Information
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Project Name
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Project Number
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Client Name
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Conducted on
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Prepared by
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Location
HOUSEKEEPING
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2.1 Work areas orderly
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2.2 Adequate lighting
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2.3 Job site free of slips, trips and fall hazards
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2.4 Stairways / walkways clear
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2.5 Trash picked up
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2.6 Break areas orderly
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2.7 Sharp metal scrap contained in area by container / trash can or other?
ELECTRICAL
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3.1 Insulation intact on cords and wiring
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3.2 Temporary lighting guarded
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3.3 Electrical panels labeled HOT and covered
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3.4 GFCI protection utilized
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3.5 Current inspection
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3.6 Lockout procedures utilized
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3.7 Electrical cords not exposed to sharp edges?
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3.8 Extension cords elevated using trees
HAND AND POWER EQUIPMENT
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4.1 Hand tools in good working order
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4.2 Electrical cords in good working order
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4.3 All mechanical safeguards in use
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4.4 Handles not broke / splinter free
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4.5 Hoses contain safety pins and whip checks installed
EQUIPMENT
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5.1 Breaks, lights, signals and alarms operative
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5.2 Daily lnspection
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5.3 Seat belts worn
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5.4 Aerial lift - PPE being used
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5.5 Cranes- swing radius protected - level
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5.6 Rigging equipment inspected - tag showing
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5.7 Cranes - swing radius protected / level?
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5.8 Rigging equipment inspected - tag showing - legible
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5.9 Crane has proper clearance from overhead electrical?
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5.10 All signal and rigging personnel are qualified?
BARRICADES AND FENCING
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6.1 Roadways and sidewalks protected
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6.2 Leading edges guarded
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6.3 Red barricade tape or other devices being used to warn of overhead work when exposing other workers?
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6.4 Tagged and maintained
EXCAVATION
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7.1 Necessary ladders provided
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7.2 Spoil set back at least 2 feet
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7.3 Rebar impalement protection
LADDERS
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8.1 Ladders in good condition
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8.2 Side rails extend 36 inches above landing
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8.3 Proper for job and secure
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8.4 Step ladders fully open when in use
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8.5 Placement of ladder safe
SCAFFOLDING
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10.1 All scaffolds plumbed and leveled as erection proceeds
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10.2 Are adequate sills and base plates being used
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10.3 If electrical power lines are near the scaffold, are necessary precautions being taken
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10.4 Do scaffold planks extend past their end supports not less than 6 inches and no more than 12 inches
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10.5 Are guardrails and end rails in place
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10.6 To protect from falling objects, are toe boards or area barricaded below
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10.7 Are frames and panels braced by cross, horizontal or diagonal braces
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10.8 Are scaffolds with a (4:1) base to height ratio
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10.9 Is fall protection being used in areas where required
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10.10 Are scaffolds securely anchored at lease every 30 feet of length and 25 feet in height
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10.11 Is their an assess ladder, steps or equivalent safe access to scaffold
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10.12 Is the scaffold within its weight capacity
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10.13 Scaffold tagging system is in place (RED and GREEN tags) on all scaffolding systems on site. (includes stair towers)
ENVIRONMENTAL CONTROLS
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11.1 Silt fence installed and maintained
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11.2 Hazardous materials properly stored
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11.3 Spill containment kit adequate / on site
FIRE PREVENTION
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12.1 Are safety cans being used and properly labeled
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12.2 Propane tanks - barricade installed - labeled -( flammable,no smoking, fuel type)
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12.3 Compressed gas cylinders secured- upright- protected from damage
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12.4 Fire extinguishers immediately available and inspection current
PPE
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13.1 Hard hats worn- appropriate color and direction worn
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13.2 Gloves available
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13.3 Face shields being used
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13.4 Eye protection
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13.5 Hearing protection
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13.6 Safety harness and lanyards utilized with adequate anchorage points
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13.7 Respirators and masks utilized
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13.8 High visible clothing in use
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13.9 Long pants and sleeves fully extended and in good condition
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13.10 Proper footwear for task
