Braconier Plumbing and Heating Safety walk checklist

• Document No.

• Safety Committee monthly check list. Month of?

• Foreman / Job number/ Project manager

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Personal Protective Equipment

• Hard Hats worn at all times

  Yes

  No

  N/A

• Safety Glasses with sideshield

  Yes

  No

  N/A

• Face shields when there is potential for flying debris

  Yes

  No

  N/A

• Hearing protection where required

  Yes

  No

  N/A

• Full Body Harness with lanyard where needed

  Yes

  No

  N/A

Hot Work

• Fire Protection ( extinguisher/ tarpaulins)

  Yes

  No

  N/A

• Fire extinguisher inspected and tagged

  Yes

  No

  N/A

• Welding shields in use

  Yes

  No

  N/A

• Cylinders secured and capped when not in use

  Yes

  No

  N/A

• Leads and Hoses in good condition

  Yes

  No

  N/A

Walking/Working Surfaces

• All floor openings and holes greater than 2" covered

  Yes

  No

  N/A

• Aisleways are clear of hazards such as:<br>ext, cords, welding leads and stored material

  Yes

  No

  N/A

• All leading edges with falls greater than 6' protected

  Yes

  No

  N/A

• Welding rod/all thread stubs are placed in a bucket/ trash container

  Yes

  No

  N/A

• Work is properly illuminated

  Yes

  No

  N/A

• Roof top work has proper fall protection system

  Yes

  No

  N/A

• How often is clean-up being done per day ?

  0

  1 time

  2 times

  3 times

Material Lifting/Handling

• Employee's are using proper lifting techniques, etc.

  Yes

  No

  N/A

• Slings are in good condition

  Yes

  No

  N/A

• Rigging is being inspected before each use

  Yes

  No

  N/A

• Shackles are used on all multi-leg picks

  Yes

  No

  N/A

• Cranes, Chain falls, Come-along and air tuggers are properly sized and used in a safe manner

  Yes

  No

  N/A

• Porta Powers are properly sized and used in a safe manner

  Yes

  No

  N/A

Scaffolds and Manlifts

• Number of scaffolds your crew is using

  1 scaffold

  2 scaffolds

  3 scaffolds

  4 scaffolds

• Handrails and toe boards are in place

  Yes

  No

  N/A

• Scaffolds have proper access and are tagged, dated and inspected by a competent person

  Yes

  No

  N/A

• Fall protection used in Boomlifts

  Yes

  No

  N/A

• Fall protection requirements for scissor lifts are being met

  Yes

  No

  N/A

Excavations

• Excavation depth is _______________ feet?

  Select under 1 foot in depth 1' to 2' in deppth 2' - 3' in depth 3'- 4' in depth 4' - 5' in depth more than 5' in depth

  • under 1 foot in depth
  • 1' to 2' in deppth
  • 2' - 3' in depth
  • 3'- 4' in depth
  • 4' - 5' in depth
  • more than 5' in depth

• Designated competent person is?

  Sign

• 5' or more in depth - shored or benched

  Yes

  No

  N/A

• Spoil is a minimum of 2' from edge of excavation

  Yes

  No

  N/A

• Excavations are inspected daily for any change in working conditions

  Yes

  No

  N/A

• Entry permits are filled out and posted for excavations greater than 5'

  Yes

  No

  N/A

• Protective systems for excavation over 20' in depth have been designed by a professional engineer

  Yes

  No

  N/A

• Proper access / egress is provided

  Yes

  No

  N/A

Ladders

• All ladders free of defects

  Yes

  No

  N/A

• Step ladders used in only the open position

  Yes

  No

  N/A

• Straight ladders are being used at proper angle

  Yes

  No

  N/A

• Straight ladders are equipped with safety feet and are secured to avoid displacement

  Yes

  No

  N/A

• Access to ladders free of debris and/or obstructions

  Yes

  No

  N/A

Power Tools

• Power cords in good condition

  Yes

  No

  N/A

• Guards in place

  Yes

  No

  N/A

• Ground fault interruption protection is being used

  Yes

  No

  N/A

Questions for Foreman

• I am working with PM to resolve any of the above issues

  Yes

  No

  N/A

• Was a Project Safety Analysis performed on this project?

  Yes

  No

  N/A

• Current Safe Behavior by craftsman

  Yes

  No

  N/A

• Daily Job Hazard Analysis

  Yes

  No

  N/A

• Are we General Contractor or Subcontractor ?

• Comments or complaints ( explain if any no's above)

• Take a Photo of concerns

  Media

• Name of Safety Committee member doing inspection

  Sign