Safety Inspection Report

• Client: S & K Plumbing of Fort Worth Inc.

  Select S&K Plumbing of Fort Worth Inc.

  • S&K Plumbing of Fort Worth Inc.

• Date/Time of Inspection:

  Date

• Jobsite:

• Superintendent:

• Project Manager:

  Select Trevor Court Keller Goodrum David Kraft Mike Paxton Brad Roney Brendon Vincent

  • Trevor Court
  • Keller Goodrum
  • David Kraft
  • Mike Paxton
  • Brad Roney
  • Brendon Vincent

• Job Information:

• Prepared By: John Dickson

OSHA / JHA

• OSHA Poster / Emergency information posted?

  Yes

  No

  N/A

• JHA Reviewed?

  Yes

  No

  N/A

MEDICAL

• First Aid supplies adequate and available?

  Yes

  No

  N/A

• CPR / First Aid / AED trained personnel on site?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Hard hats being worn?

  Yes

  No

  N/A

• Safety glasses being worn?

  Yes

  No

  N/A

• Work boots worn?

  Yes

  No

  N/A

• Traffic vests or high visibility clothing material being worn?

  Yes

  No

  N/A

• Respirators used when required? Proper respirator documentation available?

  Yes

  No

  N/A

• Hearing protection being worn when required?

  Yes

  No

  N/A

HOUSEKEEPING

• Work areas free of trash / debris neat?

  Yes

  No

  N/A

• Waste containers provided and used?

  Yes

  No

  N/A

• Workers cleaning up work areas as they go?

  Yes

  No

  N/A

• Passageways and walkways clear?

  Yes

  No

  N/A

• Cords and leads off the floor?

  Yes

  No

  N/A

• Work materials stacked / stored neatly?

  Yes

  No

  N/A

• Projecting nails or screws bent over or removed?

  Yes

  No

  N/A

HAZARD COMMUNICATION

• Workers aware of chemical hazards?

  Yes

  No

  N/A

• SDS AVAILABLE?

  Yes

  No

  N/A

• Hazardous materials properly labeled / marked / stored?

  Yes

  No

  N/A

FIRE PREVENTION / PROTECTION

• Phone # of Fire Department posted?

  Yes

  No

  N/A

• "No Smoking" posted and enforced near flammables?

  Yes

  No

  N/A

• Adequate fire extinguishers, checked and accessible?

  Yes

  No

  N/A

• Flammables stored correctly?

  Yes

  No

  N/A

ELECTRICAL

• Extension wires with bare wires or missing ground prongs taken out of service?

  Yes

  No

  N/A

• Ground fault interrupters being used?

  Yes

  No

  N/A

• Terminal boxes equipped with required covers?

  Yes

  No

  N/A

• Temporary / Permanent lighting adequate?

  Yes

  No

  N/A

• Outlet center not overloaded?

  Yes

  No

  N/A

HAND, POWER & TOOLS

• Hand / Power tools inspected regularly?

  Yes

  No

  N/A

• Guards in place on machines?

  Yes

  No

  N/A

• Correct tool being used for job at hand?

  Yes

  No

  N/A

LADDERS

• Type 1A or 1AA ladders in use?

  Yes

  No

  N/A

• Ladders extended at least 36" above landing?

  Yes

  No

  N/A

• Ladders are secure to prevent slipping, sliding or falling?

  Yes

  No

  N/A

• Stepladders used in fully open position?

  Yes

  No

  N/A

• No step on top two rungs of stepladder?

  Yes

  No

  N/A

• Ladders being used properly? (No overextending, or "walking", overloading)

  Yes

  No

  N/A

• Damaged ladders taken out of service?

  Yes

  No

  N/A

FALL PROTECTION / BARRICADING

• Safety harnesses worn properly?

  Yes

  No

  N/A

• Employees exposed to fall hazards tied off?

  Yes

  No

  N/A

• Employees below protected from falling objects?

  Yes

  No

  N/A

• Wall / Door / Window / shaft openings barricaded?

  Yes

  No

  N/A

FLOOR & WALL OPENINGS

• All floor openings covered over or barricaded?

  Yes

  No

  N/A

• Perimeter protection in place?

  Yes

  No

  N/A

• Hole covers secured?

  Yes

  No

  N/A

• Materials stored away from edge?

  Yes

  No

  N/A

TRENCHES, EXCAVATION & SHORING

• Competent person identified and present?

  Yes

  No

  N/A

• Excavations are sloped or benched?

  Yes

  No

  N/A

• Excavation / Trenching Inspection Form completed? By Competent Person?

  Yes

  No

  N/A

• Material are stored at least 2' away from trench?

  Yes

  No

  N/A

• Trench Box required?

  Yes

  No

  N/A

• Ladders provided every 6' in trench where workers are present?

  Yes

  No

  N/A

• Equipment is at a safe distance from edge of trench or excavation?

  Yes

  No

  N/A

MATERIAL HANDLING

• Materials properly stored or stacked?

  Yes

  No

  N/A

• Employees using proper lifting techniques?

  Yes

  No

  N/A

POWERED EQUIPMENT

• Telehandler / Forklift in use?

  Yes

  No

  N/A

• Skid Steer in use?

  Yes

  No

  N/A

• Excavator / Front End Loader in use?

  Yes

  No

  N/A

• Scissor Lift in use?

  Yes

  No

  N/A

• Aerial / Man Lift in use?

  Yes

  No

  N/A

SCAFFOLDING

• All scaffolding inspected daily?

  Yes

  No

  N/A

• Erected on sound rigid footing?

  Yes

  No

  N/A

• Tied / anchored to structure as required?

  Yes

  No

  N/A

• Guardrails, intermediate rails, toe boards and screens in place?

  Yes

  No

  N/A

• Planking is sound and sturdy? Meets OSHA standards?

  Yes

  No

  N/A

• Proper access provided?

  Yes

  No

  N/A

• Employees below protected from falling objects?

  Yes

  No

  N/A

WELDING / HOT WORK

• Gas cylinders stored upright?

  Yes

  No

  N/A

• Proper separating distances between fuels & oxygen?

  Yes

  No

  N/A

• Goggles or shields used?

  Yes

  No

  N/A

• Fire extinguishers readily available?

  Yes

  No

  N/A

• Hoses in good condition?

  Yes

  No

  N/A

• Fire Watch?

  Yes

  No

  N/A

CRANES

• Tag lines used to guide loads?

  Yes

  No

  N/A

• Employees kept from under suspended loads?

  Yes

  No

  N/A

• Chains and slings inspected and tagged as required?

  Yes

  No

  N/A

CONCRETE CONSTRUCTION

• Cement dust present?

  Yes

  No

  N/A

• Personnel protected from Crystalline Silica / Cement dust when present in work area?

  Yes

  No

  N/A

SITE SECURITY

• Perimeter fencing on Jobsite?

  Yes

  No

  N/A