Title Page
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Center Name
- Albuquerque JCC - 1500 Indian School Road NW, Albuquerque, NM. 87104
- David L. Carrasco JCC - 1115 Gateway Blvd, El Paso, TX. 79935
- Denison JCC - 10 Opportunity Drive, Denison, IA. 51442
- Jacksonville JCC - 4811 Payne Stewart Drive, Jacksonville, FL. 32209
- Old Dominion JCC - 1073 Father Judge Road, Monroe, VA. 24574
- Paul Simon JCC - 3348 S. Kedzie Avenue, Chicago, IL. 60623
- Pinellas County JCC - 500 22nd Street S, St. Petersburg, FL. 33712
- Pittsburgh JCC - 7175 Highland Drive, Pittsburgh, PA. 15206
- Potomac JCC - 1 DC Village Lane SW, Washington, D.C. 20032
- Turner JCC - 2000 Schilling Avenue, Albany, GA. 31705
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Inspection Date
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Inspected by
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The Safety Officer will conduct daily inspections during this project. Immediate work stoppage will occur in order to correct any unsafe condition, work practice or operation. Daily inspections should occur at both on and off Center CTST project locations.
ODLE - CTST Project Information
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CTST Project Name (or project description) and Location
Daily Inspection
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Was a hazard analysis conducted prior to the start of the project?
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Is appropriate PPE (hard hats, eye protection, hand protection, proper footwear) provided and worn properly by students and staff
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Are barricades, caution tape, or safety cones in place and visible
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Powered tools and equipment have proper guarding.
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Tools in good repair
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The area is free of slip, trip and fall concerns.
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Are all ladders in safe condition, properly used, and properly stored
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Is scaffolding properly erected, inspected, and level
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Additional Comments (Optional)
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Per PRH 5.9 R5, the Safety Officer must approve all final CTST Projects (on and off-center before site occupancy and project completion).
The Safety Officer will conduct a walkthrough to identify safety hazards and risks to students and staff. Where potential hazards are observed, these should be noted, and actions identified to appropriately eliminate or minimize risk.
Project Completion and Final Walk Through
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Is this CTST Project Completed or On-Going?
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Select date
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Was the site free of hazards during the final walk through?
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List the hazard(s) observed and actions needed to correct the hazard(s).
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Is the CTST Project work site ready for use and/or occupancy?
Completion
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Center Safety Officer
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Name of Other involved in inspection