Information

  • Document No.

  • Project No.

  • Conducted on

  • Conducted by

General

  • Are STA's conducted?

  • Were the STA's reviewed by the superintendent?

  • Was the weekly safety meeting conducted?

  • Does this job require JLA Badging?

  • Do all workers have their JLA Badge?

Fall Protection

  • Is fall protection in use?

  • Is it used properly?

  • Was it inspected before work began?

  • Is a competent person on site?

Trenching

  • Is trenching or excavation in use?

  • What type?

  • Are trenches or excavations more than 5 feet deep?

  • Is cave in protection provided?

  • What type?

  • Are unattended trenches properly barricaded?

  • Are spoil piles a minimum of 2 feet from edge?

  • Is the daily trench log complete?

  • Is proper access provided and used?

  • Is a competent person on site?

Scaffolding

  • Are scaffolds in use?

  • Do all scaffolds have base plates/wheels?

  • Are all working levels fully planked?

  • Are all guardrails in place?

  • Is proper access provided?

  • Are all scaffolds properly tagged?

  • Is a competent person on site?

Electrical

  • Are electrical components being used?

  • Are all cords 12 gauge?

  • Are GFC's used on all hand held tools?

  • Are all temporary lights shielded?

  • Are all cords 12 gauge?

Ladders

  • Are ladders being used?

  • Are all ladders type I, IA, or IAA?

  • Are all ladders used properly?

  • Are ladders used for access properly tied off?

PPE

  • Are hard hats worn properly?

  • Are safety glasses worn?

  • Are face shields worn when cutting, chipping, or grinding?

  • Are dust masks worn when in dusty areas?

  • Are you working in a confined space?

  • Are all sub-contractors in compliance?

  • Did you have any injuries today?

  • Did anyone require first aid on site?

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