RB Site Safety Inspection

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Job/Equipment Trailers

• Steps

  Yes

  No

  Caution

  N/A

• Handrails

  Yes

  No

  Caution

  N/A

• Doors

  Yes

  No

  Caution

  N/A

• Lights

  Yes

  No

  Caution

  N/A

• General Set Up

  Yes

  No

  Caution

  N/A

• First Aid Kit

  Yes

  No

  Caution

  N/A

• Comments

• Add media

  Media

Housekeeping

• Walking/Working Surfaces

  Yes

  No

  Caution

  N/A

• Material Storage

  Yes

  No

  Caution

  N/A

• Adequate Lighting?

  Yes

  No

  Caution

  N/A

• Gas Cylinders are upright and secured?

  Yes

  No

  Caution

  N/A

• Add media

  Media

Overhead Work/Fall Protection

• Guard Rails

  Yes

  No

  Caution

  N/A

• Harnesses/Lanyards

  Yes

  No

  Caution

  N/A

• Floor/Wall Openings

  Yes

  No

  Caution

  N/A

• Aerial Lifts

  Yes

  No

  Caution

  N/A

• Ladders

  Yes

  No

  Caution

  N/A

• Scaffolding

  Yes

  No

  Caution

  N/A

• Add media

  Media

Electrical/Tools

• Lock Out/Tag Out

  Yes

  No

  Caution

  N/A

• GFCI

  Yes

  No

  Caution

  N/A

• Cords in Good Condition?

  Yes

  No

  Caution

  N/A

• undefined

• Add media

  Media

Fire Extinguishers/Safety

• Inspection Tags

  Yes

  No

  Caution

  N/A

• undefined

Excavations

• Excavation Work Currently Taking Place Onsite?

  Yes

  No

  Caution

  N/A

• Protective Measures in Place

  Ditch Box

  Shoring

  Sloping

  Benching

  Not Required

• Outside Contractor:

• Add media

  Media

Additional Comments

• undefined

• Add media

  Media

Cranes

• Crane Work Imminent?

  Yes

  No

  Caution

  N/A

Confined Space

• Confined Space Work

  Currently Happening

  Future Work

  No Work Scheduled

PPE

• Eye/Face Protection

  Yes

  No

  Caution

  N/A

• Hearing Protection

  Yes

  No

  Caution

  N/A

• Hard Hat

  Yes

  No

  Caution

  N/A

• Hi-Visibility Clothing

  Yes

  No

  Caution

  N/A

• Gloves

  Yes

  No

  Caution

  N/A

• Special Clothing (Fire/Cut Resistant/Acid, etc)

  Yes

  No

  Caution

  N/A

• undefined

• Add media

  Media

Paperwork

• Federal/State Posters

  Yes

  No

  Caution

  N/A

• Project Safety Manual

  Yes

  No

  Caution

  N/A

• Daily Log

  Yes

  No

  Caution

  N/A

• Safety Meetings (Toolbox Meetings/Daily Safety Discussions)

  Yes

  No

  Caution

  N/A

• The WorkForce protocol is has been posted and reviewed<br>

  Yes

  No

  OCIP or CCIP

• Chemical Packets

  Yes

  No

  Caution

  N/A

• Site Specific Info.

  Yes

  No

  Caution

  N/A

• Emergency Numbers

  Yes

  No

  Caution

  N/A

• Employee Signature Page

  Yes

  No

  Caution

  N/A

• 300 Log

  Yes

  No

  Caution

  N/A