Information

  • Project Manager/Job number/Date (John Doe 8111334 01212103)

  • Client-City, State /Month/Safety Report (Chuys-Richmond, VA January Safety Report)

  • Add location
  • Conducted on

  • Prepared by

Program Administration

  • Is the OSHA and government regulations posters hung up?

  • Picture of posters

  • Has the two week safety checklist been completed?

  • Is Parkway safety book on site ?

  • Are emergency telephone numbers posted?

  • Is drinking water available on site?

  • OSHA 300A on site for Feb 1st- Apr 30th?

  • Superintendent weekly safety inspection forms being completed by Superintendent?

  • Deficiencies Found

Hazard Communications

  • Are MSDS forms for Parkway purchased items available on site?

  • Do subcontractors have their MSDS sheets on site?

  • Deficiencies Found

Medical

  • Is first aid kit available and properly stocked?

  • Picture of first aid kit

  • Deficiencies Found

Fire prevention and protection

  • Are the proper type and number of fire extinguishers available and in operating condition?

  • Picture of fire extinguisher

  • Are flammable liquids stored in metal safety cans and properlylabeled?

  • Are all work areas clear of combustible scraps and debris?

  • Are fire lanes free of debris so emergency vehicles can enter the site?

  • "No smoking" signs posted and enforced?

  • Deficiencies Found

Personal protective equipment

  • Is proper personal protective equipment being used when required?

  • Are Hardhats being worn at all times; until the ceilings throughout the building are completely finished; all overhead hazards and hazards where there is the possibility of injury to the head from impact from falling objects no longer exists?

  • Picture of hardhats being worn

  • Is eye and face protection being used when needed?

  • Is proper footwear being worn by all personnel?

  • Is hearing protection being used when needed?

  • Is respiratory protection being used when needed?

  • Is fall protection being used when required?

  • Are personnel using gloves when handling sharp or rough material?

  • Deficiencies Found

Ladders

  • Are ladders on site?

  • Ladders
  • Is the proper ladder for the job being used?

  • Picture of ladders

  • Are ladder inspections being performed?

  • Are ladders in good condition (no missing or broken rungs)?

  • Are defective ladders immediately withdrawn from service and marked "do not use" or destroyed?

  • Deficiencies Found

  • Are step ladders on site?

  • Ladders
  • Are step ladders fully open when in use?

  • Are extension ladders on site?

  • Extension ladders
  • Are ladders being leaned at a 4 to 1 ratio?

  • Are ladders tied off or secured at top?

  • Do siderails extend 36 inches above the top of opening or has a handgrip been put in place 36 inches high?

Scaffolding

  • Is scaffolding on site?

  • Scaffolding
  • Has scaffolding been erected correctly?

  • Picture of scaffolding

  • Is scaffold erected on a firm and substantial surface?

  • Are scaffolds fully planked?

  • Are toeboards and guardrails in place on scaffolding?

  • Is a signed competent person form onsite?

  • Deficiencies Found

  • Is there rolling scaffolding on site?

  • Rolling scaffolding
  • Do rolling scaffolds have locking wheels and are locked when used?

Tools

  • Are the power tools with cords on site?

  • Power tools
  • Are cords in good condition not frayed, damaged or missing ground pins?

  • Picture of tools

  • Are handles, shields, and guards on all tools in good condition and being used correctly?

  • Are hoses on air or hydraulic tools in good condition and attached securely?

  • Deficiencies Found

Electrical

  • Is electrical lockout/tag out needed?

  • Lockout
  • Are all switch panels and devices that are energized marked and guarded to prevent accidental contact?

  • Are lockout devices used on all circuits that could become energized while work is being performed?

  • Is there temporary electric on site?

  • Temp Electrical
  • Is temporary lighting hung by non-conductive material?

  • Deficiencies Found

  • Are temporary receptacles affixed to walls or stands?

  • Are there any visual signs of outlet overloading?

  • Are temporary circuits properly guarded and grounded with GFCI protection?

  • Are all temporary lights in work areas and supply trailers protected with guard? Are guards closed, bulbs in place, and not burned out?

  • Picture of temp lighting

  • Are extension cords on site?

  • Extension Cords
  • Are OSHA approved type extension cords being used on job site?

  • Are extension cords being correctly used? They are not fastened with staples, hung from nails, or suspended by wire?

  • Are extension cords not damaged, frayed, missing ground pins, and are of the three wire type?

  • Bent or broken ground prongs on chords?

Trenching and excavation

  • Is there currently trenching and excavation taking place on site?

  • Trenching and Excavation
  • Do the subs have a competent person on site when someone is in the trench?

  • Has the competent person form for trenches been signed?

  • Are all trenches and excavations properly barricaded?

  • Picture of trenches

  • Is all excavated material properly stored 2 feet or more from edge?

  • In trenches more than 4 feet deep, are ladders within 25 feet travel distance?

  • Is proper sloping being used for trenches?

  • Deficiencies Found

Welding

  • Is Welding currently taking place?

  • Welding
  • Has a hot work permit been obtained and on-site?

  • Is a fire extinguisher within range of welding work?

  • Are fire blankets being used where needed?

  • Are all shields, helmets and goggles in place and in good condition?

  • Picture of PPE for Welding

  • Have all cylinders been chained upright with valve caps in place?

  • Are hoses and gauges in good working order?

  • Are inspections for fire hazards be done when welding is completed?

  • Deficiencies Found

General

  • Are competent person forms for each sub on site?

  • Are proper housekeeping procedures being performed daily?

  • Are all tools and materials properly stored and placed so as not to produce slip or trip hazards?

  • Are all openings in floors and walls through which employees can fall protected?

  • Are all holes covered, secured, and marked?

  • Are rebar caps in place when needed?

  • Picture of rebar caps

  • Are sanitary systems and supplies available and adequate?

  • Is adequate lighting provided in all work areas?

  • At night is jobsite secure so that unauthorized persons are not at danger from tools, equipment and materials?

  • Are subcontractors being notified in writing when violations are found?

  • Deficiencies Found

  • Are copies of notifications being kept in jobsite safety manual?

  • Notes

  • Subcontractors on site today

  • Picture of violation

  • Picture of violation

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