Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
PCI Weekly Inspection Checklist
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PCI Branch - Austin - 549
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Job No.
1. PAPERWORK
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1.1 Completed? Review the following as a minimum: Job Site Safety Procedures, Fall Protection Plan, OSHA Posting, AWP Checklists, Pre-Task Plan, and Head Stress Checklist
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- Matlock, Cole
- West, Chelsea
- Dean, Ben
- Montaine, Jonathan
- Lindsey, Jon
- Berg, Bryan
- Armstrong, Nate
- Stricklen, Garrett
- Garcia, Rick
- Moy, Kenny
- Spaeth, Steve
- Taylor, Dennis
- Yandrisovitz, Mike
- Boese, Gerald
- Ochoa, Ted
- Whitely, Ed
- Burris, Roy
- Casares, Julian
- Montemayor, Mike
- Perez, Angel
- Cairns, David
- Other, Other
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DATE CORRECTED?
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1.2 Posted
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- Matlock, Cole
- West, Chelsea
- Dean, Ben
- Montaine, Jonathan
- Lindsey, Jon
- Berg, Bryan
- Armstrong, Nate
- Stricklen, Garrett
- Garcia, Rick
- Moy, Kenny
- Spaeth, Steve
- Taylor, Dennis
- Yandrisovitz, Mike
- Boese, Gerald
- Ochoa, Ted
- Whitely, Ed
- Burris, Roy
- Casares, Julian
- Montemayor, Mike
- Perez, Angel
- Cairns, David
- Other, Other
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DATE CORRECTED?
2. HOUSEKEEPING
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2.1 Our work area
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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2.2 Overall job site
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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2.3 Drinking Water
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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2.4 Sanitation Facilities
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
2. FIRE PROTECTION
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2.1 Extinguishers (fully charged, inspected, & certified)
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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2.2 Fire hazards (material liquids)
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
3. HAND TOOLS
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3.1 General Condition
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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3.2 Proper Tool for the Job
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
4. POWER TOOLS
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4.1 General Condition
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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4.2 Grounded
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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4.3 Guards in Place
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
5. ELECTRICAL
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5.1 Condition of Electric Tools
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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5.2 GFCI's in Use
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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5.3 Extension Cord Placement
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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5.4 Extension Cord Not in Water
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
6. LADDERS
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6.1 General Conditions
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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6.2 Proper Use
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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6.3 Straight Ladders Tied Off
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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6.4 Safety Feet in Good Condition
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
7. POWDER-ACTUATED TOOLS
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7.1 Face Shields and Ear Plugs in Use
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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7.2 Operator Licensed
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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7.3 Warning Signs Posted
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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7.4 Loads Stored & Disposed of Properly
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
8. PERSONAL PROTECTIVE EQUIPMENT
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8.1 Hard Hats
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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8.2 Eye Protection
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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8.3 Hearing Protection
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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8.4 Back Supports
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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8.5 Fall Protection
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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8.6 Respirators
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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8.7 Protective Clothing
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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8.8 Gloves - level 3 cut resistant
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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8.9 Kevlar sleeves - installing, handling, or demolishing IMP
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
9. VEHICLES
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9.1 General Condition
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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9.2 Forklift Licenses
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
10. FIRST AID
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10.1 First Aid Kits Available/Stocked
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
11. FLOORS, STAIRS, WALKWAYS
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11.1 Guardrails
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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11.2 Floor Openings Covered
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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11.3 Floor Coverings Secured
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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11.4 Floor Coverings Marked
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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11.5 Adequate Lighting
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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11.6 Stair Pans Filled
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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11.7 Walkways Clear
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
12. MANLIFTS -AWPs
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12.1 All Guardrail Gates/Chains Closed
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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12.2 Body Harness and Lanyard
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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12.3 All Operators Trained have a license
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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12.4 Operated on Level Footing
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
13. WELDING
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13.1 Protective Equipment is Being Used
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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13.2 Fire Extinguishers in Immediate Vicinity of Fire Watch(if needed)
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
14. MATERIALS HANDLING HORIZONTAL
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14.1 Materials Properly Stacked
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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14.2 Material Handling Equipment in Good Condition
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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14.3 Proper Handling and Lifting Practices
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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14.4 Excessive Material Not in the Way
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
15. MATERIAL HANDLING VERTICAL
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15.1 Supervised by a Competent Person
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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15.2 Is the Swing Zone Clear
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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15.3 Slings in Good Condition
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
17. Scaffolding
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17.1 Scaffolding has been inspected
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
18. OTHER ITEMS
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18.1 Type in the issue and information.
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
CORRECTIVE ACTIONS
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Enter any corrective actions that will be undertaken
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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Enter any corrective actions that will be undertaken
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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Enter any corrective actions that will be undertaken
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
CORRECTIVE ACTIONS
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Enter any corrective actions that will be undertaken
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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Enter any corrective actions that will be undertaken
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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Enter any corrective actions that will be undertaken
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
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DATE CORRECTED?
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Conducted by:
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Reviewed by:
