Quality Air Construction Jobsite Inspection Form

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Requirements

• OSHA poster and state requirements displayed?

  Yes

  No

  N/A

• OSHA 300 Form posted: req: (2-1 to 4-30)?

  Yes

  No

  N/A

• Emergency and occupational clinic numbers posted?

  Yes

  No

  N/A

• Weekly safety talk conducted?

  Yes

  No

  N/A

• Daily safety huddle and 5x5 conducted?

  Yes

  No

  N/A

Hazardous Communication

• Written program/policy on site?

  Yes

  No

  N/A

• MSDS/SDS on site or available electronically?

  Yes

  No

  N/A

• SDS labels on containers and legible

  Yes

  No

  N/A

Personal Protective Equipment

• Hard Hat/ Safety glasses worn as required?

  Yes

  No

  N/A

• Hearing protection used where required?

  Yes

  No

  N/A

• Foot and hand protection used where required?

  Yes

  No

  N/A

Housekeeping

• Work areas, walkways and stairs kept clear?

  Yes

  No

  N/A

• Containers provided for waste?

  Yes

  No

  N/A

• Tools (gang box) kept clean?

  Yes

  No

  N/A

• Materials stored away neatly?

  Yes

  No

  N/A

• All warning signs in place?

  Yes

  No

  N/A

• Adequate lighting provided?

  Yes

  No

  N/A

First Aid

• First aid/ bloodborne pathogen kits are properly stocked?

  Yes

  No

  N/A

• Eye wash available and not expired?

  Yes

  No

  N/A

Compressed Gas Cylinders

• Cylinders are secured in an upright position?

  Yes

  No

  N/A

• Oxygen cylinders are separated from fuel gas by 20ft or suitable barrier?

  Yes

  No

  N/A

• Valve protection caps in place and secured?

  Yes

  No

  N/A

Welding and Cutting

• Hot work permit completed daily?

  Yes

  No

  N/A

• Adequate ventilation during hot work?

  Yes

  No

  N/A

• Proper fire extinguisher available?

  Yes

  No

  N/A

• Fire rated blankets or screens used in area?

  Yes

  No

  N/A

Materials, Handling, Storage and Disposal

• Are materials stacked in tiers and secured from displacement?

  Yes

  No

  N/A

• Lumber has protruding nails or bent down?

  Yes

  No

  N/A

Excavation

• Daily excavation/digging inspection completed?

  Yes

  No

  N/A

• Excavations properly barricaded as required?

  Yes

  No

  N/A

• All excavations have safe egress?

  Yes

  No

  N/A

• Excavations 5Ft or deeper have proper protective systems in place?

  Yes

  No

  N/A

Power/ Hand Tools

• Tools do not present a tripping hazard?

  Yes

  No

  N/A

• Tools are properly grounded?

  Yes

  No

  N/A

• Damaged tools are taken out of service?

  Yes

  No

  N/A

• Mechanical safe guards are in place?

  Yes

  No

  N/A

Lockout/ Tagout

• Each lock/tag has the employee's name on it?

  Yes

  No

  N/A

• Each employee has their own lockand tag when working on the same equipment?

  Yes

  No

  N/A

• Equipment is properly locked and tagged out at the energy source?

  Yes

  No

  N/A

Fire Protection and Prevention

• Fire extinguishers are inspected monthly, serviced yearly and not blocked?

  Yes

  No

  N/A

• Fuel cans have flash arrestor and or safety lid?

  Yes

  No

  N/A

• Fueling area has "no smoking" signs posted?

  Yes

  No

  N/A

• Fire extinguishers are visible in the work area as required?

  Yes

  No

  N/A

Fall Protection

• Fall protection systems in place for unprotected side/edge work when fall to lower level is greater than 6"

  Yes

  No

  N/A

• Openings in floor properly covered and marked?

  Yes

  No

  N/A

• Fall protection equipment in safe working condition, inspected and properly stored?

  Yes

  No

  N/A

Stair Cases

• Stair being used have hand rails installed?

  Yes

  No

  N/A

• Stair construction compliant?

  Yes

  No

  N/A

Ladders

• No broken/ missing rungs or side rails broken or any other defects?

  Yes

  No

  N/A

• Have proper base, pitch, top and bottom kept clear and properly secured?

  Yes

  No

  N/A

• Extend 36" above landing and properly secured?

  Yes

  No

  N/A

• A- Frame ladders are open and locked?

  Yes

  No

  N/A

Aerial / Scissor lift

• Proper guardrails on all sides and chain?

  Yes

  No

  N/A

• Back up alarms operable?

  Yes

  No

  N/A

• Daily inspections conducted and operators have current license?

  Yes

  No

  N/A

Electrical GFCI's used and in working condition?

• Assured grounding inspection completed?

  Yes

  No

  N/A

• Energized panels, outlets covered?

  Yes

  No

  N/A

• Temporary lighting guarded?

  Yes

  No

  N/A

Cranes

• Hand signals posted and/ or known?

  Yes

  No

  N/A

• Rigging equipment inspected and removed if defective?

  Yes

  No

  N/A

• Crane safety hook has a self closing latch?

  Yes

  No

  N/A

Confined Space

• Rescue plan created and communicated?

  Yes

  No

  N/A

• Air Monitor calibrated and tested?

  Yes

  No

  N/A

• Required equipment on site?

  Yes

  No

  N/A

• Any additional comments?

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