PREVENT Jobsite Inspection - Streeter & Associates

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Ensure that the jobsite is safe in accordance with the PREVENT Safety Guide:

• All Sub-contractors have an AWAIR Safety Program

  Yes

  No

  N/A

• All Sub-contractors have a Right To Know Program / GHS / SDS

  Safe

  At Risk

  N/A

• Lead, asbestos, silica exposures

  Safe

  At Risk

  N/A

• Respiratory Protection (Voluntary & Required Use)

  Safe

  At Risk

  N/A

• Fall Protection (6'trigger height)

  Safe

  At Risk

  N/A

• Ladders (Proper Use)

  Safe

  At Risk

  N/A

• Stairways (Handrails, Steps, etc.)

  Safe

  At Risk

  N/A

• Scaffolding (10'Trigger Height for Fall Protection, decking, mud sills, safe access, secured)

  Safe

  At Risk

  N/A

• Hoisting & Rigging, Signalers (Must be trained/certified)

  Safe

  At Risk

  N/A

• Electrical Wiring & Equipment (Cords, Panels, Covers, Protect from Damage, Overhead Power Lines)

  Safe

  At Risk

  N/A

• Forklift Operators trained & certified 3 years, inspections, seatbelts)

  Safe

  At Risk

  N/A

• Aerial Work Platforms (PFAS, Guardrails, Secured)

  Safe

  At Risk

  N/A

• Excavations (2,4,5 rules - A,B,C Soil Types)

  Safe

  At Risk

  N/A

• Woodworking Machines (Guards in place, Push Sticks)

  Safe

  At Risk

  N/A

• Power Tools (Cords, Guards/Shields, Proper Use)

  Safe

  At Risk

  N/A

• Fire Extinguishers

  Safe

  At Risk

  N/A

• Personal Protective Equipment - Proper Use

  Safe

  At Risk

  N/A

• To the Best of Your Knowledge All Other Jobsite Hazards are Controlled?

  Yes

  No

  N/A

• Please Sign Here When Your Safety Inspection is Complete

  Sign