Information
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Project
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Project Manager
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Group
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Foreman
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Conducted on
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Prepared by
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Location/Address
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Weather
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Response Key: SAFE - item inspected and found to be satisfactory, IC - (Immediately Corrected) - item inspected and found to be not in compliance, but was immediately corrected, NC - (Not Compliant) - Item was inspected and found to be not in compliance and could not be immediately corrected.
Administrative
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Review daily tailboard talk/pre-task plan
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Project JHA/HASP signed and clinic directions posted
Personal Protective Equipment
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Safety Glasses
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Gloves
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High-Visibility Vest
Material Handling & Ergonomics
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Material Handling - observed manual material handling indicate safe practices for strains and sprain prevention.
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Material Handling Aids Utilized (forklifts, carts, etc)
Electrical
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Employees not exposed to unprotected energized circuits
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Electrical receptacles/outlets have approved covers/faceplates.
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Signs - posted to restrict access to locations with exposed live parts
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GFCI Inspections Current
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Enclosures - cabinets intact, no knockouts missing or other open holes, panels effectively enclosed
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Enclosures - Breakers/Switches legibly marked to indicate purpose
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Enclosures - proper clearances are maintained in front of and around electrical panels
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Enclosures - Conductors entering panels and boxes are protected from abrasion
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Cord & Cable - Cords protected & kept clear of work areas and walkways.
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Cord & Cable - ground prong pin attached to electrical cords
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Cord & Cable - flexible cords not daisychained
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Is there Temporary Lighting on the project?
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Are Light bulbs are protected from accidental breakage
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Do all sockets have bulbs installed?
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Light strings are not suspended by the electric cord.
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LOTO & Electrical Safe Work Practices
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Ask at least one random employee if they have a lock for performing LOTO.
Walking & Working Surfaces
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Housekeeping
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What was the housekeeping issue?
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What is the issue and who is responsible for correcting it?
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Access/Egress - pathways clear and uncluttered. No tripping hazards.
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Holes Covered - covers need to support twice the intended load, be marked "Hole" and be secured in place to prevent accidental displacement
Ladder Use
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Are ladders in use on this project
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Extension Ladders - inspect, proper angle, tied off
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Step ladders - inspect, spreaders locked, proper use, etc.
Tool & Equipment Use
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Tools used to accomplish the work are being used in accordance with the manufacturer's instructions. For example, cordless 1/2" drills have side handles attached during operation, cordless band saws are being operated with two hands, inspected before use, right tool for the job, etc.
Fall Protection
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Guardrails
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Personal Fall Arrest System
Fire Protection
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Fire Extinguishers - present and inspected
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Hot Work Procedures
Employee Health
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Dust Control
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Sanitation - Port-O-Lets accessible, adequate number, hand sanitizers and clean
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First Aid Kit (Available, correct size, stocked)
Employee Interactions
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Employee name:
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Employee Encounter
Aerial Lifts & Summary
Aerial Lifts
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Are there aerial/scissor lifts at this site?
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100% Fall protection
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Please contact site supervisor via Action.
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Verify Operator Qualification
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Equipment grounds installed, where applicable
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Is this a Substation Project?
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Are guy wires and substation equipment in the work area flagged/coned off to establish safe travel paths?
Safety Orientation Follow-up
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Are there any new employees onsite that have been hired within the last 30 days?
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Employee Name
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Hire Date - if the exact date is not known an approximation will suffice.
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Ask new employee what are the top items that they remember about the orientation process (Good or Bad)?
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Ask employee if they have any comments or suggestions for improving the process (Good or Bad).
Audit Completion
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Are there any upcoming project events that require safety department assistance or review (i.e. critical lifts, manning requirements, training requirements, new subcontractors arriving on site, etc.)?
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Describe the assistance anticipated.
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Safety Department notified for planning purposes?
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Results of the Safety Audit reviewed with the project foreman (in person or via phone acceptable)
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Action Item generated for any items that are marked Not Compliant (NC)
Summary / Comments / Pictures
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Comments:
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Positive Observation:
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Other Project Hazards (caused by others)
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Follow Up Actions
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Pictures
