Information
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Conducted on
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Job Name / Job Number
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Superintendent
GENERAL SAFETY
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1. OSHA Posters
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Corrective action taken.
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Date corrected
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2. Emergency Procedures In Place
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Corrective action taken.
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Date corrected
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3. Emergency Postings
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Corrective action taken.
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Date corrected
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4. SDS Available
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Corrective action taken.
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Date corrected
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5. Sub Safety Program On Hand
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Corrective action taken.
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Date corrected
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6. Head Protection
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Corrective action taken.
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Date corrected
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7. Eye Protection
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Corrective action taken.
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Date corrected
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8. Hearing Protection
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Corrective action taken.
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Date corrected
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9. Proper Footwear
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Corrective action taken.
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Date corrected
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10. Housekeeping
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Corrective action taken.
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Date corrected
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11. Fall Protection
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Corrective action taken.
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Date corrected
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12. Guardrails
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Corrective action taken.
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Date corrected
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13. Floor Openings Protected
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Corrective action taken.
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Date corrected
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14. G.F.C.I. / Extension Cords
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Corrective action taken.
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Date corrected
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15. Electrical Equipment
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Corrective action taken.
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Date corrected
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16. Power Lines & Utilities
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Corrective action taken.
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Date corrected
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17. Excavations / Competent Person
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Corrective action taken.
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Date corrected
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18. Soil Type Determined
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Manual Test Performed
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Visual Test Performed
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19. Protective System Adequate
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Corrective action taken.
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Date corrected
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Add media
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20. Spoil Piles Properly Placed
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Corrective action taken.
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Date corrected
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21. Access to Excavation
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Corrective action taken.
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Date corrected
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22. Scaffold / Guardrail
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Corrective action taken.
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Date corrected
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23. Scaffold / Access
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Corrective action taken.
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Date corrected
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24. Flammable Liquids
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Corrective action taken.
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Date corrected
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25. Compressed Gas Cylinders
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Corrective action taken.
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Date corrected
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26. Fire Extinguishers
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Corrective action taken.
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Date corrected
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27. Crane / Hoist Operations
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Corrective action taken.
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Date corrected
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28. Crane Operators Certified
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Corrective action taken.
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Date corrected
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29. Rigging Inspections
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Corrective action taken.
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Date corrected
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30. Equipment Operations
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Corrective action taken.
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Date corrected
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31. Equipment Warning Devices
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Corrective action taken.
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Date corrected
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32. Roll Over Protection
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Corrective action taken.
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Date corrected
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33. High Visibility Clothing
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Corrective action taken.
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Date corrected
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34. Traffic Control / Signage
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Corrective action taken.
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Date corrected
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35. Forklift Operators Certified
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Corrective action taken.
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Date corrected
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36. Chemicals / Labeling
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Corrective action taken.
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Date corrected
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37. Hand Tools
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Corrective action taken.
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Date corrected
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38. Ladders / Stairways
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Corrective action taken.
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Date corrected
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39. Rebar Protection
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Corrective action taken.
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Date corrected
General Observations (list any item not covered in audit or positive comments below)
Inspector Signature
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Add signature
Project Superintendent Signature
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Add signature
