Ringland-Johnson Jobsite Safety Report

• Job Number

• Project name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Supervisor

1. General jobsite safety

• OSHA and DOL posters posted on site

  Yes

  No

  N/A

• Company safety manual readily available

  Yes

  No

  N/A

• Emergency contact information posted

  Yes

  No

  N/A

• First-aid kits available

  Yes

  No

  N/A

• Hazardous areas identified (electrical, laser, excavations, etc.)

  Yes

  No

  N/A

2. Housekeeping

• General neatness of working areas

  Yes

  No

  N/A

• Walking/working surfaces are free from obstructions.

  Yes

  No

  N/A

• Adequate lighting in all work areas

  Yes

  No

  N/A

• Implement hazards are protected (rebar, protruding nails, etc.)

  Yes

  No

  N/A

3. Personal protective equipment

• Eye protection

  Yes

  No

  N/A

• Hard hats

  Yes

  No

  N/A

• Footwear

  Yes

  No

  N/A

• High visibility clothing

  Yes

  No

  N/A

• Hand protection

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Face protection

  Yes

  No

  N/A

• Respiratory protection

  Yes

  No

  N/A

4. Fire prevention

• Are fire extinguishers readily accessible?

  Yes

  No

  N/A

• Are fire extinguishers charged?

  Yes

  No

  N/A

• Do fire extinguishers have inspection tags?

  Yes

  No

  N/A

• Are flammable and combustible materials properly stored?

  Yes

  No

  N/A

• Are compressed gas cylinders properly stored and secured?

  Yes

  No

  N/A

• Are hot work permits issued when necessary?

  Yes

  No

  N/A

• Are fire extinguishers designated for hot work operations?

  Yes

  No

  N/A

5. Electrical safety

• Electrical cords are free from damage?

  Yes

  No

  N/A

• GFCI protection in use

  Yes

  No

  N/A

• Electrical cords have a ground prong

  Yes

  No

  N/A

• Are electrical cords protected from damage? (Metal studs, doorways, access roads)

  Yes

  No

  N/A

• Temporary electric/lighting supported by non-conductive materials

  Yes

  No

  N/A

• Lights are covered with protective cages

  Yes

  No

  N/A

• Electrical rooms/panels secured and labeled

  Yes

  No

  N/A

• Proper clearance maintained around overhead lines

  Yes

  No

  N/A

• Is lockout/tagout used when necessary?

  Yes

  No

  N/A

6. Fall protection/prevention

• Workers above 6 feet have proper fall protection

  Yes

  No

  N/A

• Unprotected sides/edges are properly guarded

  Yes

  No

  N/A

• Floor holes/openings are properly covered, marked, and secured.

  Yes

  No

  N/A

• Work areas below are protected from falling objects

  Yes

  No

  N/A

7. Tools

• Tools are maintained in good condition

  Yes

  No

  N/A

• Guards are in place and in good working order

  Yes

  No

  N/A

• Tools are being utilized as intended

  Yes

  No

  N/A

8. Ladders

• Ladders are maintained in good condition

  Yes

  No

  N/A

• Ladders used for access are secured

  Yes

  No

  N/A

• Ladders used for access extend 3 feet past the landing

  Yes

  No

  N/A

• Ladders are set at a 4:1 ratio

  Yes

  No

  N/A

• Ladders are rated for construction use

  Yes

  No

  N/A

• Ladders are used as intended

  Yes

  No

  N/A

9. Scaffolding

• Scaffolding maintained in good condition

  Yes

  No

  N/A

• Scaffolding erected on sound rigid footing (base plates & mud sills)

  Yes

  No

  N/A

• Scaffold is fully decked

  Yes

  No

  N/A

• Scaffolding secured to the structure once exceeding the 4:1 ratio (height:base width)

  Yes

  No

  N/A

• Proper scaffold access is utilized

  Yes

  No

  N/A

• Fall protection in place over 10 feet.

  Yes

  No

  N/A

• Mobile scaffold equipped with locking casters

  Yes

  No

  N/A

10. Excavations and trenching

• Underground utilities staked or marked

  Yes

  No

  N/A

• Competent person has determined soil type and identified hazards

  Yes

  No

  N/A

• Excavations greater than 5 feet in depth are protected from cave-in (sloping, benching, boxes, shoring)

  Yes

  No

  N/A

• In excavations over 4 feet in depth, are safe means of egress located within 25 feet of workers?

  Yes

  No

  N/A

• Spoil piles and equipment are at least 2 feet from the edge

  Yes

  No

  N/A

• Obstructed excavations are protected with guardrails, fences, or barricades

  Yes

  No

  N/A

11. Cranes and lifting operations

• Hazards identified prior to crane operation

  Yes

  No

  N/A

• Inspection documentation readily available

  Yes

  No

  N/A

• Outriggers are fully extended and ground conditions are adequate to support crane

  Yes

  No

  N/A

• Proper cribbing/padding under outriggers

  Yes

  No

  N/A

• Loads are properly rigged

  Yes

  No

  N/A

• Slings/rigging free from damage and have load rating tags

  Yes

  No

  N/A

• Swing radius marked off

  Yes

  No

  N/A

• Area under the suspended load is clear

  Yes

  No

  N/A

• Crane is positioned a minimum of 20 feet from overhead power lines

  Yes

  No

  N/A

12. Aerial work platforms

• Body harness worn while operating boom lifts

  Yes

  No

  N/A

• Safety chain/guard secured on scissor lift

  Yes

  No

  N/A

• Lifts are used in accordance to ANSI standards

  Yes

  No

  N/A

13. Hazard communication

• Containers are properly labeled

  Yes

  No

  N/A

• Safety data sheets are available

  Yes

  No

  N/A

Industrial hygiene testing

Corrective actions

• Enter any corrective actions that will be undertaken

Sign off

• On site representative

  Sign

• Auditor's signature

  Sign