SA Comunale Project Manager Weekly Safety Inspection

• Job Site

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Electrical Safety

• Are all extension cords and tool cords free from visible damage?<br>

  Yes

  No

  N/A

• Were the cords taken out of service?

  Yes

  No

  N/A

• Why not?

• Do all cords (including the foot pedal on power machines) have a properly grounded plug (all three prongs are present on plug)?

  Yes

  No

  N/A

• Are GFCI (ground fault) receptacles in use on all power source cords and tools?

  Yes

  No

  N/A

PPE (Personal Protective Equipment)

• Are hard hats being worn at all times by our employees?

  Yes

  No

  N/A

• Was the employee sent home for violating this policy?

  Yes

  No

  N/A

• Are safety glasses being worn at all times by our employees?

  Yes

  No

  N/A

• Was the employee sent home for violating this policy?

  Yes

  No

  N/A

• Are the safety glasses appropriate for the task (i.e. goggles for demolition or overhead work)

  Yes

  No

  N/A

Work Conditions

• If we are using stairs to reach upper levels are they solid meaning; not shells.

  Yes

  No

  N/A

• Are the walkways and work areas kept clear of tools, debris, hazards, etc.?

  Yes

  No

  N/A

• Is the debris on the floor belong to SAC employees?

  Yes

  No

  N/A

• Who does this belong to?

• Is there an open excavation near our work area?

  Yes

  No

  N/A

• Is excavated soil properly placed a minimum of 2' from the edge of the excavation?

  Yes

  No

  N/A

• Is the excavation properly protected to prevent our employees from falling into it?

  Yes

  No

  N/A

• Is there adequate access into the building? (I.e. ramps or steps)

  Yes

  No

  N/A

• What is it?

• How are people getting into the building?

• Is sufficient task lighting available and used in addition to general lighting?

  Yes

  No

  N/A

• Do all employees have a head lamp mounted on their hard hat?

  Yes

  No

  N/A

• Are fire extinguishers placed throughout the floor and near every stairwell?

  Yes

  No

  N/A

• Are they properly charged with the pin intact?

  Yes

  No

  N/A

• Are overhead power lines properly flagged or marked?

  Yes

  No

  N/A

Fall Protection

• Are our employees exposed to a fall of 6' or greater (not counting ladders)

  Yes

  No

  N/A

• What is the exposure?

• What is the employee(s) tied off to?

• What type of lanyard is being used?

  Straight

  Retractable

  Double

  Bungee

• What is the condition of the harness?

  Excellent

  Good

  Fair

  Poor

• What is the condition of the lanyard?

  Excellent

  Good

  Fair

  Poor

• Are guardrails/barricades properly located and adequately secured around the perimeter of each floor?

  Yes

  No

  N/A

• Are ladders safe for use? (no missing rungs, fully extended, top steps not in use)

  Yes

  No

  N/A

• Are the ladders the correct height to safely perform the work?

  Yes

  No

  N/A

• What size ladder is needed?

• Is it readily available on-site?

  Yes

  No

  N/A

• HAVE EMPLOYEES PERFORM WORK OFF OF LIFT OR GET CORRECT LADDER TO SITE.

• Are there adequate Werner Job Buckets available?

  Yes

  No

  N/A

Equipment

• Are lifts on site?

  Yes

  No

  N/A

• Are they currently in use?

  Yes

  No

  N/A

• Are lift trays being used?

  Yes

  No

  N/A

• Are daily lift inspections being completed by the crew?

  Yes

  No

  N/A

• Are the lifts in a safe, usable condition?

  Yes

  No

  N/A

• Are any of the lifts on need of repair?

Lift

• Issue/concern for repair (include lift number)

• Is any equipment (besides lifts) on site?

  Yes

  No

  N/A

• What equipment is on site?

  Forklift (Warehouse)

  Lull

  Gator

• Are they currently in use?

  Yes

  No

  N/A

• Is the equipment in a safe, usable condition?

  Yes

  No

  N/A

• Is any equipment inneed of repair?

Equipment

• Issue/concern for repair (include number and equipment description i.e FL 26))

Material Handling

• Does material, gang boxes etc. move as the job progresses?

  Yes

  No

  N/A

• Are carts used to move tools and materials planned and equipped daily (or more often)?

  Yes

  No

  N/A

• Are pipe machine trays being used?

  Yes

  No

  N/A

• Does the job have sufficient material handling equipment on-site?

  Yes

  No

  N/A

• Please list the equipment still required.

• How is this going to get to the job?

  Blue Ticket Delivery

  PM Delivery

  Fitter Pick Up

• When do you expect it to arrive?

  Date

Conclusion

• Project Manager/Superintendent

  Sign

• Foreman

  Sign