Information
Observations of Work Habits
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Site / Contractor Name:
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Conducted on
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Prepared by
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Location
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Employees on Job Site:
Housekeeping (tap item to specify if action is required)
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Clear walkways
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Clear work areas
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Clear access and landing
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Other
Personal Protective Equipment (tap item to specify if action is required)
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Head protection
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Foot protection
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Eye protection
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Hearing protection
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Respiratory protection
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Fall protection
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Other
Ladders (tap item to specify if action is required)
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Secured
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Proper angle
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Proper size and type
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Safe, usable condition
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Properly used
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Proper handrail and landings
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Non-slip bases
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Other
Scaffolds (tap item to specify if action is required)
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Properly erected
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Properly secured
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Properly planked
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Proper guard rails, toe boards
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Proper access to platform
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Acceptable loading
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Other
Power Tools & Equipment (tap item to specify if action is required)
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General condition
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Proper guards, cords, PPE
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Tagging as DEFECTIVE
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Other
Fall Protection (tap item to specify if action is required)
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CSA approved
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Properly worn
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Safe, usable condition
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Unprotected openings and edges
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Working from:
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Other
Confined Spaces (tap item to specify if action is required)
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Proper access
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Air testing before entry
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Rescue equipment readily available
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Harness, lifeline anchored & used
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Second person for rescue
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Outgoing air monitored
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Entry permit where required
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Other
Trenches and Excavations (tap item to specify if action is required)
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Properly sloped where required
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Excavated soil properly placed
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Appropriate shoring used
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Proper access to trench
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Proper storage of materials in and above
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Other
Extension Cords (tap item to specify if action is required)
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Outdoor-type, rated over 300V
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Condition of casing, ends, connections
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GFCIs used where required
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Other
