Newcomb and Company Field Jobsite Safety Inspection Report

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Add media

  Media

DESCRIPTION OF FACILITY AND SCOPE OF WORK

• Line Item Rating Information:
  2 - Meets Requirements
  1 - Needs Improvement
  0 - Totally Unacceptable
  NA - Not Acceptible

Job site Faclites

• Location of nearest Emergency Room and Urgent Care Center

• First Aid supplies available on job site

  0

  1

  2

  N/A

• Hand washing materials and toilet facilities available

  0

  1

  2

  N/A

• Safety Data Sheets and Safe Work Practices Manual Available

  0

  1

  2

  N/A

• Emergency Preparedness: Evacuation route

  0

  1

  2

  N/A

• Safety Bulletin Board current and orderly

  0

  1

  2

  N/A

HOUSEKEEPING OF SITE

• Good site layout of materials

  0

  1

  2

  N/A

• Site access/dust control

  0

  1

  2

  N/A

• Site Housekeeping/Controls

  0

  1

  2

  N/A

• Trash containers used, covered, and removed when necessary

  0

  1

  2

  N/A

• Material Stacked and stable

  0

  1

  2

  N/A

• Flammable - combustible stored/access clear

  0

  1

  2

  N/A

• Passageways/walkways clear at all times

  0

  1

  2

  N/A

• Holes covered, identified and secured

  0

  1

  2

  N/A

• Cords/cables routed properly out of walkway

  0

  1

  2

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Employees wearing correct PPE for tasks

  Yes

  No

  N/A

• Head protection worn at all times

  Yes

  No

  N/A

• Eye protection appropriate for hazards - Note if face shields needed

  Yes

  No

  N/A

• Knee Protection as required for tasks

  Yes

  No

  N/A

• Foot protection - hard soled protective toe boots worn

  Yes

  No

  N/A

• Hearing Protection appropriate for hazards

  Yes

  No

  N/A

• Hand protection appropriate for hazards (gloves for task given)

  0

  1

  2

  N/A

• Proper work clothing

  Yes

  No

  N/A

• Respiratory protection as required for tasks

  Yes

  No

  N/A

• Chemical Protection appropriate for hazards

  Yes

  No

  N/A

• Fall protection and anchor points adequate - Note rooftops must be 6 foot from unprotected edge!

  0

  1

  2

  N/A

• NFPA 70E PPE available/used - Refer to SWP5 - General Electrical Safety

  Yes

  No

  N/A

EMPLOYEE WORK OBSERVATIONS

• Pre-Task planning form used before starting project

  0

  1

  2

  N/A

• Employees working on scissor lifts properly

  0

  1

  2

  N/A

• Employee's were handling materials properly

  0

  1

  2

  N/A

• Lifting and moving devices were available

  0

  1

  2

  N/A

• Employees observed using ladders properly,

  0

  1

  2

  N/A

• Employees are trained on operating equipment being used

  0

  1

  2

  N/A

• Employees using fall protection properly

  0

  1

  2

  N/A

SAFETY PROCEDURES

• Electrical Hazards identified

  Safe

  At Risk

  N/A

• Hazardous Energy Control Program - Lock Out/Tag Out

  0

  1

  2

  N/A

• Confined Space Identified

  0

  1

  2

  N/A

• Confined Space- Entry

  Safe

  At Risk

  N/A

• Hazard Communication labeling in use

  Yes

  No

  N/A

• Machine guarding hazards identified

  Safe

  At Risk

  N/A

HAND TOOLS

• Correct tools and use for task being observed

  Yes

  No

  N/A

• Defective tool program in use

  Yes

  No

  N/A

• No makeshift tools being used

  Yes

  No

  N/A

POWERED HAND TOOLS

• Defective tool program in use

  0

  1

  2

  N/A

• Properly grounded or double insulated cords

  Yes

  No

  N/A

• GFCI in use

  0

  1

  2

  N/A

• Drills, grinders are properly guarded at all times

  Yes

  No

  N/A

• Inspections of electrical cords and connectors

  0

  1

  2

  N/A

• Inspection and maintenance - daily/monthly of power tools

  Yes

  No

  N/A

LADDERS, RAMPS, AND STAIRS

• Ladders inspected before use

  0

  1

  2

  N/A

• Ladder design and use correct for task

  0

  1

  2

  N/A

• Secure at top and/or base

  0

  1

  2

  N/A

• Side rails extend 3' above top platform

  0

  1

  2

  N/A

• Rungs not over 12" on center & regular spacing

  0

  1

  2

  N/A

• Stairways completed for use

  0

  1

  2

  N/A

• Handrails provided as required

  0

  1

  2

  N/A

FIRE PREVENTION/PROTECTION

• Adequate fire extinguishers for hazards

  0

  1

  2

  N/A

• Proper type and location

  0

  1

  2

  N/A

• Fire watches trained and posted where required

  0

  1

  2

  N/A

• Flammable materials in approved containers

  0

  1

  2

  N/A

WELDING/CUTTING

• Cylinders secured and upright

  0

  1

  2

  N/A

• Gauges removed during relocation (individual)

  0

  1

  2

  N/A

• Condition of hoses inspected daily

  0

  1

  2

  N/A

• Fire extinguishers present - 10lb ABC minimum within 50' of hot work operations

  0

  1

  2

  N/A

• PPE for welding used

  0

  1

  2

  N/A

• Welding shields in use

  0

  1

  2

  N/A

• Grounding - close to work station

  0

  1

  2

  N/A

• Cable condition inspected/rolled up not in use

  0

  1

  2

  N/A

• Hot work permit issued

  0

  1

  2

  N/A

• Equipment off when not in use.

  0

  1

  2

  N/A

• Machine Frame grounded

  0

  1

  2

  N/A

• Flash back arrestors installed

  0

  1

  2

  N/A

POWDER ACTUATED TOOLS

• Appropriate eye protection being used

  0

  1

  2

  N/A

• Ear protection used as required

  0

  1

  2

  N/A

• Control of cartridges

  0

  1

  2

  N/A

• Equipment used per manufacturer recommendation

  0

  1

  2

  N/A

• Trained and Qualified Operator

  0

  1

  2

  N/A

• Signs posted where being used

  0

  1

  2

  N/A

CRANES/LIFTING

• Operator qualified/certification

  0

  1

  2

  N/A

• Qualified rigger/signal person when required.

  0

  1

  2

  N/A

ADDITIONAL INFORMATION

SiGNATURES

• Inspector

  Sign

• Supervisor/Foreman

  Sign

• Inspector's Comments: (Document any critical observations, serious safety violations observed, employee(s) counseling required deficeincy training and/or disciplinary actions.

• Employee/Supervisor/Foreman Comments: