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.
FIRST AID
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Is company provided first aid equipment available on site and with paint shop set up?
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Are 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?
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Are coworkers aware of the address of the site and capable of giving directions to emergency crew
JOB SITE ACCESS & CONTROLS
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Have vehicle traffic controls been established and clearly identified?
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Have pedestrian traffic controls been established and clearly identified?
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Have controlled access zones (CAZ) been established around work areas?
HOUSEKEEPING & SANITATION
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Is general neatness of working areas aceptable?
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Is good housekeeping observed?
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Are passageways and walkways clear and free of debris?
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Are exposed nails removed or bent over?
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Is there regular removal of waste and trash from the 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 being worn and worn properly?
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Are proper steel toe boots utilized for foot protection?
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Is eye protection on at all times?
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Is respiratory protection being used when conditions require them?
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Is hearing protection being used by coworkers that may be exposed to noisy conditions?
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Are coworkers using proper hand protection?
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Are all staff and visitors are wearing Hi-Viz vests or jackets.<br>Ensure Hi-Viz clothing is not damaged.
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Are respirators stored and worn properly?
Fall Protection
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Have proper anchor points been used for tie offs?
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Are lanyards in good working conditions and clasps functioning properly?
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Are lifelines installed and secured properly?
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Are rope grabs in good working order?
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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?
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Have harnesses been inspected quarterly by a competent person and initialed?
FIRE PROTECTION & PREVENTION
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Are extinguishers readily accessible and near any gas powered equipment? (no closer than 10 feet)
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Do fire extinguishers have current inspection tags?
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Is there a clear path to fire hydrants for the fire deparment?
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Are all flammable liquid containers clearly identified?
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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?
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Have gas cylinders been chained upright with valve caps securely fastened?
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Are temporary heaters located at a safe distance from combustibles?
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Is ventilation adequate for temporary heaters?
HAZARD COMMUNICATION
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Are SDS sheets maintained on each product in use?
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Are SDS labels on each chemical container that is unmarked.?
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Are coworkers properly trained on hazardous chemicals present?
DUST, GASES, VAPORS, FUMES & MISTS
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Is adequate ventilation provided?
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Is protective equipment used to protect against over-exposure?
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Are coworkers made knowledgeable of the hazards when working with harmful agents?
HANDLING & STORAGE OF MATERIALS
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Are materials properly stored and stacked?
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Are passageways clear?
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Proper number of workers for each operations?
LIFTING OPERATIONS
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Has the jobsite been walked to identify ground hazards(drop-offs, slopes and holes)?
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Are the Manufacturers operating manual & ANSI manual of responsibilities onboard?
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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 controlled access zones been established under boom arm for protection?
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Have The operators had the appropriate training?
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Are the rate capacity/safe working loads clearly marked
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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?
FLAMMABLE GASES & LIQUIDS
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Has there been proper segregation between flammable gas cylinders?
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Proper labeling of full and empty flammable gas cylinders?
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Are proper type and number of fire extinguishers nearby?
HAND TOOLS
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Are tools neatly stored and accessible when not in use?
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Are tools being carried safely?
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Is the proper hand tool used for the task?
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Are hand tools and other equipment regularly inspected for safe conditions?
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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?
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Are tools inspected for frayed and damaged cords?
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Are tools and cords properly grounded and are ground pin in good condition?
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Are double insulated tools in use and in good condition?
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Are tools neatly stored and accessible when not in use?
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Are tools being carried safely?
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Is the proper power tool being used for the task?
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Are guards in place on the tool and in good condition?
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Are portable circular saws equipped with guard above and bellow the base or shoe?
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Are rotating or moving parts of equipment guarded to prevent contact by coworker?
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Are all hoses on air or hydraulic tools in good condition?
ELECTRICAL
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Are extension cords free of nicks, gouges or cuts?
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Are cords ends inspected for proper grounded prongs?
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Are power cords protected in traffic ways?
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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?
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If temporary lighting is provided, are bulbs protected against accidental breackage?
LADDERS
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Is the proper ladder being used for the task?
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Are the ropes in good working condition and pulley functioning properly on extension ladders?
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Are manufactures labels and safety warning labels intact/readable?
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Are portable ladders adequate for their purpose?
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Are step ladders fully open when in use?
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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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Is the proper foundation present at base of 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?
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Are portable ladders used at such a pitch that the horizontal distance from the top bearing to the foot of the ladder is about 1/4 of the working length of the ladder?
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Are areas around the top and bottom of the ladder kept clear?
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Are ladder prohibited from being used in a horizontal position as platforms, runways or scaffolds?
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?
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Is planking overlapped at least 6" but not greater than 12"?
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Are planking overlaps centered over a support member?
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Is planking secured from movement?
ROLLING SCAFFOLDS
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Are rolling scaffolds equipped with locking wheels?
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Are wheels locked when scaffold is 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 planked, secured or barricaded?
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Are floor openings and other open holes marked and covered?
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Are stairs with four or more risers equipped with standard hand rail protection?
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Are anchor post and framing capable of withstanding 200 lbs loads in any direction?
Notes / Comments
Crew at time of inspection
Foreman / responsible party on site
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