Information
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Job # / Job Name
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Conducted on
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Prepared by
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Location
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Document No.
General Safety
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Have all required daily inspections been performed on equipment per Painters USA and OSHA standards? <br>(VERIFY ALL INSPECTIONS WITH FOREMAN) Check all boxes below that are applicable
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Aerial Lift
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Scaffold and Swing Stage Competent Person
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High Pressure Washers over 5000 PSI
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Daily Floor Equipment and Electric Cable Inspection
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Vapor or Sand Blasting
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Fork Lift
Daily JSA
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Has the Daily JSA been sent in by 9am?
FIRST AID
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Is company provided first aid equipment available on site and with paint shop set up and First Aid Kits Properly Stocked?
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Are first aid trained coworkers on site?
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Are coworkers aware of the address of the site and the nearest hospital?
JOB SITE ACCESS & CONTROLS
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Have vehicle traffic controls. Pedestrian Controls and Controlled Access Zones (CAZ) been established and clearly identified?
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HOUSEKEEPING & SANITATION
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Is general neatness of working areas acceptable and good housekeeping being observed?
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Are passageways and walkways clear and free of debris and all trash placed in trash containers?
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Is temporary storage of materials and supplies done in a organized fashion?
PERSONAL PROTECTIVE EQUIPMENT (PPE)
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Are hard hats, safety glasses, hearing protection and steel toe boots being worn and worn properly?
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Are face shields being worn while cutting, grinding or operations that have risk of flying objects and debris?
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Is respiratory protection being used when conditions require them and being stored properly when not in use?
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Are coworkers using proper cut rated hand protection and arm protection while using knives?
Fall Protection
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Have proper anchor points been used for tie offs?
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Are lifelines installed, rope grabs and lanyards in good working order and secured properly?
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Are retractable lanyards functioning and in good working order?
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Are harnesses being worn properly with fit and adjustment straps and been inspected and marked with the correct quarterly colored tape?
FIRE PROTECTION & PREVENTION
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Are extinguishers readily accessible and near any gas powered equipment (no closer than 10 feet), and have current inspection tags?
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Are all flammable liquid containers metal cans that are UL or FM listed?
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Have proper storage practices for flammables been observed?
HAZARD COMMUNICATION
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Are SDS sheets maintained on site for each product in use?
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Are materials properly stored and stacked?
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Is adequate ventilation provided?
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Is protective equipment used to protect against over-exposure?
AWP LIFT OPERATIONS
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Has the jobsite been walked to identify ground hazards(drop-offs, slopes and holes), Have safety zones been established around lift swing radius with safety cones?
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Have all overhead obstructions or hazards been identified?
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Have The operators had the appropriate training?
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Is lift positioned on solid level ground
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Is the lift equipment been inspected daily before use?
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Are the lifting operations at a minimum clearance of 20" from the power lines
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Everyone in the lift basket standing firmly on the floor, wearing proper fall protection or protection equipment?
HAND TOOLS
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Are tools neatly stored and accessible when not in use?
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Are the handles on hand tools in good condition, not bent, splintered or broken?
POWER TOOLS & POWDER ACTUATED TOOLS
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Are power tools inspected before use and inspected for damaged cords?
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Are guards in place on the tool and in good condition?
ELECTRICAL
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Are extension cords free of nicks, gouges or cuts?
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Are GFCI's and/or assured equipment grounding conductor programs being used?
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Lockout / tagout devices available and used on circuits that could be come energized?
LADDERS
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Is the proper ladder being used for the task?
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Are manufactures labels and safety warning labels intact/readable?
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Are ladder rungs in good condition, none missing or broken?
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Are safety shoes/cleats on the bottom of the ladder?
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Are ladders properly secured to prevent slipping, sliding or falling?
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Do side rails extend 36" above top of each landing?
SCAFFOLDING
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Is erection movement and dismantling properly supervised by a competent person?
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Are scaffold components visible free of any physical damage with no bent support or braces?
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Is scaffold erected on a firm and substantial surface (concrete, base plate, mud sill)?
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Is planking in good condition and fully installed across the platform ?Is planking overlapped at least 6" but not greater than 12" and Are planking overlaps centered over a support member?
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Are rolling scaffolds equipped with locking wheels and all wheels locked when in use?
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Are ladders provided for access to scaffold work platform?
BARRICADES - FLOOR & WALL OPENINGS
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Is perimeter fall protection installed or CAZ zone utilized when above 6'-0"?
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Are floor openings and other open holes marked and covered?
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Are anchor post and framing capable of withstanding 200 lbs loads in any direction?
Positive Safety Findings
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What are the Positive Safety Findings for the site?
Opportunities For Improvement
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What are the Opportunities for Safety Improvement on the job site?
Action Items
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Action Items
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Action Items
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Action Items
Crew at time of inspection
Foreman / responsible party on site
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