Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
EQUIPMENT
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Horn functioning
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Operator appears competent
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Seat belts used
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Strobe lights, where applicable
PPE
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Glass/goggles
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Face shields (grinding/overhead drilling)
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Side shields
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Gloves
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Hard hat
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Hearing protection
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Hi visible construction vest
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Proper clothing, 3" shirt sleeves
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Work boots
SCAFFOLDS
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Proper training
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Bracing and pins in place
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Compatible components used
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Competent person present
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Guardrails in place @ 6"
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Inspected daily
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Properly secured to structure
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Proper access to platforms
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Proper loading of materials
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Safe work distances
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Will, plates, jacks installed
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Wheels locked
SCISSOR/AERIAL LIFT
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Surface in safe condition
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Equipment loaded properly
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Inspected before each use
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Platform free of debris
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Gate or chain secured
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Harness while in boom lifts
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Nothing to increase height
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Operating on flat surface
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Operator training
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Safe work distance
SITE
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Surface free of holes
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Adequate lighting
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Barricades installed properly
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Excavations protected
ELECTRICAL
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Assured grounding used
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Cords in good condition
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Cords protected from traffic
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EEW procedures followed
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EEW tools/equipment available
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Electrical room protected
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Energized parts protected
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GFCI's used
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Under permanent power
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LO/TO procedures
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Proper use temp power boxes
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Signage present
SITE PROTECTION
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Falling object protection
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Perimeter fences
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Public/site protection signage
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Security system in place
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Proper locks and lock boxes in use
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Are lock boxes in place where applicable
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Traffic control plan
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Street closure
WELDING/CUTTING
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Bottles upright/capped and secure
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Fire extinguishers present
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Flash arrest on torches
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Flash protection available
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Gauges working properly
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Leads in good condition
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proper PPE in use
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Torch hoses in good condition
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Weld machine ventilation
CRANES & HOISTING EQUIPMENT
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Annual inspection current
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Anti two block devise
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Boom angle indicator
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Certificate or verify training
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Crane supported and level
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Daily inspections
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Flagman identified
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Distinguish power lines/de-energized
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Fire extinguisher in crane
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Lift plan on file
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Load chart posted
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Loads properly secured
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Load weight verified
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Means of communication
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Operator appears competent
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Operator manual in crane
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Outriggers extended/cribbing
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Rig inspected/rsted
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Safety latch used
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Swing radius barricaded
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Tag lines used
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Weight of load verified
EXCAVATIONS
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Access/egress within 25"
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Competent person present
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Daily inspection documents available
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Excavation >20? engineers
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One call system used
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Perimeter protection/barricades
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Sloped, benched, or shored
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spoils 2' from edge
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Surface encumbrances
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Surface traffic exposure
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Water entering excavation
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Operator trained on equipment
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Utility locates performed
ADMINISTRATION
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Document pre-construction meeting
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Document weekly progress meetings
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Blank incident forms available
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Frequent/regular safety inspections
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Pre job hazard analysis (JHA) completed
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JHA's completed where applicable
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Do employees have proper training for task
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MSDS 3E stickers/information posted
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OSHA 300 log posted
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Safety manual
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Safety meetings occur weekly
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State/federal posters posted
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Visitors PPE available
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EEO posters posted
HOUSEKEEPING
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Clear access to building/site
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No oil on floor around threading machines
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Nails removed from scrap
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No loose nails/screws laying around site
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Impalement protection
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Proper material storage
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Roadway around project clear
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Slip, trip fall hazards
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Conduit floor stub-ups properly marked
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Trash containers available
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Materials stored in proper locations
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Walkways clear/cords out of aisles
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Copy of program
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Employees trained
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Do employees have 3E cards
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MSDA (site specific)
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Proper labels on containers
FALL PROTECTION
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External/internal guardrsils
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Employee trained
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JHA's completed where applicable
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all fall protection inspected before use
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Fall protection at 6'Or 4' Wash/Cal
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Fall protection plan
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Floor/wall opening protected
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Floor covers adequately secured/labeled
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Proper anchorage points
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Roof edge protected
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Safety harness and lanyards
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Stair/ramp/walkway protection
ELECTRICAL
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Cords in good condition
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Cords protected from traffic
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Cords out of doorways/aiseles/sharp edges
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Energized electrical work procedures
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Electric a room protected
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Energized parts protected
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GFCI's used
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Cord grounding complete/copy on job site
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Temporary power panels in good condition
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Temporary lighting strung 8'
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Temporary lighting hung by non-conductive material
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Temporary lighting has cages/protection
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No exposed energized parts/conductors
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Proper use of temporary power boxes
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Signage present
LOCKOUT/TAGOUT
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All employees trained CE policies & site specific policies
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Group lockout
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Individual lockout
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Lockout devices/boxes provided/tags
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Proper test equipment used & available
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Proper barricades in place
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Signage present
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Proper communication
NFPA 70E
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Are all employees trained
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Energized electrical policy/procedures available for review
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Safety department notified
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Energized electrical work permit complete
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Job briefing & JHA complete
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Face shields available
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Hearing protection available
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Proper fire retardant clothing on site
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Proper gloves on site
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Are gloves currently tested within 3 months
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Proper test equipment on site
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Are hot sticks currently tested
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Proper rescue equipment available where applicable
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Are signs and barricades posted/available
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Insulated tools inspected & in good shape
ENVIROMENTAL
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Asbestos/lead/mold/sillica
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Concrete cut wet & vacuumed
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Containers labeled
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Hazard material properly stored
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Nuisance dust
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Spill containment adequate
CONFINED SPACE
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Access within 25'
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Employees trained
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Competent person present
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Daily inspection documented
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Excavation >20' engineered
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One call system used
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Perimeter protected/barricade
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Sloped, benched, or shored
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Spoil 2' from edge
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Surface traffic exposure
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Surface encumbrances
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Atmospheric testing where applicable
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Water entering excavation
FIRE PROTECTION
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Emergency vehicle access
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Fire extinguisher charged/inspected
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Fire suppression equipment available
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Fire watch when applicable
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Proper signs in store areas
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Extinguisher within 50' of flammables
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Proper fuel containers used
HAND/PWR TOOLS
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Cords in good condition
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Ground prong in place
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Guards in place
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Powder actuated tool training when needed
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Proper tool for the job
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Strain relief functioning
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Tool in good condition
LADDER/STAIRS
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3' above landing
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Ladder feet flat on floor
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Access break >19"
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Clear of debris/materials
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Extension ladder 4:1 pitch
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Inspected for defects
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Job-built ladders constructed properly
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Job-built ladders secure
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Landings and trends filled
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Proper use of ladder
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Rails at stairs/landings
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Safe work distance from hazards
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Ladder positioned as close to work as possible
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Remain at 3 points of contact
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Slip/trip exposure eliminated
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Stairs illuminated
MEDICAL
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1st aid kit
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1st aid/CPR person on site
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Emergency action plan
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Emergency numbers posted
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Emergency supplies
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Eye wash
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Map to medical facilities available
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Team contact numbers
MOTOR EQUIPMENT
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Adequate training
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Daily equipment inspections
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Equipment used per manufacture recommendations
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Back up alarm functioning
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Flagman used if applicable
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Glass free of obstructions
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Signature