Pyramid Masonry Safety Inspection

• PYRAMID MASONRY CONTRACTORS SUPERVISOR SAFETY INSPECTION

• Site Name

• Conducted on

  Date

• Prepared by

• Jim Cook

  Gene Croyle

  Ron Larochelle

  Pat England

• Pyramid Supervisor

Jobsite Documentation

• W/C Medical

  Yes

  No

  N/A

• OCIP/CCIP

  PMC Ins

• Job Notebook w/ Safety documents

  Yes

  No

  N/A

• Select Emergency Action Plan & Emergency Contact Medical Providers/Nurse Triage Indeminty Forms Incident Investigation Reports HazCom & SDS

  • Emergency Action Plan & Emergency Contact
  • Medical Providers/Nurse Triage
  • Indeminty Forms
  • Incident Investigation Reports
  • HazCom & SDS

• Employee Orientation

  Yes

  No

  N/A

• Select PMC Orientation GC Orientation

  • PMC Orientation
  • GC Orientation

• Weekly Inspection Checklist

  PMC Inspection Checklist

  GC Inspection Document

• Toolbox Training Topic

  Yes

  No

  N/A

Scaffolding

• Daily CP inspection & tag

  Yes

  No

  N/A

• All UsersTrained

  Yes

  No

  N/A

• Foundation

  Safe

  At Risk

  N/A

• Planking

  Safe

  At Risk

  N/A

• Bracing & Ties

  Safe

  At Risk

  N/A

• Frames

  Safe

  At Risk

  N/A

• Access

  Safe

  At Risk

  N/A

• Guardrails

  Safe

  At Risk

  N/A

• Fall Protection

  Safe

  At Risk

  N/A

• Falling Object Protection

  Safe

  At Risk

  N/A

• No trash/debris

  Safe

  At Risk

  N/A

Equipment & Tools

• Mixers

  Safe

  At Risk

  N/A

• Select User Training Daily Inspection Secure Setup Operator PPE

  • User Training
  • Daily Inspection
  • Secure Setup
  • Operator PPE

• Masonry Table Saws

  Safe

  At Risk

  N/A

• Select User Training Daily Inspection Secure Setup Effective Dust Control (Wet Cut) Operator PPE

  • User Training
  • Daily Inspection
  • Secure Setup
  • Effective Dust Control (Wet Cut)
  • Operator PPE

• Portable Masonry Saw

  Safe

  At Risk

  N/A

• Select User Training Daily Inspection Secure Setup Effective Dust Control (Wet Cut) Operator PPE

  • User Training
  • Daily Inspection
  • Secure Setup
  • Effective Dust Control (Wet Cut)
  • Operator PPE

• Electric Grinders

  Safe

  At Risk

  N/A

• Select Yes No N/A

  • Yes
  • No
  • N/A

• Powder Actuated Tool

  Safe

  At Risk

  N/A

• Select Operator certification Daily inspection

  • Operator certification
  • Daily inspection

• Ladders

  Safe

  At Risk

  N/A

• Select User training Daily inspection

  • User training
  • Daily inspection

• Extension cords

  Safe

  At Risk

  N/A

• Select User training Daily inspection

  • User training
  • Daily inspection

• Rigging

  Safe

  At Risk

  N/A

• Select Rigger Certification Inspected before use

  • Rigger Certification
  • Inspected before use

• RT Forklift

  Safe

  At Risk

  N/A

• Select Operator certification Daily inspection

  • Operator certification
  • Daily inspection

• Warehouse Forklift

  Safe

  At Risk

  N/A

• Select Operator certification Daily inspection

  • Operator certification
  • Daily inspection

• Electric Pallet Mule

  Safe

  At Risk

  N/A

• Select Operator certification Daily inspection

  • Operator certification
  • Daily inspection

• BlockHog

  Safe

  At Risk

  N/A

• Select Operator certification Daily inspection

  • Operator certification
  • Daily inspection

• Aerial Work Platform

  Safe

  At Risk

  N/A

• Select Operator certification Daily inspection

  • Operator certification
  • Daily inspection

• Boom truck w/ operator

  Safe

  At Risk

  N/A

• Select Operator certification Daily inspection

  • Operator certification
  • Daily inspection

• Mobile Crane w/ Operator

  Safe

  At Risk

  N/A

• Select Rigger Certification Inspected before use

  • Rigger Certification
  • Inspected before use

• Wall Bracing

  Safe

  At Risk

  N/A

• Select Properly Installed Daily Inspection

  • Properly Installed
  • Daily Inspection

• Generator

  Safe

  At Risk

  N/A

• Select User training Daily inspection

  • User training
  • Daily inspection

• Fire Extinguishers

  Safe

  At Risk

  N/A

• Select Monthly inspection Located per hazard

  • Monthly inspection
  • Located per hazard

• Drinking Water

  Yes

  No

  N/A

• Keg, Cups & Trash

  Bottle water

Personal Protective Equipment

• Eye Protection

  Safe

  At Risk

  N/A

• Hand Protection

  Safe

  At Risk

  N/A

• Hearing Protection

  Safe

  At Risk

  N/A

• PFAS

  Safe

  At Risk

  N/A

• Select User training Daily inspection

  • User training
  • Daily inspection

• First Aid Kit

  Yes

  No

  N/A

• Select Weelky inspection 1st Aid Log

  • Weelky inspection
  • 1st Aid Log

• Respiratory Protection

  Safe

  At Risk

  N/A

• Select user training daily inspection voluntary use Appendix D required use Med eval/fit test

  • user training
  • daily inspection
  • voluntary use Appendix D
  • required use Med eval/fit test

• Hardhats

  Safe

  At Risk

  N/A

• Hi-Viz

  Safe

  At Risk

  N/A

• Foot Protection/Safety toe

  Required

  Not required

• Face Protection

  Safe

  At Risk

  N/A

Certifications

• Competent Person

  Yes

  No

  N/A

• CP Name(s)

• Certified Operators

  Yes

  No

  N/A

• Operators Name(s)

• Qualified Scaffoldmen

  Yes

  No

  N/A

• Qualified Scaffoldmen Name(s)

• Qualified Rigger

  Yes

  No

  N/A

• Qualified Rigger Name(s)

• Signal Person

  Yes

  No

  N/A

• Certified Signal Person Name(s)

Safety Observations Description

• Remarks

• Add media

  Media

Incident/Injury Description

• Remarks

• Add media

  Media

Training Description

• Remarks

• Add media

  Media