Safety Inspection Report 5 or Less Workers

• Audit Title

• Client

• Conducted on

  Date

• Prepared by

• Company representative

Previous Project Inspection

• Has the last job-site inspection been reviewed in preparation for this inspection?

  Yes

  No

  N/A

• Outstanding corrective items from last visit have been addressed?

  Yes

  No

  N/A

General Conditions

• Project signage posted (OSHA, construction area, etc. )?

  Yes

  No

  N/A

• Perimeter fence in good condition?

  Yes

  No

  N/A

• Drinking water provided and available?

  Yes

  No

  N/A

• Fire extinguishers in place for general conditions and inspection complete?

  Yes

  No

  N/A

• Are impalement hazards such as exposed rebar protected?

  Yes

  No

  N/A

• Temporary lighting adequate?

  Yes

  No

  N/A

• Danger and caution tape maintained?

  Yes

  No

  N/A

• Adequate toilet facilities?

  Yes

  No

  N/A

Housekeeping

• Appearance of job-site neat and orderly, walkways clear?

  Yes

  No

  N/A

• Projecting nails removed or bent over?

  Yes

  No

  N/A

• Ground clean from oil and grease?

  Yes

  No

  N/A

PPE

• Hard hats used per standard and company policy?

  Yes

  No

  N/A

• Safety glasses used per standard and company policy?

  Yes

  No

  N/A

• Proper footwear used per company policy and task?

  Yes

  No

  N/A

• Other PPE such as gloves, hearing protection, respiratory protection, etc.. used as needed and properly?

  Yes

  No

  N/A

Power and Hand Tools

• Tools and cords in good condition?

  Yes

  No

  N/A

• All guards in place?

  Yes

  No

  N/A

• Right tools used for the job at hand?

  Yes

  No

  N/A

Powder Actuated Tools

• Employees trained and have card in possession?

  Yes

  No

  N/A

• All cartridges properly disposed of?

  Yes

  No

  N/A

• Is area around and behind safe for powder actuated tool use?

  Yes

  No

  N/A

Ladders

• Ladders secured to prevent movement and extend at least 3 feet above landing?

  Yes

  No

  N/A

• Ladders are in good condition and used properly?

  Yes

  No

  N/A

Fall Protection

• Guardrails installed and maintained in good condition?

  Yes

  No

  N/A

• Holes guarded and marked?

  Yes

  No

  N/A

• Personal fall arrest equipment in good condition?

  Yes

  No

  N/A

• Fall arrest equipment used properly?

  Yes

  No

  N/A

Scaffolding

• Scaffold plumb, level and built on solid foundation of baseplate and mud sills?

  Yes

  No

  N/A

• Scaffold grade lumber used and decking/planks in good condition?

  Yes

  No

  N/A

• Guys, ties, braces and cross bracing in place at proper intervals?

  Yes

  No

  N/A

• Guardrail and access ladders in place?

  Yes

  No

  N/A

• Scaffold inspections completed each shift?

  Yes

  No

  N/A

Excavations & Shoring

• Shoring of adjacent structures adequate?

  Yes

  No

  N/A

• Banks of trench/excavation sloped or shored correctly, or trench box used?

  Yes

  No

  N/A

• Spoil piles or other material at least 2 feet from edge of trench/excavation?

  Yes

  No

  N/A

• Access provided within 25 feet of employees in trenches?

  Yes

  No

  N/A

• Inspections performed by competent person or other issues?

  Yes

  No

  N/A

Equipment

• Backup alarms working or signal person used?

  Yes

  No

  N/A

• Seatbelts used in all mobile equipment?

  Yes

  No

  N/A

• Daily inspections performed and condition of the equipment acceptable?

  Yes

  No

  N/A

• Operators trained and demonstrating competency?

  Yes

  No

  N/A

Cranes and Rigging

• Slings, hooks, shackles etc... in good condition?

  Yes

  No

  N/A

• Swing radius barricaded and outriggers set properly?

  Yes

  No

  N/A

• 20 foot distance minimum from power lines maintained or lines de-energized?

  Yes

  No

  N/A

• Qualified rigger and signalman used for lifts?

  Yes

  No

  N/A

Electrical

• GFCI's used on all 110 outlets?

  Yes

  No

  N/A

• All extension cords 3 wire type, in good condition with ground pins?

  Yes

  No

  N/A

• All panels have fronts and covers remain closed?

  Yes

  No

  N/A

• Are other electrical items handled properly (LOTO, arc flash protection, etc..)?

  Yes

  No

  N/A

Welding/Cutting and Fire Prevention

• Fire extinguisher at site of welding/cutting?

  Yes

  No

  N/A

• Use and storage of cylinders acceptable?

  Yes

  No

  N/A

• Flammable's (including fuel) stored properly away from heat source?

  Yes

  No

  N/A

Stairways

• Treads, landings and handrail acceptable

  Yes

  No

  N/A

• Temp lighting in stairways acceptable?

  Yes

  No

  N/A

• Housekeeping?

  Yes

  No

  N/A

Aerial Lifts

• Operators trained?

  Yes

  No

  N/A

• Equipment in good condition?

  Yes

  No

  N/A

• Gates and guardrails acceptable?

  Yes

  No

  N/A

• Lifts used properly?

  Yes

  No

  N/A

Concrete and Masonry Work

• Wet cut method, HEPA vac, or respiratory protection used for all cutting, grinding, rubbing, tuck pointing, etc.?

  Yes

  No

  N/A

• Bracing/shoring in place and making good contact?

  Yes

  No

  N/A

• Post tension operations are barricaded and workers are out of line of fire?

  Yes

  No

  N/A

Roadside Work

• Traffic control devices and setup appropriate for DOT requirements and road speeds/conditions?

  Yes

  No

  N/A

• High visibility gear worn by all workers and appropriate for speeds and conditions?

  Yes

  No

  N/A

Material Handling

• Material stacked, racked, etc...?

  Yes

  No

  N/A

• Materials stored proper distance from floor openings?

  Yes

  No

  N/A

Administration

• First aid kits available and maintained?

  Yes

  No

  N/A

• SDS sheets available for review?

  Yes

  No

  N/A

Other Observations

• Project employee/supervision concerns

• Follow up/pre-planning items

• Issues/comments

• Add media

  Media

• Wasatch Safety Associate

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