Information

  • Client/Jobsite Name

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Job Status

  • 3 Largest/Upcoming Risk in the next 30 Days

  • Job Number

  • Region:

  • Superintendent:

  • Foreman 1

  • Foreman 2

  • Project Manager(s):

  • Current Job Photos

Project Planning and Education

  • Grade

  • B&G site specific safety plan, hazcom, msds present?

  • Safety orientation being done and up to date?

  • Bi-weekly PM/Supt safety walks up to date, and are issues being identified and corrected?

  • Daily JSA's completed? Quality? Entire crew attending?

  • Weekly safety meeting held/documented?

  • Training - OSHA 10/30 hour and specific equipment

  • Safety as a main topic in Schedule/Coordination meetings?

  • Safety notebook current?

  • Emergency action plan posted and communicated?

  • Comments:

  • Attachments

  • Attachments

Subcontractor Management

  • Grade

  • Startup meetings completed and documented?

  • Safety documents current?

  • Participation in regular safety walks as required?

  • Sub supervision showing accountability for personnel in field?

  • B&G holding sub supervision accountable?

  • Following up on safety issues? Increasing accountability for repeat items?

  • Training - Adequate for scope of work being performed, including specific equipment?

  • Competent person, OSHA 10/30 for supervision is required?

  • Comments:

  • Attachments

  • Attachments

Injury/Accident/Incident Management

  • Grade:

  • Reported in a timely manner?

  • Accident/Incident report(s) complete?

  • Root cause reports complete?

  • Corrective actions implemented

  • Actively managing employee return to work, modified duty provided

  • Injury diary maintained for injured employee(s)

  • Injury log maintained job wide

  • Is the Team identifying and communicating near misses?

  • Current Stats

  • Number of recordables

  • Number of lost time days

  • Number of first aids

  • Comments:

  • Attachments

  • Attachments

Current Site Conditions/Behaviors

  • Grade:

  • Jobsite posting & documentations

  • Housekeeping/material storage/general appearance

  • Building pad and surrounding areas

  • Excavations

  • Elevated floors

  • Roof areas

  • Personal protective equipment

  • Fuel storage

  • Equipment

  • Electrical including weekly GFCI inspections

  • Hand/power/powder actuated tools

  • Fire protection and prevention in place?

  • Rigging and signaling

  • Foreman - performance in required level of supervision

  • Foreman - superintendent expectations communicated

  • Comments:

  • Attachment

  • Attachment

Presence of Safety Summary:

  • Overall Grade:

  • Foreman 1 Score

  • Foreman 2 Score

  • Project Manager Signature:

  • Superintendent Signature:

  • Safety Manager Signature:

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