PME jobsite inspection form

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Job Information

• Project:

• Job No.:

• Supervisor:

• Project Manager:

General Inspection

• Emergency phone numbers and procedures posted?

  Yes

  No

  N/A

• First aid supplies readily available?

  Yes

  No

  N/A

• First aid supplies adequate for job manpower?

  Yes

  No

  N/A

• Required posters and signs posted and readable?

  Yes

  No

  N/A

PPE

• Hard hats worn by all personnel in work areas?

  Yes

  No

  N/A

• Eye and face protection worn as required?

  Yes

  No

  N/A

• Hearing protection worn as required?

  Yes

  No

  N/A

• Respiratory protection worn as required?

  Yes

  No

  N/A

• Safety harnesses and lanyards worn for fall protection?

  Yes

  No

  N/A

• Workers dressed properly for the job?

  Yes

  No

  N/A

• Personal protective equipment in good condition?

  Yes

  No

  N/A

• Safety supplies adequate for job manpower?

  Yes

  No

  N/A

Housekeeping

• Walkways and stairs kept clear of material and debris?

  Yes

  No

  N/A

• Cords and hoses strung to prevent trip and fall hazard?

  Yes

  No

  N/A

• Are liquid spills cleaned up immediately?

  Yes

  No

  N/A

• Fabrication and work areas clean and orderly?

  Yes

  No

  N/A

• Site trailers and vaults clean and orderly?

• Gang boxes clean and orderly?

  Yes

  No

  N/A

• Trash, scrap, and debris picked up and disposed of?

  Yes

  No

  N/A

Fire Protection & Safety

• Fire fighting equipment well marked and accessible?

  Yes

  No

  N/A

• Employees trained to use firefighting equipment?

  Yes

  No

  N/A

• Fire extinguishers inspected monthly?

  Yes

  No

  N/A

• Smoking prohibited where flammables are located?

  Yes

  No

  N/A

• Flammables stored and handled in approved containers?

  Yes

  No

  N/A

• Temp. heaters kept 20' away from combustible materials?

  Yes

  No

  N/A

Material Handling & Storage

• Materials stored neatly in stacks or piles?

  Yes

  No

  N/A

• Cylindrical materials racked or cribbed and blocked?

  Yes

  No

  N/A

• Loose materials containerized or palletized?

  Yes

  No

  N/A

• Aisle space maintained around stored materials?

  Yes

  No

  N/A

• Storage areas kept clear of scrap, debris, and trash?

  Yes

  No

  N/A

• Slings and chokers in good condition?

  Yes

  No

  N/A

• Chain falls and comealongs in good condition?

  Yes

  No

  N/A

• Cranes operated in a safe manner by operators?

  Yes

  No

  N/A

• Workers move from under suspended loads?

  Yes

  No

  N/A

• Workers know and use proper crane signals?

  Yes

  No

  N/A

• Workers attach tag lines to loads?

  Yes

  No

  N/A

• Hoisting hooks have safety latches?

  Yes

  No

  N/A

• Running cables inspected and in good condition?

  Yes

  No

  N/A

• Load limits marked on all hoisting rigs?

  Yes

  No

  N/A

Tools

• Power tools have guards in place?

  Yes

  No

  N/A

• Power tools either grounded or double insulated?

  Yes

  No

  N/A

• Power tool cords and plugs in good condition?

  Yes

  No

  N/A

• Broken tools repaired or replaced as needed?

  Yes

  No

  N/A

Welding & Cutting

• Gas cylinders stored upright and secured?

  Yes

  No

  N/A

• Full cylinders segregated from empty cylinders?

  Yes

  No

  N/A

• Caps secured on all cylinders not in use?

  Yes

  No

  N/A

• Welding leads in good condition?

  Yes

  No

  N/A

• Welding screens erected in high flash areas?

  Yes

  No

  N/A

• Welding blankets used to protect materials/equipment?

  Yes

  No

  N/A

• Fire watches posted as needed?

  Yes

  No

  N/A

• Proper permits issued (as required)?

  Yes

  No

  N/A

• Fire extinguishers kept close to hot work areas?

  Yes

  No

  N/A

Electrical

• Extension cords heavy duty, 3wire type?

  Yes

  No

  N/A

• Temporary lights equipped with bulb guards?

  Yes

  No

  N/A

• Sufficient lighting to work and move safely?

  Yes

  No

  N/A

• Lockouts used to deenergize operational systems?

  Yes

  No

  N/A

• Welders and stationary equipment properly grounded?

  Yes

  No

  N/A

Ladders

• Straight ladders secured at top landing?

  Yes

  No

  N/A

• Straight ladders extend 36" above top landing?

  Yes

  No

  N/A

• Straight ladders have feet or blocked at bottom?

  Yes

  No

  N/A

• Straight ladders set up with a 4 to 1 slope?

  Yes

  No

  N/A

• Top step of stepladders not used as a step?

  Yes

  No

  N/A

• Climbing the back of stepladders prohibited?

  Yes

  No

  N/A

• Workers use the proper height ladder for the job?

  Yes

  No

  N/A

• Portable ladders used only by company employees?

  Yes

  No

  N/A

Scaffolds & Manlifts

• All scaffold parts and hardware used as required?

  Yes

  No

  N/A

• All scaffold hardware and parts in good condition?

  Yes

  No

  N/A

• Scaffolds fully planked?

  Yes

  No

  N/A

• All scaffold planks cleaned?

  Yes

  No

  N/A

• Scaffolds have guardrails, midrails, and toe boards?

  Yes

  No

  N/A

• Wheels on rolling scaffolds locked during scaffold use?

  Yes

  No

  N/A

• Workers prohibited from riding rolling scaffolds?

  Yes

  No

  N/A

• Manlifts in good operating condition?

  Yes

  No

  N/A

• Only trained employees allowed to operate manlifts?

  Yes

  No

  N/A

• Outriggers extended when manlifts are in use?

  Yes

  No

  N/A

• Workers prohibited from exiting raised manlifts?

  Yes

  No

  N/A

• Workers only allowed to work from floor of basket?

  Yes

  No

  N/A

• Workers required to tieoff while basket is raised?

  Yes

  No

  N/A

• Only company employees allowed to operate manlifts?

  Yes

  No

  N/A

Handrails & Hole Covers

• Perimeters and dropoffs protected by rails or cables?

  Yes

  No

  N/A

• Railings sturdy, continuous, and have midrails?

  Yes

  No

  N/A

• Railings replaced after temporary removal?

  Yes

  No

  N/A

• Floor holes protected by railings or hole covers?

  Yes

  No

  N/A

• Hole covers secured to prevent movement?

  Yes

  No

  N/A

• Hole covers marked to prevent accidental removal?

  Yes

  No

  N/A

• Hole covers replaced after temporary removal?

  Yes

  No

  N/A

Excavation & Trenching

• Excavations 5' or deeper shored, sloped, or boxed?

  Yes

  No

  N/A

• Workers stay within shored area?

• Barricades placed on all open sides at end of shift?

  Yes

  No

  N/A

• Ladders placed every 50' for entry and egress?

  Yes

  No

  N/A

• Excavations dewatered as needed?

  Yes

  No

  N/A

• Backfill placed as soon as possible?

  Yes

  No

  N/A

Employee Communications

• Do foremen communicate with their crews on job methods?

  Yes

  No

  N/A

• Do foremen address unsafe actions and conditions?

  Yes

  No

  N/A

• Are safety meetings held daily with all employees?

  Yes

  No

  N/A

• Do foremen react to employee safety recommendations?

  Yes

  No

  N/A

Final

• Additional Comments: