Information
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Conducted on
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Document No.
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CAR number if applicable.
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Client / Site (Name of Project)
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Location
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Project Location?
- Lost Hills
- Firebaugh
- Kings
- PHS
- El Dorado
- Shafter
- Delano
- Texas
- Oregon
-
Contractors On-site?
-
Project Manager / Person Responsible ?
- Kevin Miller
- James Borden
- Don Kloster
- Jack Morton
- Hesnor Herrera
- Doug McComb
- Gary Dunn
- Antonio Lopez
- Steve Lam
- Paul Hughes
- Bob Gibbons
- Mark Harper
- Doug Delamore
- Teddy Martin
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Auditor:
- Jim Stengel, CHST, OHST, CRIS
- Safety
-
Site Activities:
Site Audit
AERIAL and SCISSOR LIFTS
-
Workers have been trained in the use of equipment?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Lift occupants wearing harness correctly? Employees been trained in fall protection?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Workers tied off to boom or basket? (Not required in scissor lifts unless the lift moves when lift is up)
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Lift controls clearly marked and readable?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Workers tied off to anchor points and not to adjacent structures?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Both feet remain on the floor of the basket?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Operators maintaining or under the load limits of the basket / lift?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Lift is stationary when boom is elevated?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Employees refrain from transferring at height while in a scissor lift?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Mid-rail chain / gate used when in operation?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Operators maintaining safety compliance while operating lift?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
CONCRETE / MASONRY
-
Rebar / flat stakes guarded (covered) to eliminate impalement hazard?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Employees working in concrete wearing proper hand and foot protection?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Connectors, ties or whips used to secure pressurized air hoses?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Guard down on pump (on pump truck)?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Masonry saw blades guarded?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Fugitive dust controlled while cutting block or conducting finish work?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Masons wearing face shields AND safety glasses while cutting block?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Formwork capable of supporting vertical / lateral loads?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Shoring equipment inspected?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Base plates secured to foundation / mud sill / formwork?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Jacks / supports do not exceed the rated capacity?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Limited access zone equal to the wall height plus 4 feet?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Limited access zone strictly enforced?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Walls over 8 feet braced to prevent collapse?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Masons maintaining safety compliance?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
CONFINED SPACE
-
JSA and rescue plan on-site and available? Employees been trained on the plan?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Entry permit completed and signed?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Air sampling completed and documented prior to entry?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Proper warning signage posted at entry to the permit space?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Forced air ventilation used for the duration of entry?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Proper lighting provided?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Rescue team trained and readily available?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Retrieval system (Tripod) available and utilized?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Entrants attached to the retrieval line?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Attendant on duty outside the permit space?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Attendant only performs monitoring duties?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Confined space team is maintaining safety compliance?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
CRANES / RIGGING
-
Crane(s) inspected and properly maintained?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Crane operator, rigger and signal person certified?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Crane load charts visible to the operator?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Hand signal charts posted or available?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Fire extinguisher located within the cab?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Pick (Lift) plan on-site, reviewed and the load is within load capacity?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Crane outriggers fully extended and on cribbing properly?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Swing radius identified and barricaded?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Workers remain outside of the swing radius and under suspended loads?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
All power lines are a minimum 15 feet away from all lifting and boom swing radius?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Rigging equipment inspected and in good condition?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Rigging equipment maintain lift capacity markings?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Crane operations maintaining safety compliance?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
ELECTRICAL
-
Electrical cords maintain ground posts?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Electrical cords are free from damage / repair / alterations?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Electrical cords protected from damage and roll over?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Electrical cords protected and not ran through door ways or windows?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Electrical cords kept clear of work areas and walk ways?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Electrical cords are rated for construction? Flat cords removed from site?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Spider box being inspected quarterly?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Power strips and 3 way splitters construction rated?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Electrical equipment being used per the manufacturers specifications?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
GFCI being used on 120V single-phase, 15/20 amp outlets?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
All outlets have cover plates when outlets are energized?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Temp light cords are hung with non-metallic fastener, off the ground and does not cause a hazard?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Temp light bulbs maintain cages and all bulbs?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Electrical rooms maintain proper warnings and labels per NFPA 70e?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Access to electrical room(s) restricted per NFPA 70e?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Electrical panels are covered, labeled and all breaker slots are covered?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
3 foot clearance around all electrical panels being maintained?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Employees are not allowed to work near unprotected circuits / panels?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Employees are locking and tagging out equipment and panels and NOT working on hot equipment?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Employees working with energy maintaining safety compliance?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
FALL PROTECTION
-
JSA and fall protection rescue plan has been established and all effected employees have been trained?
-
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
All employees have been trained in fall protection?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
A fall protection system is provided for all employees working above 7 1/2 feet? (6 feet for rod busters)
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
PFA rigged to prevent contact with any surface? (Max fall distance allowed is 6 feet)
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Harnesses have been inspected prior to use?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Employee wearing harness correctly, wearing the appropriate lifeline (lanyard) and attached to an anchor?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Fall protection anchors are set up per specifications and all elements are rated to 5000 lbs?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Guardrails are able to with stand 200 lbs outward and down force?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Guardrails do not exceed 2 inch deflection in any direction?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Guardrails and mid-rails are at the proper height?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Guardrail posts are not more than 8 foot OC?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Guardrails / mid-rails are constructed to be on the inside on the guardrail posts?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Guardrails and mid-rails have been placed around floor / roof openings?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Floor holes greater than 2 inches have been covered, properly labeled and secured from movement?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
The fall protection selected is appropriate for the fall exposure?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Floor hole covers are capable of handling 2 times the intended load?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Safety monitor performs only monitoring duties?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Safety monitor is at the same surface as the work with visual and verbal contact?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Warning line 6 feet back for roofing activities?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Warning line 15 feet for non-roofing activities?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Warning line erected on all open sides?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Warning line flagged and suspended at proper height?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Access and hoisting areas guarded?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
All materials stored more than 6 feet back from roof or deck edge?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Safety compliance being maintained?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
FIRE SAFETY
-
Employees trained in the use of fire extinguishers?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Fire extinguishers in good condition, fully charged and recently inspected?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Fire extinguishers replaced annually?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Fire extinguishers are within 75 feet of workers?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Fire extinguishers within 15 feet of hot work?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Minimum of 1 fire extinguisher per floor / level?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Fire extinguishers within 50 feet of flammable materials?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Flammables stored in an approved and closed containers?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
No smoking signs posted near flammables?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Flammable liquids protected from ignition sources?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Flammables not stored near access and egress locations?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Scrap piles, debris and trash stored more than 10 feet from building or structure?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Maintaining fire safety compliance?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
FORKLIFTS
-
Forklift operators been trained for the specific forklift they are operating?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Forklift inspected prior to use?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Forklifts remain unmodified or altered?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Outriggers being used on extended reach fork lift?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Forklift is operating within lift capacities?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Forklift slings have been inspected and maintain lift capacity tags?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Forklifts have lift, load and angle charts?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Forklift has fire extinguisher in the cab?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Forklift forks are down when not in operation?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Forklift operator wearing seat belt when in operation?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Forklift has an audible back up alarm that can be heard up to 200 feet away?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Spotters are used when forklift has to travel through barrier curtains or blind accesses?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Operator is traveling less than 10 MPH, stopping at all intersections and stop signs?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Workers refrain from working or being under lifted / suspended loads?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Lift basket secured to forklift?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Forklift maintains an operator when the lift basket has employees in it?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Forklift operators maintaining safety compliance?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
HOUSEKEEPING
-
Work site / location reasonably organized - Good housekeeping?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Lunch trash picked up and removed from site?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Trash removed at regular intervals?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Scrap, pipe cut offs, pipe and other slip / trip hazards removed?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Staging / lay down area in good condition / good housekeeping?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Gang boxes free from combustible / flammable materials?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
All scrap lumbar / planks has nails removed or bent over?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Housekeeping is being maintained?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
LADDERS and STAIRS
-
Ladders inspected / no visible defects?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Ladders rated for construction (1 AA ladder) ?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Spreaders fully extended and locked into position on A frame ladders?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Employees are not using the top two steps of a step ladder?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Ladders set up on firm stable base?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Ladders being used for the intended purpose?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Proper ladder selected for task?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Extension ladder extends 3 feet above landing surface?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Extension ladder set up at 4:1 angle?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Extension ladders tied off at the top and secured at the bottom to prevent slip?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Stair/ladder/ramp used at elevation break of 18 inches or more?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Handrails on stairs with 4 or more risers?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
3 feet around the ladder at the top and bottom remain clear of all materials and debris?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Employee is maintaining 3 points of contact while climbing ladders?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Treads / landings on pan stairways filled?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Ladder / steps used when access a flat bed trailer?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Ladder users maintaining safety compliance?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
MEDICAL / FIRST AID
-
Emergency numbers posted on site, visible to all employees?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Location of nearest medical facilities posted, visible to all employees?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Eye wash / body wash stations set up when required?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Maintaining safety compliance with medical / first aid?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
A minimum of 1 CPR / FA / AED certified employee per crew?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Every trade maintains their own first aid kit / supplies? First aid kit fully stocked?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
PERSONAL PROTECTIVE EQUIPMENT
-
Maintaining safety compliance with personal protection equipment ?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
PPE provided to the employee / available as required?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
PPE being maintained in good condition?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Replacement PPE readily available?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Hard hats being worn, properly and without alterations?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Eye protection used as required? Glasses rated as eye protection?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Hand protection used when required? (Digging, handling tag lines etc)
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Safety boots (Steal toe) footwear worn when required (Compacting soil, jack hammering etc)?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Respirators provided / used as required?
-
Has the employee been trained in respiratory protection?
-
Does employer maintain a current written respirator program?
-
Has the employee been seen by a physician and been fit tested?
-
Employee using the proper filter for respirator?
-
Respirator being stored correctly?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Hearing protection used as required?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
High visibility clothing worn as required?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Face protection used as required?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
POSTINGS / SAFETY SIGNS
-
OSHA Workplace Poster displayed at all locations?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Emergency numbers / contacts posted?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
OSHA 300 log posted Feb. 1st through April 30th?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Danger / warning signs posted? Each site maintains proper signage?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Danger - Keep out signs posted on security fencing?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
All posting meet safety compliance?
-
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
SAFETY TRAINING
-
Toolbox / tailgate meetings completed daily? Documented?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Toolbox / tailgate meetings completed weekly? Documented?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Equipment (Machine) operator training conducted and documented?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Job-specific safety training provided / documented?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Safety orientation training provided and verified?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
All employees have been trained in Heat Illness and Injury Prevention? (8CCR3395)
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Employer is maintaining good safety training and maintaining compliance?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
SANITATION
-
Adequate supply of potable water provided at no cost to the employee ( Minimum of 1 quart of water per hour per employee)?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Single use, disposable drinking cups provided? (Common cup and drinking directly from the container is prohibited)
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Trash cans provided at all drinking locations?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
NON-POTABLE water is clearly marked and identified?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
1 toilet per 20 workers at the job site? Females have a separate facilities?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Hand washing stations provided? 1 hand washing outlet per 20 workers?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Facilities (toilets and hand washing facilities) are being maintained in sanitary conditions?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Sanitation locations are being maintained in good conditions and maintaining safety compliance?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
SCAFFOLDS
-
Perry Scaffolds has guard rails and mid rails when platform is at 7 1/2 feet?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Perry Scaffolds have outriggers when scaffold is 3 times the base?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Perry Scaffold is built per manufacturers specifications?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Employees refraining from "surfing" or scooting on Perry Scaffolds?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Employees have both feet on the platform at all times?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Guard rails are installed between 42 - 48 inches off of platform?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Mid-rails are installed between 21 - 24 inches off of platform?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Scaffold for the employees remain clear of all materials to gain additional height?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
All employees have been trained in Scaffold Awareness to work off of scaffolds?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Competent person inspecting scaffold before daily occupancy? From all trades working off of scaffolds?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Scaffold was erected under the supervision of a Competent Person?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Scaffold inspection tags are located at each scaffold ladder? Inspection tags filled out and maintains current inspections?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Working platforms fully planked?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Fall protection provided at 7 1/2 feet and above?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Legs / frames bear on base plates / mud sills?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Base plates / mud sills clear from dirt, debris and obstructions? Able to inspect? Base plate secured to mud sill?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Mud sills free from undermining?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Planks in good condition? Scaffold grade planks? Free from splits, cuts and damage?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Planks / Working platform clean, free from excessive debris, trash and materials?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Ladder provided and used to access all scaffold platforms?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Scaffold plank overlap a minimum of 6 inches max. 18 inches, and overlap is over a frame?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Scaffold is tied into structure at 12, 26 and 30 feet (or top of structure)?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Toe-boards provided above all access / egress points and anywhere employees are working below?
-
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Trades maintaining good compliance with Scaffolds?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
STEEL ERECTION
-
Site erection plan available for review?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Lay down area graded, drained and adequate?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Decking secured upon placement?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Guardrails around stair / elevator / perimeters openings?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Floor opening covers properly marked and secured?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Structure members secured with two bolts per connection?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Diagonal bracing secured with one bolt per connection?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Tools secured against accidental displacement?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Perimeter cables installed when decking is completed?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Perimeter cables flagged at 6 foot intervals?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Perimeter cables maintain less than 2 inch deflection?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Ramps and runways properly guarded?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Iron workers / steel erection maintaining safety compliance?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
TOOLS (HAND and POWER)
-
Hand and power tools in safe operating condition?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Tool guards in place and functional on all power tools?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
All tools stopped and turned off during refueling and maintenance?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Power tools maintain a ground post or be double or triple insulated?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Tools are in like new condition with no alterations, repairs or damage?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Handles on tools free from splinters and cracks?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Safety spring(s) present in all from nail guns?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Grinders and cutting wheels maintain fully functioning guards?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
All air delivery equipment maintain air pressure gauges and hose connection safety's (ties/whips/connection pins)?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Tools are properly hoisted / lowered?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
TRAFFIC CONTROL
-
Personal trained in work zones traffic safety techniques?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Manual on Uniform Traffic Control Devices available?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Traffic Control Plan available and updated?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Work zone inspected? Documented?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Warning signs alert drivers to upcoming road work?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Warning signs visible and spaced properly?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Warning signs in good condition, legible, clean and working?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Delineation devices (cones, barrels, panels) positioned properly?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Delineation devices (cones, barrels, panels) in good condition?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Barricades provided / placed where required?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Barricades erected with correct directional stripes?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
High visibility clothing is worn within the work zone? Proper rating (class 2 or class 3)?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Beacon lights activated on vehicles near active traffic lanes?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Contractors maintaining traffic control safety?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
TRENCHING / EXCAVATION
-
Excavations not more than 2 feet below protective systems?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Pavements / structures not undermined unless supported?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Excavation contractor maintaining safety compliance?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Utilities located / identified prior to start of excavation? PM or Dig Alert contacted?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Competent person identified on the JSA and has completed daily inspections?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Competent person on-site and at location when trench is occupied?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Soil has been properly classified by manual tests and properly documented?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Atmospheric conditions tested prior to entry (where required) ?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Signs / barricades provided on all open trenches? Barricades a minimum of 6 feet away from the trench?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Employees are protected from cave-in by protective systems?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Sloping / benching adequate for soil type?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Spoils / materials / equipment set back 2 feet from edge? No material / equipment on the benches?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Travel distance to egress is no more than 25 feet?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Surface encumbrances removed or supported?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Stability of adjacent structures ensured?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Water runoff controlled to prevent accumulation?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Access prohibited when water accumulation is uncontrolled?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Back filling occurs following removal of support system?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
WELDING / CUTTING / HOT WORK
-
Welding screens provided and used when required?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
JSA and Hot work permit filled out completely and is accurate?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Welders are operating safely and maintaining safety compliance?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Regulators / gauges / valves in proper working order?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Cylinders maintained in good condition?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Welding hoses in good condition?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Fire extinguisher within 20 feet of hot work?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Valve caps in place when stored / transported?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Combustibles removed / protected from heat / spark / slag?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Cylinders secured in upright position?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Fuel gas cylinders separated from oxygen cylinders (by 20 feet) when not in use, or has a firewall between tanks?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Fuel gas has a flash arrestor in-line or at the handle?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Cylinders in transportation are secured in a vertical position?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Fire watch is in place when required?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
OTHER
-
Construction areas properly illuminated?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Security fencing installed, maintained in good condition and is closed when site is not occupied?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Frequent / regular inspections by the contractor of the job site completed?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Defective equipment tagged or removed from job site?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Any unsafe acts observed?
-
Exposing Contractor
- Abe Olivarez
- Baghouse Sheet Metal
- Blue Mtn Const.
- Braaten Electric
- Central Cal. Const.
- Industrial Design
- JTI
- Lentz Const
- MD Concrete
- Potential Design
- Precision
- Process Unlimited
- R & C Refrigeration
- Ross Fab
- Superior
- Universal Welding
- Valadon Plumbing
- Valley Tree
- Walker Concrete
- Other
-
Notes:
MISC. INFORMATION
-
Notes:
-
This space is available for draw out.
-
This report was emailed to the Project Manager / GM
-
Date and time when the report was submitted?
-
This report emailed to the Exposing Contractor(s)?
-
Date and time when the report was sent to Exposing Contractor(s)
-
Auditor Signature
Recommendations / Abatement:
-
If this box is checked then the Recommendations / Abatement is not applicable and this report is for notification only.
Exposure 1
-
Exposing or Responsible Contractor?
-
Repeat exposure:
-
Exposure to be remediated
-
Recommendation:
-
Remediation on or before:
-
Abated prior to leaving location? No further follow up is required.
Exposure 2
-
Recommendation?
-
Remediation on or before:
-
Abated prior to leaving location? No further follow up is required.
-
Exposing or Responsible Contractor
-
Repeat Exposure?
-
Exposure to be remediated?
Exposure 3
-
Repeat Exposure?
-
Exposure to be remediated?
-
Recommendation?
-
Remediation on or before:
-
Abated prior to leaving location? No further action required.
-
Exposing or Responsible Contractor?
Exposure 4
-
Exposing or Responsible Contractor?
-
Repeat Exposure?
-
Exposure to be remediated?
-
Recommendation?
-
Remediation on or before:
-
Abated prior to leaving location? No further action is required.
Exposure 5
-
Exposing or Responsible Contractor?
-
Repeat Exposure?
-
Exposure to be remediated?
-
Recommendation:
-
Remediation on or before:
-
Abated prior to leaving location? No further action is required.
Contractor Response
-
If this box is checked this report is for information only and no response is required
Exposure
-
Exposure Item and Number from Recommendations / Abatement section?
-
Date of Response?
-
Date of Abatement / Correction
-
Exposing Contractor:
-
What actions were performed to abate the identified exposure?
-
Who performed the abatement?
Exposure
-
Exposing Contractor
-
Date of Response?
-
Date of Abatement / Correction?
-
What actions were performed to abate the identified exposure?
-
Who performed the abatement?
-
Exposure Item and Number listed on the Recommendations / Abatement section?
Exposure
-
What actions were performed to abate the identified exposure?
-
Date of the Response
-
Date of Abatement / Correction
-
Who performed the abatement?
-
Exposure Item and number listed on the Recommendations / Abatement section?
-
Exposing Contractor
