Safety Inspection IFCO

• Conducted on

  Date

• Job Name / Job Number

• Superintendent

"ALL IN"

• Is this Project Team "ALL IN"? Score must be consistent with an "A" grade (No significant safety culture issues). If No, provide action plan to Office Leader & Safety.

  YES

  NO

Housekeeping

• Project work areas are free or excess trash, debris

  Yes

  No

  N/A

• Walkways and passageways clear

  Yes

  No

  N/A

• Project materials stored safely and on dunnage

  Yes

  No

  N/A

• Electrical cords, hoses, welding leads routed safely out of walkways

  Yes

  No

  N/A

• Scrap material free of protruding nails or any other puncture hazards

  Yes

  No

  N/A

• Trash receptacles and water near work areas

  Yes

  No

  N/A

• Barricades installed and maintained

  Yes

  No

  N/A

• Rebar is protected

  Yes

  No

  N/A

GENERAL SAFETY

• Safety Planning (pre-con meetings, safety plan, JSA, morning huddles, pre-task plans)

  Yes

  No

  N/A

• Postings (State, Federal, Emergency #'s, Incident Reporting & Crisis Management)

  Yes

  No

  N/A

• Material Safety Data Sheets (3E MSDS on Demand Posting & Subcontractor MSDS's)

  Yes

  No

  N/A

• First Aid Kit / Eyewash Replenished

  Yes

  No

  N/A

• Sanitation (1 toilet per 20 workers)

  Yes

  No

  N/A

• Motorized Equipment (qualified operator identified, backup alarms, seat belts, equipment condition acceptable)

  Yes

  No

  N/A

• Date Corrected:

  Date

Personal Protective Equipment

• Proper Attire (shirts 4" sleeves, pants, boots, hard hat)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Eye protection required and worn in proper manner (glasses, goggles, face shield)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Other (hearing, gloves, respirators, chemical protection, metatarsal guards)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Face shield or goggles worn as required( pumping or vibrating concrete )

  Yes

  No

  N/A

• Date Corrected:

  Date

• Gloves match task being performed (cut resistant, chemical, hot work)

  Yes

  No

  N/A

• Hearing protection is used when required

  Yes

  No

  N/A

• Safety toed boots worn

  Yes

  No

  N/A

Fall Protection System

• Guardrails (200#, 42" +/- 3", toeboards, wire rope flagged every 6')

  Yes

  No

  N/A

• Date Corrected:

  Date

• Holes (guarded, covered, secured, labeled)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Correct fall protection system being used and anchored properly

  Yes

  No

  N/A

• Date Corrected:

  Date

• Other (falling object protection, safety nets, warning lines minimum of 15' from edge)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Fall protection maintained and has current inspection color code

  Yes

  No

  N/A

• Fall protection equipment only used for fall protection

  Yes

  No

  N/A

Fire Protection/Prevention

• Flammable a stored properly

  Yes

  No

  N/A

• Date Corrected:

  Date

• Fuel Storage (location, container, extinguisher, traffic protection)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Hot Work (fire watch, fire blankets, permit, extinguisher present, debris clear)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Compressed gas cylinders properly maintained

  Yes

  No

  N/A

• Date Corrected:

  Date

• Containers labeled as to content

  Yes

  No

  N/A

• Date Corrected:

  Date

• Fire extinguishers properly located and inspected

  Yes

  No

  N/A

• Gauges/Flash arresters installed properly

  Yes

  No

  N/A

Permits/JHA's

• Applicable permits posted (excavations, confined space, hot work)

  Yes

  No

  N/A

• JHA's complete, signed off by crew and supervisor

  Yes

  No

  N/A

Cranes/Hoisting/Lifting Equipment

• Daily Lift Plan (Qualified Operator, Signal Person, Rigger, Daily, Periodic and Annual Inspections)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Set-Up (barricaded, level, powerlines 20' minimum clearance)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Outriggers (extended, pads adequate & level per Daily Lift Plan)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Operation (load path, taglines, signal person)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Capacity (charts available, critical lift plan, object weights identified)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Sling Condition (wire rope, synthetic, hardware)

  Yes

  No

  N/A

• Date Corrected:

  Date

Vehicles/Mobile Equipment

• Pre-Job inspection complete and available

  Yes

  No

  N/A

• Seat belts provided and used with roll over protection

  Yes

  No

  N/A

• Manufacturer manual present

  Yes

  No

  N/A

• Licenses or certifications as required for forklift, crane, aerial lifts

  Yes

  No

  N/A

Tools and Equipment

• Electrical cords-condition inspected(color coded)

  Yes

  No

  N/A

• Tools are maintained and in good condition

  Yes

  No

  N/A

• Tools are carried and stored properly

  Yes

  No

  N/A

• Pneumatic/hydraulic hose connections properly secured (whiplash connectors, cotter pins)

  Yes

  No

  N/A

• Proper tool for job

  Yes

  No

  N/A

• All handles and guards on

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Access Equipment

• Extension Ladders (4V:1H, secured at top and base, 3' above landing, 3 points of contact)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Step Ladders (stable, proper use, inspected, non-conductive)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Stairs (metal pan treads filled, uniform w/in 1/4", rails @ 36", unobstucted, illuminated)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Aerial & Scissor Lifts (proper use, fall protection, condition, rails, operator training)

  Yes

  No

  N/A

• Date Corrected:

  Date

Electricity

• Panels (covers in place, circuits identified, weatherproof, secured, breakers/holes filled)

  Yes

  No

  N/A

• Date Corrected:

  Date

• GFCI (@ breakers, outlets, pigtails, electrician weekly testing log)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Electrical Cords (ground, strain relieve, condition, protected from traffic, proper use)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Lighting (adequate- 5 ft candles, protected, secured, sockets filled, separate circuit)

  Yes

  No

  N/A

• Date Corrected:

  Date

Excavation

• Daily Dig Permit (Competent Person Inspection, utilities located, cracks, spalling, water accumulation, changed conditions)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Access/Egress @ 4' (ladder, ramp, stairs within 25' of travel)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Open excavations barricaded

  Yes

  No

  N/A

• Date Corrected:

  Date

• Protection @ 5' (slope, bench, shield, shore)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Other (spoils 2' back, vibration, hazardous atmosphere potential)

  Yes

  No

  N/A

• Date Corrected:

  Date

Scaffolding

• Base (sills/plates/jacks/casters, secured, level, locked)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Braces (installed, secured, condition)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Frames (compatible, pinned, condition)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Platform (fully planked, overhang 6"-12" or cleated, plank condition)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Access (integral frame - 16 3/4" rung spacing, ladder w/ gate, stairtower)

  Yes

  No

  N/A

• Date Corrected:

  Date

• Other (secured @ 4V:1H, level, tagged, competent person inspected, tarp/debris net engineer approval)

  Yes

  No

  N/A

• Date Corrected:

  Date

Miscellaneous (Items not captured in categories listed above)

• Yes

  No

  N/A

• Date Corrected:

  Date

Positive Observations

Inspector Signature

• Add signature

  Sign

Project Superintendent Signature

• Add signature

  Sign