Parkwest's Worksite Inspection Report

• Job No.

• Worksite Name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Legislative Requirements

• Bulletin board

  Select Policies and Rules Emergency Plan Emergency Contacts Site Specific Orientation Inspections Hazard Assessment Tool Box Talk JSHC Minutes First Aid attendants

  • Policies and Rules
  • Emergency Plan
  • Emergency Contacts
  • Site Specific Orientation
  • Inspections
  • Hazard Assessment
  • Tool Box Talk
  • JSHC Minutes
  • First Aid attendants

• New and existing worker orientations

  Yes

  No

  N/A

• Manuals

  Select Parkwest Manual WSH Act and Regs Subcontractor Manual Parkwest Supervisor Manual

  • Parkwest Manual
  • WSH Act and Regs
  • Subcontractor Manual
  • Parkwest Supervisor Manual

• MSDS

  Yes

  No

  N/A

• Adequate amount of fire extinguishers<br>

  Yes

  No

  N/A

• Monthly inspection completed

  Yes

  No

  N/A

• Signage for location

  Yes

  No

  N/A

• 15 minutes eyewash station with inspections

  Yes

  No

  N/A

• First aid kit and log book inspected

  Yes

  No

  N/A

• Site Signage correct and visible<br>

  Yes

  No

  N/A

• Adequate amount posted at all entrances

  Yes

  No

  N/A

• Correct number of toilet facilities

  Yes

  No

  N/A

• Clean

  Yes

  No

  N/A

• Heat and lighting

  Yes

  No

  N/A

• Clean drinking water

  Yes

  No

  N/A

Housekeeping

• Work area orderly

  Safe

  At Risk

  N/A

• Adequate lighting

  Safe

  At Risk

  N/A

• Material, tool, chemical storage

  Safe

  At Risk

  N/A

• Stairways, walkways clear

  Yes

  No

  N/A

• Garbage cleaned up

  Yes

  No

  N/A

• Break areas orderly

  Yes

  No

  N/A

Public Safety

• Temporary Fencing and public walkways

  Safe

  At Risk

  N/A

• Traffic Control

  Safe

  At Risk

  N/A

Electrical Services

• Covered Panels

  Yes

  No

  N/A

• GFI to panel plugs

  Yes

  No

  N/A

• Extension Cords

  Safe

  At Risk

  N/A

PPE

• Select Hardhats Footwear Clothing Eyewear Hearing Protection Respirator High Vis

  • Hardhats
  • Footwear
  • Clothing
  • Eyewear
  • Hearing Protection
  • Respirator
  • High Vis

Fall Protection

• In use

  Off

  On

• Guard rails

  Yes

  No

  N/A

• Fall restraint

  Yes

  No

  N/A

• Fall arrest

  Yes

  No

  N/A

• Proper anchor points

  Yes

  No

  N/A

• Being used in manlifts

  Yes

  No

  N/A

Hand and Power tools

• In good working condition

  Safe

  At Risk

  N/A

• Cords in good working order

  Safe

  At Risk

  N/A

• Guards, attachments in good working order

  Safe

  At Risk

  N/A

Equipment and Machinery

• Equipment and Machinery on site

• Pre shift inspections being completed

  Yes

  No

  N/A

• Trained operators

  Yes

  No

  N/A

Ladders

• In good working condition

  Yes

  No

  N/A

• Proper type being used

  Yes

  No

  N/A

• 1 to 4 ratio, 36" above landing, tied off

  Safe

  At Risk

  N/A

Scaffolding

• In Use

  Off

  On

• Plumbed and level

  Safe

  At Risk

  N/A

• Sills and base plates being used

  Yes

  No

  N/A

• Pins and clips being used

  Safe

  At Risk

  N/A

• Guard rails and toe boards in use

  Safe

  At Risk

  N/A

• All components in good working condition

  Yes

  No

  N/A

Excavation

• Applicable

  Off

  On

• 3 meters or more is there an engineered design

  Yes

  No

  N/A

• Sloped to 45 degrees

  Yes

  No

  N/A

• Barricaded or roped off

  Yes

  No

  N/A

• Permit holder

• Appropriate access/egress

  Yes

  No

  N/A

Hoisting

• Applicable

  Off

  On

• Inspection record of chain,sling,hook

  Yes

  No

  N/A

• Condition of chains, slings, hooks

  Safe

  At Risk

  N/A

Subcontractor violations

• Applicable

  Off

  On

• Company and Violation

• Add signature

  Sign

Additional comments

Signatures

• Site Superintendent

  Sign

• Site Safety Rep

  Sign

• Inspector

  Sign

• Management, including date of review

  Sign