Title Page
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Site conducted/Branch Location
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Site/Project Name
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Conducted on
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Project Leader Name:
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Inspected by
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Site Address/City/State)
Job Information
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Is a first-aid kit readily available with necessary supplies?
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Is an OSHA poster available for workers to read?
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Is there proper personal protective equipment
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for bloodborne pathogens provided for employees performing first aid?
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Has a JHA been completed?
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Are weekly safety Toolbox Talk been completed?
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Are work areas properly signed and barricaded?
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Is each employee instructed in the recognition and avoidance of unsafe conditions?
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Is a competent person present, inspecting frequently?
Housekeeping
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Is there general neatness of the work area?
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Are projecting nails removed or bent over?
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Are waste containers provided and used?
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Are passageways and walkways clear?
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Trip and Fall Hazards taken care of?
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Temporary storage areas neat and orderly?
Fire Prevention
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Are there adequate fire extinguishers that are accessible and inspected?
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Is the phone number of the local fire department posted?
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Are “No Smoking” signs posted and enforced near flammables?
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Is a fire extinguisher within 20' of any hot work?
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Is a Hot Work Permit filled out if required?
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Flammable fuels labeled, stored properly in approved containers?
Tools and Equipment
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Guards and shields in place?
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Damaged tools tagged out of service and sent back to the shop?
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Silica protection provided for concrete work?
Electrical
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Are extension cords or attachments with bare wires, missing ground pins, or damage taken<br>out of service?
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Are ground fault circuit interrupters (GFCIs) being used with house power?
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Are terminal boxes equipped with required covers?
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Are flexible cords and cables protected from damage and hung out of walkways?
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Are unused openings in cabinet boxes and fittings closed?
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Are cabinets, panels and switches located in wet locations enclosed in weather-proof enclosures?
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Adequate lighting in works areas and egress points?
Excavations
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Utility companies notified and utilities marked?
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Overhead lines identified and proper clearance maintained?
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Competent person dig sheet filled out daily?
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Excavation 4' or deeper sloped, benched or shored?
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Daily check-off list completed for Backhoes, skid steers and equipment?
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Spoil piles set back at least 2'?
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Ladders or other means of egress provided within 25' of the worker?
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Tabulated data supplied for trench boxes and shoring equipment?
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Barricade tape or snow fence used to protect the trench?
Fall Protection
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Are employees working more than 6 feet above a lower level protected by guardrails, safety<br>nets, personal fall arrest system?
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Are safety rails and cables secured properly and located at the correct heights?
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Are employees that are exposed to fall hazards wearing personal fall arrest systems and<br>correctly anchored?
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Are employees located below falling objects protected?
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Has the fall protection been inspected before use?
Ladders
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Are ladders extended at least 36 inches above the landing?
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Are ladders secured to prevent slipping, sliding, or falling?
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Are ladders with split or missing rungs taken out of service?
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Are stepladders used in fully open position?
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Do employees avoid top two rungs of stepladder?
Scaffolding
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Is scaffolding inspected daily?
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Is scaffolding erected on sound rigid footing?
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Are guardrails, intermediate rails, toe-boards and screens in place?
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Is scaffolding properly secured?
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Is planking sound, sturdy, and secured from displacement?
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Wheel locks provided and locked on rolling scaffolds?
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Is proper access provided?
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Are employees located below protected from falling objects?
Aerial Lifts
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Operators trained and certified?
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Lift inspected prior to use?
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Is fall protection needed and used?
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Are you positioned correctly from overhead electrical lines?
Floor and Wall Openings
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Floor or deck openings 2" or greater covered, labeled and secured?
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Is perimeter protection in place?
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Are materials stored away from edge?
Material Handling
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Are materials properly stored or stacked?
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Are employees using proper lifting methods?
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Are tag lines used to guide loads?
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Is there an adequate number of workers for each operation?
Welding and Cutting
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Is a Hot work permit required?
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Are compressed gas cylinders stored upright and secured?
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Is there a proper separation distance between fuels and oxygen? (minimum 20 feet)
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Are there fire extinguishers nearby?
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Are hoses and regulators in good condition?
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Is there adequate ventilation?
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Are welding cables and stinger in good condition?
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Torches, regulator and hoses in good condition?
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Fire blankets in use, combustible materials removed from work area?
Cranes
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Has the CMS crane pick plan been completed?
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Is a qualified signal person and rigger used for the pick?
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Outriggers are extended and swing radius barricade in place?
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Are crane operator logs maintained and up to date?
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Are operators familiar with load charts?
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Are wire rope and nylon slings inspected and tagged as required?
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Have the shackles, clamps, nylon straps and any other rigging equipment been inspected?
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Is the tabulated data for spreader bars available?
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Are hand signal charts located on crane?
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Are 2-way radios available for communication?
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Lifting area barricaded-off and spotters used?
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Is fall protection available for the signal person if needed?
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Street closures permitted and protection to the public maintained?
Concrete Construction
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Is a site specific silica plan filled out if required?
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Are employees protected from silica dust?
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Is exposed skin covered?
Potential for Asbestos
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Is there Asbestos containing material on job site?
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Have workers been trained in Asbestos Awareness?
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Has material been tested for Asbestos?
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Has testing report been made available to crews?
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Has asbestos been abated in work area?
Lockout/Tag Out
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Is lockout/tagout procedure used on any machinery where inadvertent operation could<br>cause injury?
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Does each crew member have their own Lock and Tag?
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Have all energy sources been verified Locked out and tested?
Personal Protective Equipment
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Are hard hats being worn?
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Are safety glasses being worn?
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Are respirators used when required?
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Is hearing protection being worn when required?
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Are high visibility vests being worn when required?
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Gloves?
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Arc Flash PPE?
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F.R. Clothing?
Vehicles
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Do vehicles, earth moving or compacting equipment with an obstructed view to the rear<br>have a backup alarm or used with an observer?
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Do vehicles and earth moving equipment have seat belts and are they used?
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Are flagmen wearing highly visible garments and using flags, sign paddles or lights?
Stairs and Egress points
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Are the stairways clear and have proper lighting for ergress?
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Is there more than one form of egress on the floors?
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Are flights of stairs with equipped with standard stair railings or handrails?
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Are stairs event rise to run?
Hazardous Substances
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Is there a hazard communication program with safety data sheets (SDSs) and inventory list on<br>site?
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Is each original container for a hazardous substance labeled with product identifier, signal<br>word(s), hazard statement(s), pictogram(s), precautionary statement(s) and name, address,and phone number of the chemical manufacturer, importer or other responsible party?
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Is each secondary container for a hazardous substance labeled with original labeling or product identifier and words, pictures, and/or symbols, which provide at least general information regarding the hazards?
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Is exposure to lead or lead based paint, such as paint removal controlled?
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Is exposure to silica, such as sandblasting, using sand or cutting brick or cinderblock controlled?
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Is exposure to asbestos controlled?
Sign Off
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Name and Signature of Inspector