Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PCI Weekly Inspection Checklist

  • Add media

  • PCI Branch - Tampa IPS - 127

  • Job No.

1. PAPERWORK

  • 1.1 Completed? Review the following as a minimum: Job Site Safety Procedures, Fall Protection Plan, OSHA Postings, AWP Checklists, Pre-Task Plan, and Heat Stress Checklist.

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 1.2 Posted?

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

2. HOUSEKEEPING

  • 2.1 Our work area

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 2.2 Overall job site

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 2.3 Drinking Water

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

2. FIRE PROTECTION

  • 2.1 Extinguishers (fully charged, inspected, & certified)

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 2.2 Fire hazards (material liquids)

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

3. HAND TOOLS

  • 3.1 General Condition

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 3.2 Proper Tool for the Job

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

4. POWER TOOLS

  • 4.1 General Condition

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 4.2 Grounded

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 4.3 Guards in Place

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

5. ELECTRICAL

  • 5.1 Condition of Electric Tools

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 5.2 GFCI's in Use

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 5.3 Extension Cord Placement

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 5.4 Extension Cord Not in Water

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

6. LADDERS

  • 6.1 General Conditions

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 6.2 Proper Use

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 6.3 Straight Ladders Tied Off

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 6.4 Safety Feet in Good Condition

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

7. POWDER-ACTUATED TOOLS

  • 7.1 Face Shields and Ear Plugs in Use

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 7.2 Operator Licensed

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 7.3 Warning Signs Posted

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 7.4 Loads Stored & Disposed of Properly

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

8. PERSONAL PROTECTIVE EQUIPMENT

  • 8.1 Hard Hats

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 8.2 Eye Protection

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 8.3 Hearing Protection

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 8.4 Back Supports

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 8.5 Fall Protection

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 8.6 Respirators

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 8.7 Protective Clothing

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 8.8 Gloves - level 3 cut resistant

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 8.9 Kevlar sleeves - installing, handling, or demolishing IMP

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

9. VEHICLES

  • 9.1 General Condition

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 9.2 Forklift Licenses

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

10. FIRST AID

  • 10.1 First Aid Kits Available/Stocked

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

11. FLOORS, STAIRS, WALKWAYS

  • 11.1 Guardrails

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 11.2 Floor Openings Covered

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 11.3 Floor Coverings Secured

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 11.4 Floor Coverings Marked

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 11.5 Adequate Lighting

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 11.6 Stair Pans Filled

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 11.7 Walkways Clear

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

12. MANLIFTS -AWPs

  • 12.1 All Guardrail Gates/Chains Closed

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 12.2 Body Harness and Lanyard

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 12.3 All Operators Trained have a license

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 12.4 Operated on Level Footing

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

13. WELDING

  • 13.1 Protective Equipment is Being Used

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 13.2 Fire Extinguishers in Immediate Vicinity of Fire Watch(if needed)

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

14. MATERIALS HANDLING HORIZONTAL

  • 14.1 Materials Properly Stacked

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 14.2 Material Handling Equipment in Good Condition

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 14.3 Proper Handling and Lifting Practices

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 14.4 Excessive Material Not in the Way

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

15. MATERIAL HANDLING VERTICAL

  • 15.1 Supervised by a Competent Person

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 15.2 Is the Swing Zone Clear

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • 15.3 Slings in Good Condition

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

17. OTHER ITEMS

  • 17.1 Type in the issue and information.

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

CORRECTIVE ACTIONS

  • Enter any corrective actions that will be undertaken

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • Enter any corrective actions that will be undertaken

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • Enter any corrective actions that will be undertaken

  • RESPONSIBLE PARTY?

  • PCI PERSONNEL RESPONSIBLE FOR CORRECTION?

  • DATE CORRECTED?

  • Inspected by:

  • Reviewed by:

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