Information
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Client / Job Number
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Conducted on
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Prepared by
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Location
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Personnel
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Trades on site
- Concrete
- Framing
- Plumbing
- Electrical
- HVAC
- Sheetrock
- Painter
- Flooring
- Steel Erector
- Masons
- Site
- Roofing
- Sprinkler
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Check Monthly Inspection Codes
- January - White
- February - White/Yellow
- March - White/Blue
- April - Green
- May - Green/Yellow
- June - Green/Blue
- July - Red
- August - Red/Yellow
- September - Red/Blue
- October - Orange
- November - Orange/Yellow
- December - Orange/Blue
Subcontractor Information
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Enter subcontractor information
Subcontractor
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Enter the name of the subcontractor.
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What time did the subcontractor begin work?
Posting Record-Keeping and Programs
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Have there been any incidents or near misses observed or reported since last inspection?
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Enter Details
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Has there been any first aid rendered since last inspection?
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Enter Details
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Have there been any disciplinary actions taken against any subs since last inspection?
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Enter Details
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Is the required OSHA Job Safety and Health Protection Poster displayed in a prominent location where all employees are likely to see it?
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Are emergency telephone numbers posted where they can be readily found in case of emergency?
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Do you have an active safety and health program in operation that includes general safety and health program elements as well as the management of hazards specific to your work-site?
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Is one person clearly responsible for the safety and health program?
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Is there a written hazard communication program dealing with SDSs, labeling and employee training?
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Is there a list of hazardous substances used in your workplace and an SDS readily available for each hazardous substance used? (This includes SDS for subcontractors)
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Are the Safety Task Assignments current?
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Are toolbox talks relevant and current?
First Aid and Medical Services
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Is there a hospital, clinic, or infirmary for medical care near your workplace or is at least one employee on each shift currently qualified to render first aid?
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Enter Address
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Are fully supplied first aid kits easily accessible to each work area, periodically inspected and replenished as needed?
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Is there an eye-wash station or sink available for quick drenching or flushing of the eyes and body in areas where corrosive liquids or materials are handled and does it have regular inspections?
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Have employees been trained in First Aid, CPR and AED?
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Have all employees who are expected to respond to medical emergencies as part of their job responsibilities received first aid training; had hepatitis B vaccination made available to them; had appropriate training on procedures to protect them from bloodborne pathogens, including universal precautions; and have available and understand how to use appropriate PPE to protect against exposure to bloodborne diseases?
Fire Protection
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Are portable fire extinguishers provided in adequate number (1 per 3000 sq. ft and type and mounted in readily accessible locations?
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Are fire extinguishers recharged regularly with this noted on the inspection tag or inspection log?
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Are employees periodically instructed in the use of fire extinguishers and fire protection procedures?
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Are flammable liquid containers clearly identified?
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Are flammable containers UL or FM listed?
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Are temporary heaters a safe distance from flammables?
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Is ventilation adequate for temporary heaters?
General Working Environment
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Are all worksites clean, sanitary and orderly?
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Are the minimum number of toilets and washing facilities provided and maintained in a clean and sanitary fashion?
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Are all work areas adequately illuminated?
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Is combustible scrap, debris and waste stored safely and removed from the worksite promptly?
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Are pits and floor openings covered or otherwise guarded?
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Are openings in walls covered or otherwise guarded?
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Are all rebar capped as required?
Walkways, Stairs and Stairways
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Are toeboards installed around the edges of permanent floor openings where persons may pass below the opening?
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Do standard stair rails or handrails on all stairways have at least four risers?
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Are stairway handrails capable of withstanding a load of 200 pounds (90.7 kilograms), applied within 2 inches (5.08 centimeters) of the top edge in any downward or outward direction?
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Are stairway landings and stairways free of debris?
Area Fall Protection
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Do all guardrails consist of a top rail at 42" and a midrail at 21"?
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Are toeboards placed in areas where needed?
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Are all access points through floors protected by a guardrail system?
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Are all openings in walls and vertical surfaces protected by a guardrail system?
Personal Fall Protection
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Is the PFS correct and adequate for the task?
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Is the PFS being properly used?
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Have the inspections been performed and documented?
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Has the employee been trained in the recognition of fall hazards and proper use of PFS.
Personal Protective Equipment
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Can any use of PPE be eliminated by engineered precautions?
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Is the appropriate hand protection being worn?
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Is the appropriate eye protection being worn?
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Are protective goggles or face shields provided and worn where there is any danger of flying particles or corrosive materials?
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Is the appropriate hearing protection being worn when needed?
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Is the appropriate high visibility clothing being worn?
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Is the appropriate footwear being worn?
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Is the appropriate head protection being worn?
Electrical
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Are inspections of electrical cords current?
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Are ground-fault circuit interrupters installed on each temporary 15 or 20 ampere, 120 volt alternating current (AC) circuit at locations where construction, demolition, modifications, alterations, or excavations are being performed?
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Are all temporary circuits protected by suitable disconnecting switches or plug connectors at the junction with permanent wiring?
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Are all unused openings (including conduit knockouts) in electrical enclosures and fittings closed with appropriate covers, plugs, or plates?
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Are all energized parts of electrical circuits and equipment guarded against accidental contact by approved cabinets or enclosures?
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Do extension cords have a grounding conductor?
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Are extension cords off the floor and hung with proper strain relief?
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Are extension cords at least 12 gauge?
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Are flexible cords and cables free of splices or taps?
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Are all cords and cables out of vehicular traffic or protected?
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In wet or damp locations, are electrical tools and equipment appropriate for the use or location or otherwise protected?
Hand Tools and Equipment
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Are all tools and equipment (both company and employee-owned) used at the workplace in good condition?
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Are hand tools, such as chisels, punches, etc., which develop mushroomed heads during use, reconditioned or replaced as necessary?
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Are appropriate handles used on files and similar tools?
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Are tool handles wedged tightly into the heads of all tools?
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Are tool cutting edges kept sharp so the tool will move smoothly without binding or skipping?
Power and Powder-Actuated Tools
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Are tool inspections current?
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Are grinders, saws and similar equipment provided with and used appropriate safety guards?
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Are all cord-connected, electrically operated tools and equipment effectively grounded or of the approved double insulated type?
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Are pneumatic and hydraulic hoses on power tools checked regularly for deterioration or damage?
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Are employees who operate powder-actuated tools trained in their use and required to carry a valid operator's card?
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Are powder-actuated tools left unloaded until they are ready to be used?
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Are powder-actuated tools inspected for obstructions or defects each day before use?
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Is a sign at least 7 inches (17.78 centimeters) by 10 inches (25.40 centimeters) with bold face type reading "POWDER-ACTUATED TOOL IN USE" conspicuously posted when the tool is being used?
Ladders
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Are inspections current?
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Are there any metal or wood ladders on the site?
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Ladder access clear of debris top and bottom?
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Are all ladders maintained in good condition, joints between steps and side rails tight, all hardware and fittings securely attached, and moveable parts operating freely without binding or undue play?
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Are the rungs of ladders uniformly spaced at 12 inches (30.48 centimeters) center to center?
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Are ladders set at an ideal angle of 75 degrees or one foot away from the structure for each 4' in height?
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When portable rung ladders are used to gain access to elevated platforms, roofs, etc., does the ladder always extend at least 3 feet (0.9144 meters) above the elevated surface?
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Are ladders secured at top and bottom when required?
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Are employees using the top step of ordinary stepladders as a step?
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Are employees using an ordinary stepladder that is leaned against a wall unfolded?
Scaffolding
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Check if scaffolding is being used on site
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Is the competent person on site?
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Are inspections documented and up to date?
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Is there a controlled acces zone established around the work area?
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Are there adequate means of access to the scaffolding (ladder)?
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Are the scaffolding footings sound?
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Are plates in place and fastened to mudsills?
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Are scaffolds properly properly decked?
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Are scaffolds clear of dirt, debris, grease, snow and ice?
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Are scaffolds properly loaded?
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Are guardrails, intermediate rails and toeboards in place?
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Are scaffolds properly tied and supported?
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Structural members free from defects and meet safety factor?
Trenching and Excavation
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Check if there are trenching and excavation activities
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Has the "Competent Person" had specific training in -- and is knowledge about -- soil analysis, use of protective systems, and the requirements of 29CFR1926-Subpart P?
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Are surface encumbrance removed or supported?
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Are employees protected from loose rock or soil that could pose a hazard by falling or rolling into the excavation?
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Does the "Competent Person" have the authority to remove workers from the excavation immediately?
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Are excavations, adjacent areas, and protective systems inspected by a competent person?
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Are barriers provided at all remotely located excavations, wells, pits, shafts, etc.?
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Are walkways and bridges over excavations 6 feet or more in depth and 30 inches or more in width equipped with standard guard rails and toe-boards?
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Are employees prohibited from working on the face of slope or benched excavation above other employees?
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Are spoiled, materials, and equipment set back at least 2 feet from the edge of your excavation?
Motorized Equipment
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Check for forklifts
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Forklift Checklist
Forklift
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Make Model Serial Number
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Check all that are operational
- Brakes
- Lights
- Inspection
- Seat Belts/Fall Protection
- Fire Extinguishers
- Warning Devices
- Certified Operator
- Tires/Tracks
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Add media
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Check for Boom Lifts
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Boom Lift Checklist
Boom Lift
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Make Model Serial Number
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Check all that are operational
- Brakes
- Lights
- Inspection
- Seat Belts/Fall Protection
- Fire Extinguishers
- Warning Devices
- Certified Operator
- Tires/Tracks
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Add media
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Check for Scissor Lifts
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Scissor Lift Checklist
Scissor Lift
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Make Model Serial Number
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Check all that are operational
- Brakes
- Lights
- Inspection
- Seat Belts/Fall Protection
- Fire Extinguishers
- Warning Devices
- Certified Operator
- Tires/Tracks
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Add media
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Check for Grading Equipment
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Grading Equipment Checklist
Grading
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Make Model Serial Number
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Check all that are operational
- Brakes
- Lights
- Inspection
- Seat Belts/Fall Protection
- Fire Extinguishers
- Warning Devices
- Certified Operator
- Tires/Tracks
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Add media
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Check for Motor Vehicles
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Motor Vehicle Checklist
Motor Vehicle
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Make Model Serial Number
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Check all that are operational
- Brakes
- Lights
- Inspection
- Seat Belts/Fall Protection
- Fire Extinguishers
- Warning Devices
- Certified Operator
- Tires/Tracks
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Add media
Cranes and Hoist
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Check if cranes are on site
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Is this a critical lift?
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Critical Lift Plan
Any lift utilizing multiple cranes is a critical lift. Other critical lift criteria would be the weight of the equipment to be lifted as compared to the allowable lift, the swing area of the lift, the overall risk, difficulty or complexity of the lift, toxicity of the product being lifted and other considerations at the discretion of the producer of the lift plan. The Crane Safety Plan sets appropriate limits on these parameters and contains a list of Critical Lifts. Critical Lifts require individual lift plans and checklist. -
Riggers qualified or certified?
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Signal Person qualified or certified?
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Competent person inspecting crane?
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Is the controlled access zone established?
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Power lines deactivated, removed, or warning signs posted warning of at least 10 foot clearance from overhead power lines (voltages 50,000 volts or below)?
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Alarms working and audible?
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Are daily inspections completed by operators?
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Are operators properly tested and physical exams current?
Welding, Cutting and Brazing
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Check if there is welding, cutting or brazing activities
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“Hot work” permit completed and posted in areas requiring such permit?
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Area inspected for fire hazards?
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Is a fire watch present with a fire extinguisher?
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Proper ventilation?
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Are oxygen and acetylene stored properly?
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Are bottles not in use secured with caps in place?
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Are valves shut-off and regulators backed off each night?
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Flashback arresters placed on hoses (O2 and fuel gas)?
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Are welding leads in good repair?
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Screens and shields in place?
Other Observations
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Check to enter additional comments
Observation
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Is this compliant or non-compliant?
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Check for drawings
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Is this compliant or non-compliant?
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Draw observation
Signatures
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Weather. Check all that apply.
- COOL
- COLD
- WARM
- HOT
- RAIN
- CLEAR
- DRY
- HUMID
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Site Representative
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Site Inspector