PREVENT Jobsite Inspection - W.L. Hall Company

• Client / Site

• Location
  Address

• Conducted on

  Date

• Prepared by

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

• W.L Hall's Site Specific Plan is on-site and in use

  Yes

  No

  N/A

• Right To Know / GHS / SDS

  Safe

  At Risk

  N/A

• Lead, asbestos, silica exposures controlled

  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

• Suspended Scaffolding - (Assembly/Connections, Counterweights, Daily Inspections)

  Yes

  No

  N/A

• Cranes (Operator License, Inspections, Lifting Calculations, Critical Lifts)

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Powered Industrial Trucks (Forklift Operators trained & certified 3 years, inspections, seatbelts)

  Safe

  At Risk

  N/A

• Aerial Work Platforms/Aerial Lifts

  Safe

  At Risk

  N/A

• First Aid & CPR (EMS Response within 4 minutes)

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Demolition (Stability, Dust Control, Safe Access/Egress, Holes)

  Safe

  At Risk

  N/A

• Please Sign Your Name Here When Complete

  Sign