Information

  • Job # / Job Name

  • Conducted on

  • Prepared by

  • Location
  • Document No.

General Safety

  • 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

  • Aerial Lift

  • Scaffold and Swing Stage Competent Person

  • High Pressure Washers over 5000 PSI

  • Daily Floor Equipment and Electric Cable Inspection

  • Vapor or Sand Blasting

  • Fork Lift

Daily JSA

  • Has the Daily JSA been sent in by 9am?

FIRST AID

  • Is company provided first aid equipment available on site and with paint shop set up and First Aid Kits Properly Stocked?

  • Are first aid trained coworkers on site?

  • Are coworkers aware of the address of the site and the nearest hospital?

JOB SITE ACCESS & CONTROLS

  • Have vehicle traffic controls. Pedestrian Controls and Controlled Access Zones (CAZ) been established and clearly identified?

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HOUSEKEEPING & SANITATION

  • Is general neatness of working areas acceptable and good housekeeping being observed?

  • Are passageways and walkways clear and free of debris and all trash placed in trash containers?

  • Is temporary storage of materials and supplies done in a organized fashion?

PERSONAL PROTECTIVE EQUIPMENT (PPE)

  • Are hard hats, safety glasses, hearing protection and steel toe boots being worn and worn properly?

  • Are face shields being worn while cutting, grinding or operations that have risk of flying objects and debris?

  • Is respiratory protection being used when conditions require them and being stored properly when not in use?

  • Are coworkers using proper cut rated hand protection and arm protection while using knives?

Fall Protection

  • Have proper anchor points been used for tie offs?

  • Are lifelines installed, rope grabs and lanyards in good working order and secured properly?

  • Are retractable lanyards functioning and in good working order?

  • Are harnesses being worn properly with fit and adjustment straps and been inspected and marked with the correct quarterly colored tape?

FIRE PROTECTION & PREVENTION

  • Are extinguishers readily accessible and near any gas powered equipment (no closer than 10 feet), and have current inspection tags?

  • Are all flammable liquid containers metal cans that are UL or FM listed?

  • Have proper storage practices for flammables been observed?

HAZARD COMMUNICATION

  • Are SDS sheets maintained on site for each product in use?

  • Are materials properly stored and stacked?

  • Is adequate ventilation provided?

  • Is protective equipment used to protect against over-exposure?

AWP LIFT OPERATIONS

  • 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?

  • Have all overhead obstructions or hazards been identified?

  • Have The operators had the appropriate training?

  • Is lift positioned on solid level ground

  • Is the lift equipment been inspected daily before use?

  • Are the lifting operations at a minimum clearance of 20" from the power lines

  • Everyone in the lift basket standing firmly on the floor, wearing proper fall protection or protection equipment?

HAND TOOLS

  • Are tools neatly stored and accessible when not in use?

  • Are the handles on hand tools in good condition, not bent, splintered or broken?

POWER TOOLS & POWDER ACTUATED TOOLS

  • Are power tools inspected before use and inspected for damaged cords?

  • Are guards in place on the tool and in good condition?

ELECTRICAL

  • Are extension cords free of nicks, gouges or cuts?

  • Are GFCI's and/or assured equipment grounding conductor programs being used?

  • Lockout / tagout devices available and used on circuits that could be come energized?

LADDERS

  • Is the proper ladder being used for the task?

  • Are manufactures labels and safety warning labels intact/readable?

  • Are ladder rungs in good condition, none missing or broken?

  • Are safety shoes/cleats on the bottom of the ladder?

  • Are ladders properly secured to prevent slipping, sliding or falling?

  • Do side rails extend 36" above top of each landing?

SCAFFOLDING

  • Is erection movement and dismantling properly supervised by a competent person?

  • Are scaffold components visible free of any physical damage with no bent support or braces?

  • Is scaffold erected on a firm and substantial surface (concrete, base plate, mud sill)?

  • 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?

  • Are rolling scaffolds equipped with locking wheels and all wheels locked when in use?

  • Are ladders provided for access to scaffold work platform?

BARRICADES - FLOOR & WALL OPENINGS

  • Is perimeter fall protection installed or CAZ zone utilized when above 6'-0"?

  • Are floor openings and other open holes marked and covered?

  • Are anchor post and framing capable of withstanding 200 lbs loads in any direction?

Positive Safety Findings

  • What are the Positive Safety Findings for the site?

Opportunities For Improvement

  • What are the Opportunities for Safety Improvement on the job site?

Action Items

  • Action Items

  • Action Items

  • Action Items

Crew at time of inspection

Foreman / responsible party on site

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Completed by

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