PRODUCTION: Site Safety Inspection - duplicate

• Site conducted

  Select

• Project #

• Conducted on

  Date

• Prepared by

  Select Arturo Aurelio Carlos M Carlos R Jesus Humberto Ricardo Ronnie Zain Gonzalez

  • Arturo
  • Aurelio
  • Carlos M
  • Carlos R
  • Jesus
  • Humberto
  • Ricardo
  • Ronnie
  • Zain Gonzalez
• Location
  Address

• Divisions On Site During Audit

  Select General Sitework or Prep Demolition Site Grading Asphalt Removal Asphalt Installation Concrete Forming Concrete Rebar Concrete Pour & Finish Hot Crack Filling Seal Coating Slurry Seal Striping Wheelblock Install ADA Work Final Site Cleanup OTHER Crack Filling

  • General Sitework or Prep
  • Demolition
  • Site Grading
  • Asphalt Removal
  • Asphalt Installation
  • Concrete Forming
  • Concrete Rebar
  • Concrete Pour & Finish
  • Hot Crack Filling
  • Seal Coating
  • Slurry Seal
  • Striping
  • Wheelblock Install
  • ADA Work
  • Final Site Cleanup
  • OTHER
  • Crack Filling

• Completing this form please do not forget the following, Please include name of foreman and super. weather examples, hazy, overcast, partly sunny, sunny, open skies, high heat hazard? What is the plan of action for the day? Need an example? ( demolition, grinding old asphalt, stripping, using heavy machinery? please take pictures of barricades, cones, arrow boards, traffic control plans, caution tape usage. Additionally, are flaggers needed? Provide Photo! Is company vehicle parked in a safe location where they can reverse, drive in and out safely? Any obstruction of view? Provide Photo! Fire Extinguishers Must be located by the hygienic white table. It can not be placed behind saws or underneath a seat, even behind another type of tool located in a utility bin. IT MUST BE READILY ACCESSIBLE. Provide Photo! If First Aid Kit is opened they need a new replacement kit. Provide Photo! Check the tag ( does it expire every year or every 2 years? (Is it class ABC classed fire extinguisher?) It should be! Safety Set up section Is it visible to employees located at the job? Do all employee's at this job know where the table is located? Do they know why type of supplies can be found at the table?

  Yes

  No

  N/A

General

• Who is lead / Supervisor / Foreman on site at time of this inspection?

• Select site weather conditions at time of this inspection (select all that apply)

  Select Clear Sky Foggy Cloudy Raining Windy OTHER

  • Clear Sky
  • Foggy
  • Cloudy
  • Raining
  • Windy
  • OTHER

• Job Starting temperature today?

• Maximum Expected temperature today?

• Activities being undertaken on site that day (select all that apply)

  Select General Sitework or Prep Demolition Site Grading Asphalt Removal Asphalt Installation Concrete Forming Concrete Rebar Concrete Pour & Finish Hot Crack Filling Seal Coating Slurry Seal Striping Wheelblock Install ADA Work Final Site Cleanup OTHER Crack Filling

  • General Sitework or Prep
  • Demolition
  • Site Grading
  • Asphalt Removal
  • Asphalt Installation
  • Concrete Forming
  • Concrete Rebar
  • Concrete Pour & Finish
  • Hot Crack Filling
  • Seal Coating
  • Slurry Seal
  • Striping
  • Wheelblock Install
  • ADA Work
  • Final Site Cleanup
  • OTHER
  • Crack Filling

• Describe or provide photos of site activities

Site Safety Inspection All Areas

Work Site Protection & Traffic Control

• Is the work area clearly separated from traffic and pedestrians on all sides?

  Yes

  No

  N/A

• Are all company and employee vehicles parked in the correct safe staging area for the work?

  Yes

  No

  N/A

• Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• Extinguishers recently serviced? (check punch mark on tabs)

  Yes

  No

  N/A

Job Site Hazard Board and Safety Station

• Is the Safety Station Setup and Clearly Visible?

  Yes

  No

  N/A

• Does the table contain all First Aid Supplies?

  Yes

  No

  N/A

• Is the JHA Board Completed?

  Yes

  No

  N/A

• Does the JHA Board List the nearest Medical Facility?

  Yes

  No

  N/A

• Does the JHA Board List job site hazards or risks?

  Yes

  No

  N/A

• Does the JHA Board have emergency numbers displayed?

  Yes

  No

  N/A

• Is the Eye Wash Station visible and available?

  Yes

  No

  N/A

• No first aid contents past their expiry date?

  Yes

  No

  N/A

• Is there easy access to first aid cabinets?

  Yes

  No

  N/A

• Employees aware of location of Safety Station and first aid supplies?

  Yes

  No

  N/A

• Are first aid officers known to workers and accessible?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Are safety vests worn at all times?

  Yes

  No

  N/A

• Is head protection worn correctly and where required by all crew?

  Yes

  No

  N/A

• Is eye protection worn where required?

  Yes

  No

  N/A

• Is hearing protection worn in designated areas?

  Yes

  No

  N/A

• Are correct gloves/hand protection being worn?

  Yes

  No

  N/A

• Are Covid Masks being worn at all times?

  Yes

  No

  N/A

• Are N95 Mask being worn for dust / silica protection when needed?

  Yes

  No

  N/A

• Is proper footwear being worn and good condition (and of correct type)?<br>

  Yes

  No

  N/A

• If concrete is being poured, are proper boots and gloves being worn?

  Yes

  No

  N/A

• Is additional PPE used where required?

  Yes

  No

  N/A

Work Site Area

• Work site are clear of trash and debris?

  Yes

  No

  N/A

• Are tools not in use safely stored or placed in secure location?

  Yes

  No

  N/A

• There are no damaged power tools in use?

  Yes

  No

  N/A

• Workers are communicating clearly at acceptable volume (no shouting)?

  Yes

  No

  N/A

• Noise produced by work activities is within acceptable parameters and is not excessive?

  Yes

  No

  N/A

• Does the work areas have adequate lighting?

  Yes

  No

  N/A

• There are no damaged hand tools in use?

  Yes

  No

  N/A

• Is site generally orderly, with trash disposed of correctly?

  Yes

  No

  N/A

• Are trash bags, bins or dumpsters located at suitable points around site?

  Yes

  No

  N/A

Demo, Dust and Debris Management

• Is Demolition or Dust generating activities occurring?

  Yes

  No

  N/A

• Are proper protections to prevent damage from debris in place?

  Yes

  No

  N/A

• Is wet demolition method being used?

  Yes

  No

  N/A

• Is broken material being staged in a designated area for proper removal ?

  Yes

  No

  N/A

• Is the right equipment being used properly for the demolition?

  Yes

  No

  N/A

• Are relevant workers trained in these proper proceedures?

  Yes

  No

  N/A

Hand and Power Tools

• Are all tool guards in place and operable?

  Yes

  No

  N/A

• Are power cords in good condition?

  Yes

  No

  N/A

• Are all tools double insulated or have a ground plug?

  Yes

  No

  N/A

• Are ground fault circuit interrupters in place at the source of electricity?

  Yes

  No

  N/A

• Are portable power tools in good condition?

  Yes

  No

  N/A

• Are all power tools in good condition?

  Yes

  No

  N/A

• No frayed or damaged leads?

  Yes

  No

  N/A

• Are defective pieces of equipment and tools red tagged and removed from service?

  Yes

  No

  N/A

• There are no power across path of travel or walkways?

  Yes

  No

  N/A

• Are tools stored correctly and in the right place when not in use?

  Yes

  No

  N/A

• Are employees using the proper tool for the task they are performing?

  Yes

  No

  N/A

• Are employees using two hand on tools that are designed to do so?

  Yes

  No

  N/A

• Are dust collectors and exhausts provided on tools that produce large amounts of dust?

  Yes

  No

  N/A

Powered Equipment & Vehicles

• Was a walk around check of equipment undertaken before beginning use? Check logs.

  Yes

  No

  N/A

• Does any equipment have warning lights or other indications that it should not be operated?

  Yes

  No

  N/A

• Does the equipment appear to be well maintained?

  Yes

  No

  N/A

• Is any equipment leaking fluids or operating poorly?

  Yes

  No

  N/A

• Are all safety guards in place and in good condition?

  Yes

  No

  N/A

• Is there sufficient room aroud the the equipment to use safely?

  Yes

  No

  N/A

• Are all equipment being operated by trained operators?

  Yes

  No

  N/A

• If training is being conducted, is there visual indication that the operator is undergoing training? (vest/hat/badge or other indicator?)

  Yes

  No

  N/A

• Are all equipment being operated safely?

  Yes

  No

  N/A

Incident, Injury & Accident Procedures

• Incident, Injury & Accident Procedures to be inspected this audit?

  Yes

  No

  N/A

• Are Incident, Accident, Near Miss and Injury procedures in place?

  Yes

  No

  N/A

• Are adequate reporting forms for for these events in place?

  Yes

  No

  N/A

• Are all incidents investigated?

  Yes

  No

  N/A

• Are Corrective Actions then implemented?

  Yes

  No

  N/A

• Is an "If you are injured" poster displayed?

  Yes

  No

  N/A

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

• Please add any corrective actions to the appropriate questions above before completing this report

Sign Off

• Name & Signature of of person doing the Audit

  Sign

• Name & Signature of Site Lead / Supervisor / Foreman

  Sign