Ruiz Construction Systems Jobsite Safety Report

• Job Number

• Project name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Supervisor

Contractor

• Contractor Name

• Task(s) performed

General Jobsite Safety

• Pre-job safety brief performed prior to performing work

  Yes

  No

  N/A

• Weekly safety training performed and documented

  Yes

  No

  N/A

• OSHA and DOL posters posted on site

  Yes

  No

  N/A

• Company safety manual readily available

  Yes

  No

  N/A

• Emergency contact information posted

  Yes

  No

  N/A

• First-aid kits and emergency equipment are available

  Yes

  No

  N/A

• Barriers, fencing, signage in place to prevent pedestrians from entering the work space

  Yes

  No

  N/A

Housekeeping and Sanitation

• General neatness of working areas

  Yes

  No

  N/A

• Walking/working surfaces are free from debris or other obstructions

  Yes

  No

  N/A

• Slip/trip/fall hazards mitigated, or barricaded

  Yes

  No

  N/A

• Material and equipment clean, properly stored, and orderly

  Yes

  No

  N/A

• Adequate lighting in all work areas

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Sanitary facilities are adequate and clean

  Yes

  No

  N/A

• Trash and debris is regularly disposed of as to not accumulate in the work area

  Yes

  No

  N/A

Personal Protective Equipment

• Proper eye protection worn at all times

  Yes

  No

  N/A

• Hard hats worn at all times

  Yes

  No

  N/A

• Proper footwear worn on the jobsite

  Yes

  No

  N/A

• Reflective vests/high visibility clothing worn at all times

  Yes

  No

  N/A

• Hand protection worn when required per glove policy

  Yes

  No

  N/A

• Hearing protection worn around noise sources in excess of 90dB

  Yes

  No

  N/A

• Face protection worn when flying objects, molten metal, liquid chemical, or injurious light radiation hazards present

  Yes

  No

  N/A

• Respiratory protection worn when exposed to a hazardous level of airborne contaminant

  Yes

  No

  N/A

• Body protection worn when applicable (flame resistant, chemical, biological, etc.)

  Yes

  No

  N/A

Fire Prevention

• Fire extinguishers are readily accessible and fully charged

  Yes

  No

  N/A

• Fire extinguishers are inspected and tagged

  Yes

  No

  N/A

• Flammable and combustible materials properly stored (metal fuel cans - flammable cabinet when quantities exceed 25 gallons)

  Yes

  No

  N/A

• Compressed gas cylinders properly stored and secured

  Yes

  No

  N/A

• Hot work permits issued when necessary and fire watch is provided

  Yes

  No

  N/A

• Fire extinguishers designated for hot work operations

  Yes

  No

  N/A

Electrical Safety

• Electrical cords are free from damage

  Yes

  No

  N/A

• GFCI protection in use

  Yes

  No

  N/A

• Electrical cords have a ground prong

  Yes

  No

  N/A

• Electrical cords protected from damage (Metal studs, doorways, access roads)

  Yes

  No

  N/A

• Temporary electric/lighting supported by non-conductive materials

  Yes

  No

  N/A

• Temporary power cable is rated for hard service or junior hard service (No unprotected NM cable below 7' above work surface)

  Yes

  No

  N/A

• Electrical rooms/panels secured and labeled

  Yes

  No

  N/A

• Proper clearance maintained around overhead lines

  Yes

  No

  N/A

• Lockout/tagout used when necessary

  Yes

  No

  N/A

Fall Protection/Prevention

• Workers above 6 feet have proper fall protection

  Yes

  No

  N/A

• Perimeter rails are set at 42" (+/-3") with a mid-rail installed at 21"

  Yes

  No

  N/A

• Personal fall arrest systems properly are worn properly

  Yes

  No

  N/A

• Anchor points are suitable to withstand forces exerted from a fall

  Yes

  No

  N/A

• Warning lines are flagged every 6' at minimum and set between 34"-39" above the working surface

  Yes

  No

  N/A

• Safety monitor is not engaged in other work activities and close enough to effectively communicate with crews

  Yes

  No

  N/A

• Controlled access zones are established with physical barriers/signage

  Yes

  No

  N/A

• Floor holes/openings are properly covered, marked, secured and capable of supporting at least twice the maximum intended load

  Yes

  No

  N/A

• Work areas below are protected from falling objects

  Yes

  No

  N/A

Tools

• Hand and power tools inspected and maintained

  Yes

  No

  N/A

• Guards are in place and maintained in working condition

  Yes

  No

  N/A

• Tools are being utilized as intended

  Yes

  No

  N/A

• Power tools are grounded or double insulated

  Yes

  No

  N/A

Ladders

• Ladders are maintained in good condition

  Yes

  No

  N/A

• Ladder set on firm foundation

  Yes

  No

  N/A

• Ladders used for access to upper/lower levels are secured

  Yes

  No

  N/A

• Ladders used for access extend 3 feet past the landing

  Yes

  No

  N/A

• Ladders are set at a safe climbing angle (4:1)

  Yes

  No

  N/A

• Workers maintain 3 points of contact while climbing the ladder

  Yes

  No

  N/A

• Ladders are used as intended

  Yes

  No

  N/A

• Ladders are rated for heavy duty construction use (Type 1, 1A, 1AA)

  Yes

  No

  N/A

• Job built ladders are constructed in accordance with ANSI A14.4 standards

  Yes

  No

  N/A

Scaffolding

• Scaffolding maintained in good condition

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Scaffold is fully decked

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Proper scaffold access is utilized

  Yes

  No

  N/A

• Fall protection in place over 10 feet.

  Yes

  No

  N/A

• Mobile scaffold equipped with locking casters

  Yes

  No

  N/A

Heavy Equipment Operation

• Backup alarms are operational

  Yes

  No

  N/A

• Spotters utilized while backing equipment with an obstructed view or while operating around sensitive equipment

  Yes

  No

  N/A

• Workers riding equipment with proper seating

  Yes

  No

  N/A

• Propper grounding techniques utilized while working around energized electrical equipment

  Yes

  No

  N/A

Excavations and Trenching

• Underground utilities reviewed/identified prior to excavating and verified by permit

  Yes

  No

  N/A

• Competent person has determined soil type and identified hazards

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Cranes and Lifting Operations

• Lift plans have been reviewed and approved prior to any lifting operations on site

  Yes

  No

  N/A

• Hazards identified prior to crane operation

  Yes

  No

  N/A

• Cranes inspected on a daily basis and documentation is filed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Proper cribbing/padding under outriggers

  Yes

  No

  N/A

• Loads are properly rigged

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Swing radius marked off

  Yes

  No

  N/A

• Area under the suspended load is clear

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Aerial Work Platforms

• Body harness worn while operating boom lifts (Scissor lifts applicable if required by owner/client)

  Yes

  No

  N/A

• Safety chain/guard secured on scissor lift

  Yes

  No

  N/A

• No standing on the rails or objects in the lift to gain additional access

  Yes

  No

  N/A

Hazard Communication and Environmental Controls

• Spill kits present on site when potential for hazardous spills exist

  Yes

  No

  N/A

• Hazardous fumes/dusts are controlled

  Yes

  No

  N/A

• Carbon Monoxide monitoring performed while operating internal combustion equipment in enclosed spaces (levels maintained below PEL).

  Yes

  No

  N/A

• Primary and secondary containers are properly labeled

  Yes

  No

  N/A

• Safety data sheets are available/accessible

  Yes

  No

  N/A
Additional Safety Deficiencies

• Enter any additional safety deficiencies not noted in the report

Sign-Off

• Auditor's signature

  Sign