1.0 Fall Protection (Warning Line)

  • 1.1 Line 34-39 inches above working surface.

  • 1.2 Flagging every six (6) feet.

  • 1.3 Stands can Withstand 16 lbs. of Tipping Force.

  • 1.4 Rope is Stronger than 500 lbs. Tensile Strength.

  • 1.5 Warning Line 6 - 10 Feet Away from Fall Hazards.

  • 1.6 Fall Arrest, Fall Restraint, or Safety Monitor Used for Work Outside Warning Line.

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  • 1.7 Fall Arrest or Restraint (Max 25 Points)

2.0 Fixed Stairs

  • 2.1 Fixed Stairs

  • Fixed Stair Max (20 points)

3.0 Fixed Ladder

  • 3.1 Fixed Ladder

  • 3.2 Secured to Wall or Structure

  • 3.3 Safe to Climb

  • 3.4 Fixed Ladder (10 Points Max)

4.0 Extension Ladder

  • 4.1 Extension Ladder Used

  • 4.2 Has inspection tag.

  • 4.3 Missing, bent, or broken parts

  • 4.4 Missing fly rope.

  • 4.5 3 ft. above landing or eave.

  • 4.6 Secured at top.

  • 4.7 Secured at bottom.

  • 4.8 Extension Ladder (10 Max Points)

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5.0 PPE

  • 5.1 Hearing Protection Required for Loud Noises.

  • 5.2 Hard Hat worn for overhead hazards and work.

  • 5.3 Longs Pants Required for Hot Work

  • 5.4 Long Sleeved Shirt Required for Hot Work

  • 5.5 Respirator Required.

  • 5.6 Safety Glasses

  • 5.7 Worn for tear off.

  • 5.8 Worn for other eye hazards.

  • 5.9 PPE worn correctly.

  • 5.0 Personal Protective Equipment (PPE) (5 Points Max)

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6.0 Electrical

  • 6.1 Electrical Used.

  • 6.2 Wires inspected.

  • 6.3 GFCI Used for Temporary Power Sources.

  • 6.4 Work Remains 20 feet Away from Electrical Lines

  • 6.5 Covers Required for Electrical Lines.

  • 6.6 Electrical (5 Points Max)

7.0 Material Hoisting

  • 7.1 Trash Chute or Hoisting Used for Elevated Projects (20 feet or more)

  • 7.2 Pallets Not Stacked More than 2 High

8.0 Cranes

  • 8.1 Crane Used.

  • 8.2 Crane Operator Trained.

  • 8.3 Signal Person Trained and Communicates with Operator.

  • 8.4 Sling tag available and serviceable for use.

  • 8.5 Overhead Work Signs Posted near Hoisting Area(s).

  • 8.6 Flagging or Warning Lines Around Crane and Lift Area.

  • 8.7 Taglines Used for Material or Equipment Control.

  • 8.8 Hoisting (5 Points Max)

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9.0 Fire Prevention

  • 9.1 Extinguishers within 25 - 50 feet of Work.

  • 9.2 Used / Spent Extinguishers removed from Project or Site.

  • 9.3 Gas Cans Labeled and Stored.

  • 9.4 Screen Located Within Gas Cans.

  • 9.5 Fire Prevention (5 Points Max)

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10.0 Forklift

  • 10.1 Forklift Used.

  • 10.2 Forklift Operator Trained.

  • 10.3 Daily Inspection Performed.

  • 10.4 Rigger Trained and Communicates with Operator.

  • 10.5 Signal Person Trained and Communicates with Operator.

11.0 General Liability

  • 11.1 Nails Bent or Removed from Boards.

  • 11.2 Roof Tie-in Performed Daily.

  • 11.3 Plugs Removed from Drains.

  • 11.4 Work logged Daily in a Journal.

  • 11.5 Site or Project Inspected for Previous Damage.

  • 11.6 Caution Signs Posted.

  • 11.7 General Liability (5 Points Max)

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12.0 Emergency Readiness

  • 12.1 First Aid Kit (with Eye Wash Bottle) On-Site and Available to Employees.

  • 12.2 HAZCOM Manual On-Site and Available to Employees.

  • 12.3 Safety Manual On-Site and Available to Employees.

  • 12.4 Emergency Readiness (5 Points Max)

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13.0 Scaffold.

  • 13.1 Scaffold Required

  • 13.2 Scaffold has Hoist for Materials.

  • 13.3 Access Secured at Night.

  • 13.4 Inspected by Competent Person.

  • 13.5 Scaffold has Green Tag for Use.

  • 13.6 Scaffold is level.

  • 13.7 4:1 Ratio and Tied to Building (Push / Pull)

  • 13.8 Walk Boards Bent.

  • 13.9 Scaffold (5 Points Max)

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14.0 Safety Talks

  • 14.1 Performed Weekly, Signed & Turned In

  • Safety Talks (5 Points Max)

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