Safety Inspection Report - Super

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Job Information

• Work areas properly signed and barricaded?

  Yes

  No

  N/A

• Phone no. & directions for nearest medical center posted?

  Yes

  No

  N/A

• Phone no. for police and fire departments posted?

  Yes

  No

  N/A

• Are potable drinking water and toilet facilities available at the site?

  Yes

  No

  N/A

• Ventilation in work areas is adequate for the type of work?

  Yes

  No

  N/A

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2. Housekeeping

• General neatness of work area is acceptable?

  Yes

  No

  N/A

• Waste containers provided and used?

  Yes

  No

  N/A

• Passageways and walkways clear?

  Yes

  No

  N/A

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3. Fire Prevention

• Adequate fire extinguishers, checked and accessible?

  Yes

  No

  N/A

• Inspection tags current and signed?

  Yes

  No

  N/A

• "No Smoking" posted and enforced near flammables?

  Yes

  No

  N/A

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4. Electrical

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

  Yes

  No

  N/A

• Warning signs are exhibited on high voltage equipment (250V. or greater)?

  Yes

  No

  N/A

• Are electrical panels labeled?

  Yes

  No

  N/A

• Where high voltage work is performed, employees are trained and/or certified. Hot work permits are utilized?

  Yes

  No

  N/A

• All line parts are guarded or protected against accidental contact?

  Yes

  No

  N/A

• Outlets, receptacles, junction boxes, etc., are approved and maintained in a proper manner?

  Yes

  No

  N/A

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5. Hand, Power & Powder Actuated Tools

• Guards in place on machines, such as saws?

  Yes

  No

  N/A

• Tools are maintained and in a safe condition?

  Yes

  No

  N/A

• Right tool being used for job at hand?

  Yes

  No

  N/A

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6. Fall Protection

• Safety rails and cables are secured properly?

  Yes

  No

  N/A

• Employees below protected from falling objects?

  Yes

  No

  N/A

• Are employees working more than 6' above a lower level protected by guardrails, safety nets, personal fall arrest system?

  Yes

  No

  N/A

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7. Ladders

• Ladders extend at least 36" above the landing?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Ladders with split or missing rungs taken out of service?

  Yes

  No

  N/A

• Stepladders used in fully open position?

  Yes

  No

  N/A

• No step at top 2 rungs of step ladder?

  Yes

  No

  N/A

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8. Scaffolding

• All scaffolding inspected daily?

  Yes

  No

  N/A

• Erected on sound rigid footing?

  Yes

  No

  N/A

• Tied to structure as required?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Scaffold height does not exceed 4 times the width or base dimension without proper tie offs?

  Yes

  No

  N/A

• Scaffold planking extends over end supports between 6 to 18 inches?

  Yes

  No

  N/A

• Scaffold planking overlaps a minimum of 12 inches?

  Yes

  No

  N/A

• Two point suspension scaffolds are properly erected?

  Yes

  No

  N/A

• Are the wheels locked on rolling scaffolds?

  Yes

  No

  N/A

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9. Floor & Wall Openings

• All floor and deck openings are planked over or barricaded and marked?

  Yes

  No

  N/A

• Perimeter protection is in place?

  Yes

  No

  N/A

• Deck planks are secured?

  Yes

  No

  N/A

• Materials are stored away from edge?

  Yes

  No

  N/A

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10. Trenches, Excavation & Shoring

• Competent person on hand inspecting as per the OSHA standard?

  Yes

  No

  N/A

• Excavations over 5' in depth are shored or sloped back?

  Yes

  No

  N/A

• Materials and equipment are stored a safe distance from edge?

  Yes

  No

  N/A

• Ladders provided every 25' in trench more than 4' deep?

  Yes

  No

  N/A

• Documented daily inspection performed, including adverse weather changes?

  Yes

  No

  N/A

• Proper access and egress provided?

  Yes

  No

  N/A

• Barricades are properly erected?

  Yes

  No

  N/A

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11. Material Handling

• Materials are properly stored or stacked?

  Yes

  No

  N/A

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12. Welding & Burning

• Gas cylinders stored upright and secured?

  Yes

  No

  N/A

• Proper separating distance between fuels and oxygen? (min 20')

  Yes

  No

  N/A

• Fire extinguishers are nearby?

  Yes

  No

  N/A

• Hoses and regulators are in good condition?

  Yes

  No

  N/A

• Are proper helmets, aprons & gloves available for welding & cutting operations?

  Yes

  No

  N/A

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13. Cranes

• Outriggers are extended and swing radius barricade in place?

  Yes

  No

  N/A

• Crane operator's logs are up-to-date?

  Yes

  No

  N/A

• Chains and sling inspected and tagged as required?

  Yes

  No

  N/A

• Hand signal charts are on crane?

  Yes

  No

  N/A

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14. Concrete Construction

• Employees are protected from cement dust?

  Yes

  No

  N/A

• Walls over 8' are supported?

  Yes

  No

  N/A

• Proper access and egress provided?

  Yes

  No

  N/A

• All exposed rebar ends protected from exposure, both horizontal and vertical?

  Yes

  No

  N/A

• All shoring erected to and/or support concrete is substantial and adequate?

  Yes

  No

  N/A

• All connections on air hoses and pipes are secured to prevent displacement?

  Yes

  No

  N/A

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15. Personal Protective Equipment

• Hard hats are being worn?

  Yes

  No

  N/A

• Safety glasses are being worn?

  Yes

  No

  N/A

• Respirators are used when required?

  Yes

  No

  N/A

• Hearing protection being worn when required?

  Yes

  No

  N/A

• Traffic vests being worn?

  Yes

  No

  N/A

• Safety harnesses required/worn in proper manner?

  Yes

  No

  N/A

• Lanyards equipped with shock absorbers?

  Yes

  No

  N/A

• Landyards are adequately secured to a substantial object and fall distance is maintained to a minimum?

  Yes

  No

  N/A

• Foot and Toe protection is provided/used?

  Yes

  No

  N/A

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16. Vehicles

• Do vehicles, earth moving or compacting equipment with an obstructed view to the rear have a backup alarm or used with an observer?

  Yes

  No

  N/A

• Do vehicles and earth moving equipment have seat belts and are they used?

  Yes

  No

  N/A

• Site vehicles are inspected before each use?

  Yes

  No

  N/A

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17. Stairs

• Are flights of stairs with 4 or more risers equipped with standard stair railings or handrails?

  Yes

  No

  N/A

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18. Steel Erection and Floor/Wall Openings

• Proper access and egress provided?

  Yes

  No

  N/A

• Perimeter cables adequate and properly installed?

  Yes

  No

  N/A

• Wall and floor openings properly guarded and covered?

  Yes

  No

  N/A

• Adequate barricades and signs are posted in the area to warn employees?

  Yes

  No

  N/A

• All employees are wearing and using required PPE (safety harness and landyards)?

  Yes

  No

  N/A

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19. Compressed Gas Cylinders

• Are oxygen and fuel gas cylinders stored a minimum of 20 feet apart?

  Yes

  No

  N/A

• Is smoking prohibited in cylinder storage areas?

  Yes

  No

  N/A

• Gas bottles are properly labeled?

  Yes

  No

  N/A

• Gas bottles are properly secured, upright and capped?

  Yes

  No

  N/A

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20. Elevated Work Platforms

• Elevated work platforms are of substantial construction and secured properly?

  Yes

  No

  N/A

• A means of tie off is provided and used?

  Yes

  No

  N/A

• Proper access and egress is provided?

  Yes

  No

  N/A

• Outriggers used, as required?

  Yes

  No

  N/A

• Ground controls operational?

  Yes

  No

  N/A

• Fall protection provided and used?

  Yes

  No

  N/A

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21. Confined Space

• Confined Space Permits are in place and properly signed?

  Yes

  No

  N/A

• Are oxygen and acetylene cylinders kept outside the space?

  Yes

  No

  N/A

• Confined space monitoring is current?

  Yes

  No

  N/A

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22. Comments

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