Information
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Conducted on
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Prepared by
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Accompanying personnel
Safety Inspection Report
Administrative
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OSHA 300 log posted and up to date?
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OSHA and DOL posters up to date and posted?
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SDS sheets up to date and available to employees?
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Emergency phone numbers, evacuation plan and muster points posted?
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Tool box safety talks log up to date?
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First aid kits available in the office?
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Site safety signage is in place (speed, stop, slow, muster points, visitor sign in, safety rules, etc)?
Job Hazard Analysis Completion
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JHA planning forms in use?
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Tasks being performed are listed?
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Hazards and mitigation measures listed?
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Emergency notification section filled out completely on JHA?<br> -emergency phone number(s)<br> -emergency contact name(s)<br> -eye wash station/ first-aid location
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Crew members signing in on JHA?
Site Condition
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Is site housekeeping adequate?
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Trash receptacles available and maintained?
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Access/egress/walkways properly maintained?
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Spill containers available and in proper location?
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Proper amount of sanitary facilities available and well maintained/cleaned?
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Drinking water available and properly maintained?
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Eye wash stations available and ready for use?
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Hazards properly identified and protected? (Barricades/Signs/etc.)
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Sufficient lighting to perform task?
Personal Protective Equipment
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Hard hats worn properly and in good repair?
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Proper safety glass worn for proper lighting?<br> -indoors clear/smoke<br> -outdoors dark/clear/smoke
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Goggles or face shields used when required?
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Employees wearing proper clothing?
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Respiratory protection used properly when needed?
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Hearing protection used where required?
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High visibility clothing/vest worn when required?
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Fire retardant clothing worn where required?
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Gloves being worn when handling material or tools?
Fall Protection
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Fall arrest equipment inspected prior to each use?
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Fall arrest equipment used properly?
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Tools and other objects secured from falling?
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Unused fall protection properly stored when not in use?
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Holes are covered and labeled?
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Ladders secured from displacement? Tied off?
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Ladders used properly?
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Perimeter guard rails in acceptable condition?
Mobile Equipment
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Employees operating equipment have proper training for specific equipment?
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Pre-use inspection forms being used on all equipment?
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Equipment use procedures followed?
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Aerial/scissor lifts used properly, employees are tied off with both feet in basket?
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Warning devices in place on vehicles (back up alarms, strobes, signage etc)?
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Seat belts worn at all times?
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Operators using spotters when backing or in tight spots?
Hand & Power Tools
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Proper tools used for the task?
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All manufacturer's requirements followed?
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Tools in good repair?
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GFCI's used on all power tools?
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Unused tools returned to gang box?
Fire Protection & Prevention
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Site smoking/tobacco policy followed?
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Hot work permits filled out properly and used (if required)?
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Fire watch utilized?
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Combustibles removed from hot work areas?
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Fire extinguisher visibly posted within 25' of any hot work?
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Emergency fire extinguishers available, maintained and in proper locations?
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Compressed gasses properly secured and separated when stored?
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Ventilation adequate during welding?
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Sparks, slag and flames controlled?
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Leads and hoses protected and maintained?
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Proper storage of flammable material?
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Fuel and other liquids properly stored in berm, diked, or double wall containers?
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Fuel storage area properly barricaded?
Scaffolding
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Scaffolding properly tagged (Green/Yellow/Red)?
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Scaffold inspections up to date?
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Scaffold properly anchored?
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Access ladders appropriate and affixed?
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Railings, mid rails and toe-boards in place?
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Workers are working from platform to complete work? No standing on mid rails/ top rails.
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Working surfaces fully planked?
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Working surfaces clean of debris?
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Employees below protected from falling objects?
Cranes and Rigging
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Crane annual inspection up to date?
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Crane operators and riggers certified?
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Daily crane inspection and pre-operational checks complete?
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Rigging inspected prior to each use?
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Critical Lift Plan in place where needed?
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Rigging in good repair?
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Proper rigging techniques used?
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Lift area barricaded or spotter in place during all lifts?
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Riggers keeping employees clear of overhead loads?
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Tag lines being used on all loads?
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Riggers maintaining eye/radio contact with crane operator?
Hazardous Energy Control (LOTO)
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Personnel working on equipment requiring LOTO are properly trained?
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LOTO documentation complete/available for review?
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LOTO equipment in good repair, organized and available?
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Locks installed properly and all locks tagged?
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Energy within system properly controlled?
Excavations and Trenching
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DigSafe or OneCall complete prior to excavations? Note: not all utilities can be located in this manner. Private utilities located using drawings or proper locating service.
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Proper cave-in protection used?
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All holes, trenches and pits properly barricaded?
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Access/Egress within 25' of each employee. Minimum 2 exits from excavation.
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Spoil piles at least 2' from excavation?
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Employees working in trench can see operator at all times?
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Excavations greater than 20' in depth engineered?
Confined Space
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Employees working in confined space are trained?
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Hole watch and standby entry person are confined space trained?
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Confined space paperwork is complete, work is authorized and paperwork is present at the work location?
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Emergency equipment in place for standby person?
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Confined space are identified and signs posted?
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Attendant is trained in gas monitor operation?
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Gas monitor is calibrated and certified?
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Entry person wearing harnesses?
