Safety Control - Jobsite

• Project Number - Name

• General Contractor

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1 PERSONAL PROTECTIVE EQUIPMENT

• 1. Hard Hats/Gloves/Footwear/Glasses/Clothes?

  Yes

  No

  N/A

• 2. Ear Protection/Respirators/Face Shield?

  Yes

  No

  N/A

• 3. Fall Protection (Harness, Lanyard, Yo-Yo, Anchor point) inspected, worn/fit properly, in good condition w/o damage?

  Yes

  No

  N/A

2 JOBSITE CONDITIONS - DRYWALL DIVISION

• 1. Adequate Task Lighting?

  Yes

  No

  N/A

• 2. Piling & Stacking of Materials?

  Yes

  No

  N/A

• 3. Debris Removal?

  Yes

  No

  N/A

• 4. Drinking Water available and in close proximity to workers (2 gal. per Employee, per 8-hour shift)?

  Yes

  No

  N/A

• 5. Signage (Laser/Powder Actuated Tool/Work Overhead/etc.) posted <>50' from operation?

  Yes

  No

  N/A

• 6. Danger/Caution Area Properly Marked-secured w/identification signage attached?

  Yes

  No

  N/A

3 JOBSITE CONDITIONS - GENERAL CONTRACTOR

• 1. Perimeter Mid & Top Rails/Cables (in place with a deflection < 3") ?

  Yes

  No

  N/A

• 2. Floor Opening/Covered/Secured in place/Marked?

  Yes

  No

  N/A

• 3. Stairs/Ramps/Exits/Walkways Clear?

  Yes

  No

  N/A

• 4. Trip Hazards?

  Yes

  No

  N/A

• 5. Piling/Stacking/Debris Removal?

  Yes

  No

  N/A

• 6. General Lighting (minimum of 5-foot candles)?

  Yes

  No

  N/A

• 7. Sanitation (CA 1:20; NV 1:15)?

  Yes

  No

  N/A

• 8. Barricades/Fencing?

  Yes

  No

  N/A

• 9. Rebar Caps?

  Yes

  No

  N/A

• 10. Danger/Caution Area Properly Marked Off & Identified?

  Yes

  No

  N/A

4 PROGRAMS & INFORMATION

• 1. Daily Inspections Conducted (Jobsite Safety/Scaffold/Etc.)?

  Yes

  No

  N/A

• 2. New Employee Training?

  Yes

  No

  N/A

• 3. Tailgate Meetings?

  Yes

  No

  N/A

• 4. Posters/Signs posted; /IIPP-WWSP/MSDS/SWPPP present?

  Yes

  No

  N/A

• 5. Equipment Certifications (including Scaffold Permit - if applicable) in safety binder?

  Yes

  No

  N/A

5 FIRST AID

• 1. Trained Personnel documented w/copies on file?

  Yes

  No

  N/A

• 2. First Aid Kits/Supplies adequately available w/identification & proper Signage ("First Aid Kit Inside")?

  Yes

  No

  N/A

6 SCAFFOLD/EQUIPMENT

• 1. Top & Mid-railings / Toe-Boards at 3-1/2" minimum (if required)

  Yes

  No

  N/A

• 2. Tied back to structure* (or out-rigged CA@3:1; Others@4:1)?<br> *(CA=3:1 Vertical: 1st @ 9' from bottom; every 26'; 9' from top *(OTHERS:=4:1 Vertical: 1st @ 12' from bottom; every 26', 12' from top<br> Horizontal: Each end, every 30') Horizontal: Each end, every 30')

  Yes

  No

  N/A

• 3. Planks/Platforms (in good proper condition/no less than 1" gap between planks)?

  Yes

  No

  N/A

• 4. Access (Green Tagged & Inspected)?

  Yes

  No

  N/A

• 5. Scaffold Stairs (Green Tagged & Inspected)?

  Yes

  No

  N/A

• 6. Safety Devices/Back-up Alarms functioning properly?

  Yes

  No

  N/A

• 7. Equipment Inspections completed and documented?

  Yes

  No

  N/A

7 FIRE PROTECTION

• 1. Extinguishers in proper working condition (indicator needle in green; inspection <1 year; pull-pin secured with breakaway zip-tie; inspection sticker AND tag) & Inspected?

  Yes

  No

  N/A

• 2. Flammable Material Storage (Yellow cabinet, containment pallet, etc.) Available and Identified?

  Yes

  No

  N/A

• 3. Welding/Equipment Tanks & Stored and in proper condition?

  Yes

  No

  N/A

8 LADDERS

• 1. Ladder Condition/All Regulatory Stickers?

  Yes

  No

  N/A

• 2. Ladder Tied Off (top and bottom)?

  Yes

  No

  N/A

• 3. Ladder 3' above landing?

  Yes

  No

  N/A

9 TOOLS

• 1. Proper Working Condition (broken bits/grinding wheels,/etc)?

  Yes

  No

  N/A

• 2. Guards/Safety Devices in place?

  Yes

  No

  N/A

• 3. Cords/Plugs in good condition (no tears in cord/exposed wiring/pulled out of plug) / GFCI?

  Yes

  No

  N/A

10 PUMPS & MIXING EQUIPMENT

• 1. Pressure Ball/Relief Valve/Safety Devices operable and in place?

  Yes

  No

  N/A

• 2. Hose Whip checks in place and secured (zip-ties/duct tape)?

  Yes

  No

  N/A

• 3. Good Working Condition?

  Yes

  No

  N/A

• 4. All Guards in Place?

  Yes

  No

  N/A

Comments/Corrections:

• Comments:

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