, vapors, or gases? 1926.57(a)

  Yes

  No

  N/A

• What dust, fumes, mist, vapors, gases need to be investigated?

• Is lead present on the jobsite and if so will it be disturbed/ removed/ abated? 1926.62(a)

  Pass

  Fail

  N/A

• What lead work needs to be further investigated?

• 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:

• Is hot work being performed onsite? (NA if no)

  Yes

  No

  N/A

• Is a hot work permit completed? Documented permit.

  Yes

  No

  N/A

• Are fire extinguishers provided at hot work location?

  Yes

  No

  N/A

• Are fire extinguishers inspected annually and monthly on tag?

  Yes

  No

  N/A

• Is a fire watch in place for monitoring hot work?

  Yes

  No

  N/A

• Are combustible materials moved or covered in hot work areas?

  Yes

  No

  N/A

• 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 hand and power tools and similar equipment, whether furnished by the employer or the employee, shall be maintained in a safe condition? 1926.300(a)<br>

  Yes

  No

  N/A

• Are guards in place on hand and power tools when required?

  Yes

  No

  N/A

• Other hand and power tool observations/ recommendations:

• Is fire prevention in place for all welding and cutting?

  Yes

  No

  N/A

• Is welding equipment in good condition?

  Yes

  No

  N/A

• Are welders wearing welding specific PPE?

  Yes

  No

  N/A

• Other welding and cutting observations/ recommendations:

  Yes

  No

  N/A

• Is temporary power secured and accessible to workers onsite?

  Yes

  No

  N/A

• Are temporary cords in good condition?

  Yes

  No

  N/A

• Are workers maintaining proper clearances from electrical utilities?

  Yes

  No

  N/A

• Singular temporary cords used? (do not plug cords into cords)

  Yes

  No

  N/A

• Other electrical observations and recommendations:

• What types of scaffolding are in use?

• Is there scaffold competent persons onsite?

  Yes

  No

  N/A

• Are scaffold erected under the supervision of a competent person and by qualified erectors and dismantlers?

  Yes

  No

  N/A

• Do workers have required training to access and work from scaffolding?

  Yes

  No

  N/A

• Do workers have required training to erect and dismantle scaffolding?

  Yes

  No

  N/A

• Other scaffolding observations/ recommendations:

• Identify the type of WEMPS onsite (boom lifts, scissor lifts).

• Workers use harness/lanyard tied to approved anchor in basket? 1926.453(b)(2)(v)

  Yes

  No

  N/A

• Workers not tied off to adjacent structure/equipment? 1926.453(b)(2)(iii)

  Yes

  No

  N/A

• Operator(s) trained and/or authorized? 1926.453(b)(2)(ii)

  Yes

  No

  N/A

• Both feet on floor of basket? 1926.453(b)(2)(iv)

  Yes

  No

  N/A

• Boom/basket load limits not exceeded? 1926.453(b)(2)(vi)

  Yes

  No

  N/A

• MEWP is stationary when elevated? 1926.453(b)(2)(viii)

  Yes

  No

  N/A

• MEWP is inspected prior to use? 1926.453(b)(2)(i)

  Yes

  No

  N/A

• MEWP has a current annual inspection tag?

  Yes

  No

  N/A

• MEWP is at least 10 feet from energized power lines? ANSI/SIA 92.5

  Yes

  No

  N/A

• Access gate/opening closed when working in MEWP? ANSI/SIA A92.5

  Yes

  No

  N/A

• MEWP operated on level surface per mfg. specs? ANSI/SIA A92.5

  Yes

  No

  N/A

• Outriggers (when available) utilized as needed? ANSI/SIA A92.5

  Yes

  No

  N/A

• Work platform kept reasonably clear of debris? ANSI/SIA A92.5

  Yes

  No

  N/A

• Is MEWP operated within the wind speed service limit? ANSI/SIA A92.5

  Yes

  No

  N/A

• Is a legible copy of Operators Manual kept with MEWP? ANSI A92.22.4.3.1.4

  Yes

  No

  N/A

• Do workers have proper training to operate MEWP?

  Yes

  No

  N/A

• Other MEWP observations/ recommendation's:

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

  Yes

  No

  N/A

• Competent Person completes daily inspection? 1926.651(k)(1)

  Yes

  No

  N/A

• Employees protected from cave-in by protective system (if equal to or greater than 5')? 1926.652(b) or (c)

  Yes

  No

  N/A

• Sloping/benching adequate for soil type? 1926.652(b)

  Yes

  No

  N/A

• Spoils/material/equipment set back 2 feet from edge? 1926.651(j)(2)

  Yes

  No

  N/A

• Proper/safe means of access/egress provided? 1926.651(c)(2)

  Yes

  No

  N/A

• Travel distance to egress no more than 25 feet? 1926.651(c)(2)

  Yes

  No

  N/A

• Utilities located/identified prior to start of excavation? 1926.651(b)(2)

  Yes

  No

  N/A

• Surface encumbrances removed or supported? 1926.651(a)

  Yes

  No

  N/A

• Water runoff controlled to prevent accumulation? 1926.651(h)(3)

  Yes

  No

  N/A

• Trench barricaded when left unattended? (Best Practice)

  Yes

  No

  N/A

• Workers exposed to traffic wearing high-viz clothing? 1926.651(d)

  Yes

  No

  N/A

• Stability of adjacent structures ensured? 1926.651(i)(1)

  Yes

  No

  N/A

• Backfilling occurs as work proceeds? 1926.652(e)(1)(vi)

  Yes

  No

  N/A

• Soil not excavated more than 2 ft. below protective system? 1926.652(e)(2)(i)

  Yes

  No

  N/A

• Atmospheric conditions tested prior to entry when applicable? 1926.651(g)

  Yes

  No

  N/A

• Other excavation and trenching observations/ recommendations:

• Are concrete/masonry tasks/ hazards present and workers exposed? (NA if No)

  Yes

  No

  N/A

• Rebar guarded to eliminate impalement hazard? 1926.701(b)

  Yes

  No

  N/A

• Workers avoid working under buckets? 1926.701(e)(1)&(2)

  Yes

  No

  N/A

• Troweling machines equipped with auto shut-off? 1926.702(c)

  Yes

  No

  N/A

• Handles on concrete buggy within wheel width? 1926.702(d)

  Yes

  No

  N/A

• Connectors used to secure pressurized air hoses? 1926.702(e)(2)

  Yes

  No

  N/A

• Safety latches prevent accidental dumping of buckets? 1926.702(f)(1)

  Yes

  No

  N/A

• Masonry saw blades guarded? 1926.702(i)(1)

  Yes

  No

  N/A

• Formwork capable of supporting vertical/lateral loads? 1926.703(a)(1)

  Yes

  No

  N/A

• Base plates secured to foundation/formwork? 1926.703(b)(6)

  Yes

  No

  N/A

• Lifting inserts on tilt-up precast support 2x max. load? 1926.704(b)

  Yes

  No

  N/A

• Lifting hardware able to support 5x max. load? 1926.704(d)

  Yes

  No

  N/A

• Only erectors allowed under precast when lifted/tilted? 1926.704(e)

  Yes

  No

  N/A

• Walls over 8 feet braced to prevent collapse? 1926.706(b)

  Yes

  No

  N/A

• Other concrete/masonry observations/ recommendations:

• Are steel erection tasks/ hazards present and workers exposed? (NA if No)

  Yes

  No

  N/A

• Site layout graded, drained and adequate space? 1926.752(c)(2)

  Yes

  No

  N/A

• Documentation rec'd that footings can support load? 1926.752(b)

  Yes

  No

  N/A

• Crane(s) visually inspected at start of shift? 1926.753(c)(1)

  Yes

  No

  N/A

• Rigging equipment inspected at start of shift? 1926.753(c)(2)

  Yes

  No

  N/A

• Workers not allowed under suspended load? 1926.753(d)(1)

  Yes

  No

  N/A

• Multiple lifts do not exceed 5 members? 1926.753(e)(1)(ii)

  Yes

  No

  N/A

• Multiple lifts rigged 7 feet apart? 1926.753(e)(4)(iii)

  Yes

  No

  N/A

• Multiple lifts rigged at center of gravity/balanced? 1926.753(e)(4)(i)

  Yes

  No

  N/A

• Decked floor at least 30 ft. below erectors? 1926.754(b)(3)

  Yes

  No

  N/A

• Metal decking secured upon placement? 1926.754(e)(5)(i)

  Yes

  No

  N/A

• Guardrails/toeboards around structural openings? 1926.754(e)(2)(ii)

  Yes

  No

  N/A

• Floor opening covers substantial, marked, secured? 1926.754(e)(3)(i)

  Yes

  No

  N/A

• Columns anchored by min. 4 anchor rods/bolts? 1926.755(a)(1)

  Yes

  No

  N/A

• Structural members secured with two bolts per connection? 1926.756(a)(1)

  Yes

  No

  N/A

• Diagonal bracing secured with one bolt per connection? 1926.756(b)

  Yes

  No

  N/A

• Tools aloft secured against accidental displacement? 1926.759(a)

  Yes

  No

  N/A

• Contractors barred from working below erection activities? 1926.759(b)

  Yes

  No

  N/A

• Steel workers above 15 ft. protected from fall hazards? 1926.760(a)(1)

  Yes

  No

  N/A

• Connectors 2 stories/30 ft. up protected from fall hazards? 1926.760(a)(3)

  Yes

  No

  N/A

• Perimeter cables installed when decking completed? 1926.760(a)(2)

  Yes

  No

  N/A

• Perimeter cables flagged at 6 foot intervals? 1926.760

  Yes

  No

  N/A

• Custody of fall protection transferred when work is finished? 1926.760(e)

  Yes

  No

  N/A

• Other steel erection observations/ recommendations:

• Are demolition tasks/ hazards present and workers exposed? (NA if No)

  Yes

  No

  N/A

• Hazardous Materials survey completed, available for review?

  Yes

  No

  N/A

• Engineering survey completed, available for review? 1926.850(a)

  Yes

  No

  N/A

• Utilities shut off or controlled outside the building? 1926.850(c)

  Yes

  No

  N/A

• Glass fragmentation hazards removed? 1926.850(f)

  Yes

  No

  N/A

• Wall openings protected to height of 42 inches? 1926.850(g)

  Yes

  No

  N/A

• Warning signs for falling material posted each level? 1926.850(h)

  Yes

  No

  N/A

• Non-debris floor openings properly guarded? 1926.850(i)

  Yes

  No

  N/A

• Entrances guarded 8 ft. out on multi-story building? 1926.850(k)

  Yes

  No

  N/A

• Stairs/passageways/ladders in clean & safe condition? 1926.851(b)

  Yes

  No

  N/A

• Stairs/passageways/ladders in clean & safe condition? 1926.851(b)

  Yes

  No

  N/A

• Floor openings curbed when equipment in use? 1926.856(b)

  Yes

  No

  N/A

• Periodic inspections made by competent person? 1926.859(g)

  Yes

  No

  N/A

• Other demolition observations/ recommendations:

• Is any blasting or use of explosives' in use? If so describe and note for further investigation.

• Is heavy equipment in use? (NA if No)

  Yes

  No

  N/A

• Equipment in good condition/no obvious defects? 1926.601(b)(14)

  Yes

  No

  N/A

• Seatbelts on earth-moving equip. w/ROPs? (excluding Excavators) 1926.602(a)(2)(i)

  Yes

  No

  N/A

• Seat belts worn on equipment with ROPs? 1926.28(a)

  Yes

  No

  N/A

• Parking brake set when equipment is parked? 1926.600(a)(3)(ii)

  Yes

  No

  N/A

• Wheels chocked when needed (i.e. parked on incline)? 1926.600(a)(3)(ii)

  Yes

  No

  N/A

• Reverse alarm and/or spotter when backing? 1926.601-602(a)(9)(ii)

  Yes

  No

  N/A

• No passengers allowed on single-operator equipment? 1926.601(b)(8)

  Yes

  No

  N/A

• Windshields in good condition/no cracks? 1926.601(b)(5)

  Yes

  No

  N/A

• Slow Moving Vehicle placard when operating in traffic? (MUTCD)

  Yes

  No

  N/A

• Operator(s) competent/familiar with equipment controls? 1926.20(b)(4)

  Yes

  No

  N/A

• Equipment/attachments safe distance from energized power lines? 1926.600(a)(6)

  Yes

  No

  N/A

• Other heavy equipment observations/ recommendations:

• Ladders inspected/no visible defects? 1926.1053(b)(15)

  Yes

  No

  N/A

• Ladders set up on stable/level surface? 1926.1053(b)(6)

  Yes

  No

  N/A

• Ladders used correctly/as intended by mfg? 1926.1053(b)(4)

  Yes

  No

  N/A

• Stairs/ladder/ramp at elevation break of 19+ inches? 1926.1051(a)

  Yes

  No

  N/A

• Side rails extend 3 ft. above landing surface (extension ladders)? 1926.1053(b)(1)

  Yes

  No

  N/A

• Ladders set up at 4:1 angle (extension ladders)? 1926.1053(b)(5)(I)

  Yes

  No

  N/A

• Top of ladder secured to prevent side shift? 1926.1053(b)(1)

  Yes

  No

  N/A

• Base of ladder secured when conditions warrant? 1926.1053(b)(6)

  Yes

  No

  N/A

• Spreaders fully engaged on stepladders? 1926.1053(a)(8)

  Yes

  No

  N/A

• Workers avoid using top 2 steps of stepladder? 1926.1053(b)(13)

  Yes

  No

  N/A

• Area at top and bottom of ladder kept clear? 1926.1053(b)(9)

  Yes

  No

  N/A

• At least one hand free to grasp ladder? 1926.1053(a)(21)

  Yes

  No

  N/A

• Loads not carried that could cause loss of balance/fall? 1926.1053(b)(22)

  Yes

  No

  N/A

• Non-conductive ladder used if exposed to electrical hazard? 1926.1053(b)(12)

  Yes

  No

  N/A

• Damaged ladders tagged and removed from service? 1926.1053(b)(16)

  Yes

  No

  N/A

• Other ladder observations/ recommendations:

• Worksite has been evaluated for confined spaces?

  Yes

  No

  N/A

• Are there any permit required confined spaces? (NA of No)

  Yes

  No

  N/A

• List confined spaces for further investigation:

• Are cranes actively in use on this project?

  Yes

  No

  N/A

• Is there a documented pick plan?

  Yes

  No

  N/A

• Ground conditions adequate to support crane? 1926.1402(b)

  Yes

  No

  N/A

• Outriggers or stabilizers fully extended/properly deployed? 1926.1404(q)(1)

  Yes

  No

  N/A

• Blocking material sufficient to sustain loads/maintain stability? 1926.1404(q)(5)(i)

  Yes

  No

  N/A

• Blocking placed directly under float/pad? 1926.1404(q)(5)(ii

  Yes

  No

  N/A

• Operator visually warned of overhead power lines? 1926.1408(b)(3)

  Yes

  No

  N/A

• Visual inspection by competent person completed each shift? 1926.1412(d)

  Yes

  No

  N/A

• Monthly crane inspections completed? 1926.1412(e)

  Yes

  No

  N/A

• Annual crane inspection completed/current? 1926.1412(f)(1)

  Yes

  No

  N/A

• Cranes w/ aux. line (telescopic etc.) have anti two-block device? 1926.1416(d)(3)(i)

  Yes

  No

  N/A

• Crane load capacities/operator manual kept in cab? 1926.1417(c)

  Yes

  No

  N/A

• Adequate communication between signal person & operator? 1926.1419(e)

  Yes

  No

  N/A

• Hand signal chart available? 1926.1422

  Yes

  No

  N/A

• Crane radius is properly identified? 1926.1424(a)

  Yes

  No

  N/A

• Workers kept clear of suspended loads? 1926.1425(b)

  Yes

  No

  N/A

• Only qualified riggers allowed to rig loads? 1926.1425(c)(3)

  Yes

  No

  N/A

• Signal person(s) trained, qualified and authorized? 1926.1428(a)

  Yes

  No

  N/A

• Operator certified by accredited testing organization? 1926.1427(d)(1)(i)

  Yes

  No

  N/A

• Operators properly evaluated/qualified? 1926.1427(f)(1)-(7)

  Yes

  No

  N/A

• Tag lines used on loads that swing/rotate? 1926.1417(w)

  Yes

  No

  N/A

• Are cranes operated within the wind speed service limit?

  Yes

  No

  N/A

• Other crane observation/ recommendations:

• Are chemicals present onsite?

  Yes

  No

  NA

• Chemical inventory list maintained? 1910.1200(e)(1)(i)

  Yes

  No

  N/A

• SDS kept at worksite for each hazardous chemical?1910.1200(g)(1)

  Yes

  No

  N/A

• SDS's readily accessible to employees as needed? 1910.1200(g)(8)

  Yes

  No

  N/A

• Chemicals (in supplier container) properly labeled/legible? 1910.1200(f)(6)(i)

  Yes

  No

  N/A

• Chemicals (in secondary container) properly labeled/legible? 1910.1200(f)(6)(ii)

  Yes

  No

  N/A

• Employees effectively trained & demonstrate competency? 1910.1200(h)(1)

  Yes

  No

  N/A

• Other hazard communication (chemical safety) observations/ recommendations:

• Controls (based Table 1 Tasks) in place to minimize silica exposure? 1926.1153(c)(1)

  Yes

  No

  N/A

• Exhaust provided for indoor tasks where silica exposure occurs? 1926.1153(c)(2)(i)

  Yes

  No

  N/A

• Proper respirator used (as required) and worn properly? 1926.1153(e)

  Yes

  No

  N/A

• Wet sweeping or HEPA vacuuming used to clean up silica dust? 1926.1153(f)(1)

  Yes

  No

  N/A

• Written exposure control plan developed/implemented? 1926.1153(g)(1)

  Yes

  No

  N/A

• Competent person conducts frequent site inspections? 1926.1153(g)(4)

  Yes

  No

  N/A

• Employees trained on hazards associated with silica exposure? 1926.1153(i)(2)

  Yes

  No

  N/A

• Records of air sampling and medical surveillance maintained? 1926.1153(j)

  Yes

  No

  N/A

• Other silica 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:

• 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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