Information

  • Document No.

  • Names of Foreman - Safety Manager Visit

  • Conducted on

  • Prepared by:

  • Location (Drop pin for GPS and street address):

General Safety

  • All required Posters, Paperwork, posted in a visible location, and up to date?

  • Has the previous Inspection Report been distributed through Share Point?

  • Are there any outstanding issues which have not been addressed?

  • Has the (JHA) Job Hazard Analysis been updated for today?

  • Last JHA update posted:

  • Are Toolbox Talks being performed through the UIG safe work application?

  • Topic covered today?

  • Employees wearing all required PPE (gloves, hi-viz, glasses, hardhats, etc)?

  • Signage & Barricades in place where required?

  • All employees wearing appropriate rated footwear for tasks today?

  • Are employees wearing hearing protection when noise levels are in excess of 85 dBa?

  • dBa Measurement during Visit:

  • Is the Uni-pack spill kit available and fully stocked?

  • Are there portable restrooms for the site? Are there at least (1) portable restroom for every (10) workers?

  • Condition of restroom

  • Is there a designated smoking area?

  • Is smoking debris properly disposed of?

Chemical Safety

  • Have all materials/chemicals been labeled using the NFPA labels)?

  • Have safety data sheets been updated for new products in inventory? Spot check (3):

  • Is PPE being used as required (respirators, masks, etc)?

Safety Center

  • Picture of Safety Center

  • Add drawing

  • Is the eyewash station on the safety board, and within the manufacturers expiration date?

  • Is the safety center board in place, painted and within (75) ft of work force?

  • Is SDS information on the safety board and current?

  • Is the first aid kit available and stocked?

  • Is the blood borne pathogen kit available and stocked?

  • Is all spare PPE available and fully stocked?

Clean-up & Housekeeping

  • Are entries walkways and drive lanes kept clear?

  • Stairs kept clear and free of debris?

  • Bins emptied regularly?

  • Oily rags and combustible refuse stored in covered metal containers?

  • Bins or Dumpsters located at suitable points around Jobsite?

Trenches, Excavations & Openings

  • Trenches & Excavations are barricades as required? (Barricade 6ft from any open excavation) Controlled Access Zone when required?

  • Protective systems in place as required (trench boxes, etc)

  • Air monitoring for all areas of work which are considered confined spaces, or areas containing airborne contaminants?

  • Excavations adequately benched, with spoils away from sides?

  • Adequate access/egress provided? (Within 75ft)

  • Have all openings, holes, etc been covered & marked as necessary?

  • Re-Bar Caps in use where necessary?

Fall Protection

  • Is perimeter protection in place where necessary?

  • Personal Fall Arrest systems in use where required (all work over 6ft)?

  • Are Harnesses in good condition, and recently inspected?

  • Are all Lanyards, Retractables, etc clearly marked with weight limits and other required info?

  • Are PFAs being correctly fitted, attached, and used?

  • Personal Fall Arrest anchor points adequate?

Equipment & Machinery

  • Are trucks and equipment smoke and ash free?

  • Wheels on Foreman's truck chocked?

  • Back-up Alarms working correctly?

  • Adequate roll-over protection provided?

  • Seatbelts installed and functional on all Equipment?

  • All Equipment inspections completed & filed?

  • Rigging & Equipment inspections complete prior to any lifts?

  • Load calculations clearly posted in each piece of equipment?

  • Fuel stored in proper containers?

  • Air scrubbers or other equipment in use where required?

Fire Prevention & Protection

  • Hot Work Permits received and posted for all work requiring them?

  • Evacuation Plans displayed & visible?

  • Emergency contact form complete and posted?

  • Photo of form

  • Fire Extinguishers located throughout areas of work, and freely accessible?

  • Fire Extinguishers fully charged, and recently certified?

  • Fire Extinguishers located within reach where any hot-work is being performed?<br>

  • Bottles/Cylinders properly stored?

  • Area around Temp Heaters or similar equipment clear?

Electrical

  • Temp or Permanent Lighting adequate (meets OSHA standards, at a minimum)?

  • Temp Lighting connections secure, and covered?

  • Electrical Cords in good condition?

  • All tools & equipment powered via GFCI Protected circuits?

  • All Panels, Boxes, etc secured and covered?

Power Tools

  • Power Tools?

  • Power Tools in good working order?

  • Guards/Shields functional?

  • Powder Actuated Tools in good condition, with appropriate signage in place?

  • Required training for all Personnel using Powder Actuated Tools?

Welding & Cutting?

  • Welding & Cutting?

  • Cylinders stored properly?

  • Hoses in good condition?

  • Adequate shielding provided?

  • Fire Blankets used where necessary?

Ladders & Scaffold

  • Ladders & Scaffold?

  • Ladders tied-off?

  • Ladders extended 3ft above all landings?

  • All Ladders adequately rated for use?

  • Ladders used correctly (not standing on top rung, leaning against walls, etc)?

  • Non-conductive Ladders used for Electrical Work?

  • Extension Ladders - All ropes, pulley, etc in good condition?

  • Scaffold installed on solid, level ground?

  • Bracing adequate?

  • Planking adequate, with proper material used?

  • Guardrails in place, and at proper elevation?

  • Adequate access/egress provided?

  • Fall Protection in use for all Aerial Lifts?

Stairways (Permanent or Temporary)

  • Stairways (Permanent or Temporary)?

  • Pans filled?

  • Stairs free and clear of debris?

  • Handrail/Guardrail in place?

Steel Erection

  • Steel Erection?

  • Floor Decked as required?

  • Perimeter protection in place?

  • Fall Protection in use where required?

Roof Operations

  • Roof Operations?

  • Perimeter Protection in place?

  • Rooftop Operation Plans developed, posted, and accessible for all personnel working on the Roof?

  • Adequate anchor points provided?

Observations and notes:

GoCodes Inventory

  • Does the site crew have any asset purchases since the last visit?

  • What was purchased and tagged into the asset inventory today?

  • Foreman's approval of accuracy:

Signature:

  • Completed by the Safety Manager:

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