Title Page

  • Project/Jobsite Name / Project Number:

  • Inspection date:

  • Location:
  • Munger Project Manager:

  • Munger Superintendent/ Supervisor:

  • 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?

  • 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)

  • 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:

Munger Employee and Subcontractor Safety Accountability

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

  • Infraction Description (Munger employee or subcontractor)

  • Infraction Severity:

  • Infraction notice of violation documented?

  • Infraction corrective action established:

General Liability

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

  • Other general liability / public observations/ recommendations:

Signs, Signals, and Barricades

  • Are jobsite safety signs posted at entrances?

  • Are traffic control signs posted when required?

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

  • Other signs, signals, barricades observations/ recommendations:

Permits

  • Are there any active CBYD/DigSafe ticket?

  • Other permit observations/ recommendations:

General Health and Safety Provisions

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

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

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

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

  • What training is lacking?

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

  • what training records are lacking?

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

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

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

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

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

  • Workers actively working are not using cell phones?

  • Other general heath and safety provisions observations/ recommendations:

Occupational Health and Environmental Controls

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

  • 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)

  • 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)

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

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

  • Are lasers in use? (NA if NO)

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

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

  • what chemicals need to be investigated?

  • is lighting generally well lite? 1926.56(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)

  • 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)

  • What lead work needs to be further investigated?

PPE (personal protective equipment)

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

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

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

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

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

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

  • Why is respiratory protection being worn?

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

  • Are workers wearing hi-vis shirts or vests?

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

  • Other PPE observations/ recommendations:

  • PPE requests from Munger employees/ supervisors:

  • Pointman PPE provided:

Fire Protection and Prevention

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

  • Is a hot work permit completed? Documented permit.

  • Are fire extinguishers provided at hot work location?

  • Are fire extinguishers inspected annually and monthly on tag?

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

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

Material Handling, Storage, and Disposal- Housekeeping

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

  • 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)

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

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

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

  • What is the overall housekeeping condition of the jobsite?

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

  • Other material storage / housekeeping observations/ recommendations:

Hand and Power Tools

  • 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>

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

  • Other hand and power tool observations/ recommendations:

Welding and Cutting

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

  • Is welding equipment in good condition?

  • Are welders wearing welding specific PPE?

  • Other welding and cutting observations/ recommendations:

Electrical

  • Is temporary power secured and accessible to workers onsite?

  • Are temporary cords in good condition?

  • Are workers maintaining proper clearances from electrical utilities?

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

  • Other electrical observations and recommendations:

Scaffolding (Identify the type of scaffolding onsite)

  • What types of scaffolding are in use?

  • Is there scaffold competent persons onsite?

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

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

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

  • Other scaffolding observations/ recommendations:

Aerial Lifts (MEWPS- mobile elevated work platforms)

  • 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)

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

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

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

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

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

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

  • MEWP has a current annual inspection tag?

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

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

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

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

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

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

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

  • Do workers have proper training to operate MEWP?

  • Other MEWP observations/ recommendation's:

Fall Protection

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

  • 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)

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

  • Fall protection equipment is properly selected?

  • Fall protection equipment is in good condition / inspected?

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

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

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

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

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

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

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

  • Other fall protection observations/ recommendations:

Excavations

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

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

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

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

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

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

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

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

  • Surface encumbrances removed or supported? 1926.651(a)

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

  • Trench barricaded when left unattended? (Best Practice)

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

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

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

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

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

  • Other excavation and trenching observations/ recommendations:

Concrete and Masonry Construction

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

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

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

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

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

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

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

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

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

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

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

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

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

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

  • Other concrete/masonry observations/ recommendations:

Steel Erection

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

  • Perimeter cables flagged at 6 foot intervals? 1926.760

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

  • Other steel erection observations/ recommendations:

Demolition

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

  • Hazardous Materials survey completed, available for review?

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

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

  • Glass fragmentation hazards removed? 1926.850(f)

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

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

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

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

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

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

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

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

  • Other demolition observations/ recommendations:

Blasting and Use of Explosives

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

Heavy Equipment Use

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

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

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

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

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

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

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

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

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

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

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

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

  • Other heavy equipment observations/ recommendations:

Ladders

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

  • Other ladder observations/ recommendations:

Confined Space in Construction

  • Worksite has been evaluated for confined spaces?

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

  • List confined spaces for further investigation:

Cranes

  • Are cranes actively in use on this project?

  • Is there a documented pick plan?

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

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

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

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

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

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

  • Monthly crane inspections completed? 1926.1412(e)

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

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

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

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

  • Hand signal chart available? 1926.1422

  • Crane radius is properly identified? 1926.1424(a)

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

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

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

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

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

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

  • Are cranes operated within the wind speed service limit?

  • Other crane observation/ recommendations:

Hazard Communication

  • Are chemicals present onsite?

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

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

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

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

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

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

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

Silica Exposure

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

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

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

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

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

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

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

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

  • Other silica observations/ recommendations:

Injuries, Incidents, Near Misses

  • Are there any incidents to report today?

  • Describe the incident for further investigation:

  • Are there any injuries to report today?

  • Describe the injury for further investigation:

Conclusion

  • 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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