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 and fully 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 controlled access zones (CAZ) been established around work areas? To include traffic and pedestrian controls?
HOUSEKEEPING & SANITATION
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Is general neatness of working areas aceptable?
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Are passageways and walkways clear and free of debris?
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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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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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Are all flammable liquid containers metal cans that are UL or FM listed?
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.?
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?
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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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 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?
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 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?
LADDERS
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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 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?
Notes / Comments
Crew at time of inspection
Foreman / responsible party on site
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