S3H INC. JOB-SITE SAFETY INSPECTION FONTAINE BLEAU

• S3H INC. MECHANICAL CONSTRUCTION

• Client / Site

• Injuries, Incidents, Near misses?

  Yes

  No

  N/A

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General

• Weekly tool box talk available for review?

  Yes

  No

  N/A

• Daily S3H INC. JHA forms for each crew available for review?

  Yes

  No

  N/A

• Weekly safety inspection available for review?

  Yes

  No

  N/A

• Drinking water, cups and trash receptacle available?

  Yes

  No

  N/A

• Adequate temporary lighting in work areas?

  Yes

  No

  N/A

• Lighting - GC will provide access/egress lighting, S3H INC. will provide task lighting.

  Yes

  No

  N/A

• First aid kit stocked?

  Yes

  No

  N/A

Housekeeping

• Adequate number of toilets available and clean?

  Yes

  No

  N/A

• Projecting nails or screws bent over or removed?

  Yes

  No

  N/A

• Walkways and passages clear to walk?

  Yes

  No

  N/A

• Ensure a safe work area by cleaning work areas as needed and at the conclusion of assigned task.

  Yes

  No

  N/A

Personal Protective Equipment

• Employees wearing ANSI Z87 clear safety glasses at all times?

  Yes

  No

  N/A

• Employees wearing S3H INC. hard hats?

  Yes

  No

  N/A

• Employees wearing S3H INC. hi-viz vest?

  Yes

  No

  N/A

• Employees wearing cut level 4 or > gloves when exposed to cut/chemical hazards?

  Yes

  No

  N/A

• Hearing / Respiratory Protection worn by employees when required?

  Yes

  No

  N/A

• Additional PPE as needed -<br>i) Face shield when using abrasive blades – chipping, grinding, drilling above shoulders, etc.<br>ii) Hearing protection.<br>iii) Respiratory protection.<br>iv) Fall protection<br>v) Electrical protective equipment.<br>

  Yes

  No

  N/A

Electrical

• GFCI protection in use on all temporary power sources?

  Yes

  No

  N/A

• Extension cords routed properly

  Yes

  No

  N/A

• Electrical panels and devices labeled and secured?

  Yes

  No

  N/A

• Extension cords in good condition?

  Yes

  No

  N/A

Hand and Power Tools

• Power Tools free from damage (switches, cords, and guards)?

  Yes

  No

  N/A

• Hand tools free from damage ( shaft, head, splinters, etc.)?

  Yes

  No

  N/A

Fall Protection

• Fall Protection inspected by worker prior to use

  Yes

  No

  N/A

• Stored properly in gang box/jobsite

  Yes

  No

  N/A

• S3H INC. fall protection kit W/Bucket available and being used for fall protection (if available)

  Yes

  No

  N/A

• Employees using anchor capable of supporting 5,000 lbs?

  Yes

  No

  N/A

• Elevated work levels have guardrails or cables at 21" and 42"?

  Yes

  No

  N/A

• Employees working above 6 feet using fall protection?

  Yes

  No

  N/A

• Floor holes 2" or greater covered and labeled?

  Yes

  No

  N/A

• Rooftop Penetrations<br>Capable of supporting at least twice the maximum load expected to cross over the cover.<br>Shall be secured when installed to prevent displacement.<br>Shall be marked with word “HOLE” or “COVER”.<br>

  Yes

  No

  N/A

• Fall Protection - <br>Tied off at 6' or greater. Harness, Lanyard, Self-Retracting Lifeline, Horizontal Lifeline inspections. Elevator Shafts, Floor/Wall Openings, Guardrails, Floor Perimeter, Roof Perimeter.<br>Standard guarding systems include –<br>i) A top rail between 39” and 45”.<br>ii) A mid rail halfway between the top rail and the work surface.<br>iii) Toe boards when falling material may cause a hazard.<br>iv) Window openings must be guarded if they are opened at 39” or below.<br>v) Hole openings 2” or greater must be covered, secured and clearly marked “HOLE”.<br>Access /Egress avenues shall be kept clear of all debris.<br>Inspect all fall protection daily and before use. If it’s defective remove it from service immediately. DO NOT USE DEFECTIVE FALL PROTECTION EQUIPMENT!<br>

  Yes

  No

  N/A

Fire Protection

• Only NFPA approved containers used for fuel?

  Yes

  No

  N/A

• Flammable materials removed from job site properly?

  Yes

  No

  N/A

• Adequate number of fire extinguishers in place?

  Yes

  No

  N/A

• Fire extinguishers monthly inspections documented and have decals in place?

  Yes

  No

  N/A

• Fire extinguisher inspected by user prior to use?

  Yes

  No

  N/A

Welding

• Fire extinguisher present and inspected

  Yes

  No

  N/A

• Hot work permit visible and correct

  Yes

  No

  N/A

• Proper PPE being utilized by welder and helper, Welding mask, leather gloves, proper attire, long sleeve shirt with collar, long pants not cuffed, etc.

  Yes

  No

  N/A

• Weld screens being used to prevent flash to others.

  Yes

  No

  N/A

• Fire watch being utilized

  Yes

  No

  N/A

Ladders

• Do extension or job built ladders extend 36 inches above laning?

  Yes

  No

  N/A

• Are spreader bars locked on step ladders?

  Yes

  No

  N/A

• Are employees utilizing ladder correctly? Correct ladder for the task?

  Yes

  No

  N/A

• All safety decals in place and legible

  Yes

  No

  N/A

• Passes inspection

  Yes

  No

  N/A

• Ladder inspected prior to use by worker

  Yes

  No

  N/A

GangBox (s)

• Organized

  Yes

  No

  N/A

• Flammable materials stored properly (flammable container or side box)

  Yes

  No

  N/A

• Electrical and charging stations safe

  Yes

  No

  N/A

• Electrical cords going into gangbox have grommet or chafing control?

  Yes

  No

  N/A

Equipment

• Inspection performed by operator

  Yes

  No

  N/A

• Back up alarm working on on equipment?

  Yes

  No

  N/A

• Operator wearing seatbelt?

  Yes

  No

  N/A

• Operator have training card available for type of equipment they're operating?

  Yes

  No

  N/A

• Employees wearing fall protection when using aerial lift?

  Yes

  No

  N/A

• Duct jacks being used properly

  Yes

  No

  N/A

• Equimpent clearly marked S3H INC. and trade?

  Yes

  No

  N/A

Hot Work

• Fire extinguisher available and inspected?

  Yes

  No

  N/A

• Flashback arresters in place on torch heads?

  Yes

  No

  N/A

• Gas cylinders separated when not in use?

  Yes

  No

  N/A

• B - Tanks secure properly

  Yes

  No

  N/A

Hazardous Substances, Agents & Environments

• a) GHS – Globally Harmonized System<br>b) SDS – Safety Data Sheet<br>c) HCS – Hazard Communication Standard<br>i) Proper training of employees shall be performed prior to any usage of chemicals.<br>k) Do not mix chemicals.<br>l) No unmarked containers allowed on site. All containers must specify their contents.<br>m) Use of Acids is prohibited on this site.<br>n) There are no anticipated lead or asbestos concerns.<br>o) Use ventilation & exhaust systems when necessary.<br><br>

  Yes

  No

  N/A

Job site office/trailer

• Outside tidy? Housekeeping, compressed gas cylinders separated and secure, pallets stacked?

  Yes

  No

  N/A

• Inside tidy and safely organized?

  Yes

  No

  N/A

• Electrical around office/trailer

  Yes

  No

  N/A

• Job site office/trailer accessible?

  Yes

  No

  N/A

• Job-site Address, Clinic Information & Map?

  Yes

  No

  N/A

• Grab & Go Packets - Does everyone know where they are and how to fill them out?<br>a) Report all injuries immediately.<br>b) Where phones and emergency numbers are posted.<br>c) Know where first aid kits and fire extinguishers are located.<br>d) Emergency evacuation routes & rally points.<br>e) Know proper first aid procedures.<br>

  Yes

  No

  N/A

• OSHA posters posted

  Yes

  No

  N/A

• First aid cabinet stocked?

  Yes

  No

  N/A

• First aid cabinet installed?

  Yes

  No

  N/A

Safety/Foreman Comments

• ALL Safety Infractions known/corrected by foreman

  Yes

  No

  N/A

• undefined

• Add media

  Media

• Foreman Signature

  Sign

• GF Signature

  Sign

• Trade

  S/M

  PLB

• Safety Signature

  Sign

• Yes

  No

  N/A