ROSSI Safety Inspection

• Audit Title

• Development / Subdivision

• Lot Number(s)

• Conducted on

  Date

• Prepared by

• Builder

• Subcontractor

ROSSI Partnership Items

• Housekeeping & Sanitation

  Yes

  No

  N/A

• Personal Protective Equipment

  Yes

  No

  N/A

• Respiratory Protection

  Yes

  No

  N/A

• Fire Protection & Flammable Liquids/Materials

  Yes

  No

  N/A

• Signs, Signals & Barricades

  Yes

  No

  N/A

• Walking & Working Surfaces/Slips/ Trips/Falls

  Yes

  No

  N/A

• Materials Handling, Storage, & Disposal

  Yes

  No

  N/A

• Hand, Power & Powder Actuated Tools

  Yes

  No

  N/A

• Welding, Cutting, Grinding, & Burning

  Yes

  No

  N/A

• Electrical, Wiring/Cords, Temporary Power

  Yes

  No

  N/A

• Ground Fault Circuit Interrupters (GFCI)

  Yes

  No

  N/A

• Control of Hazardous Energy (Lockout/Tagout)

  Yes

  No

  N/A

• Scaffolding

  Yes

  No

  N/A

• Aerial, Scissor & Boom Lifts

  Yes

  No

  N/A

• Ladders, Stairways, & Ramps

  Yes

  No

  N/A

• Fall Protection & Prevention

  Yes

  No

  N/A

• Fall Protection Plan

  Yes

  No

  N/A

• Cranes, Derricks & Hoists / Rigging

  Yes

  No

  N/A

• Motor Vehicles / Seat Belts

  Yes

  No

  N/A

• Heavy Equipment & Mechanized Equipment

  Yes

  No

  N/A

• Excavations, Trenching & Shoring

  Yes

  No

  N/A

• Confined Space Entry

  Yes

  No

  N/A

• Concrete & Masonry Construction

  Yes

  No

  N/A

• Steel Erection & Decking

  Yes

  No

  N/A

• Underground Construction/Tunneling

  Yes

  No

  N/A

• Demolition

  Yes

  No

  N/A

• Floor & Wall Openings

  Yes

  No

  N/A

• Traffic Controls & Flagging, High Visibility PPE

  Yes

  No

  N/A

• Hazard Communication/Safety Data Sheets (SDS)

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

• Safety Plan/Job Hazard Analysis

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

• General/Additional Comments:

• Workers Present

• Inspector's Signature:

  Sign

• Superintendent/Foreman Signature:

  Sign