S&D Safety Inspection Checklist

• Job Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Electrical

• 1. Electrical cords being used are proper size of wire

  Yes

  No

  N/A

• 2. Extension cords with bare wires taken out of service<br>

  Yes

  No

  N/A

• 3. Extension cords with missing ground prongs taken out of service

  Yes

  No

  N/A

• 4. Ground fault circuit interrupters (GFCI) being used

  Yes

  No

  N/A

• 5. Lockout/Tagout devices are available

  Yes

  No

  N/A

• 6. Lockout/Tagout devices are used

  Yes

  No

  N/A

• 7. Light bulbs covered with protective cages

  Yes

  No

  N/A

• 8. Circuit breakers/disconnects are properly identified (labeled) and accessible

  Yes

  No

  N/A

• 9. Energized panels/devices are covered

  Yes

  No

  N/A

• 10. Electrical dangers are posted

  Yes

  No

  N/A

Hand, Power & Powder-Actuated Tools

• 1. Guards in place on machines/equipment

  Yes

  No

  N/A

• 2. Guards on machine/equipment in good condition

  Yes

  No

  N/A

• 3. When powder-actuated tools are used is proper PPE being worn (eyes, face, ears, and hands)

  Yes

  No

  N/A

• 4. Hand tools in good condition

  Yes

  No

  N/A

• 5. Laser operators' proof of qualification

  Yes

  No

  N/A

• 6. Tool cords/plugs in good condition (strain relief)

  Yes

  No

  N/A

• 7. Employees are using power tools properly

  Yes

  No

  N/A

• 8. Right tool being used for job at hand

  Yes

  No

  N/A

• 9. Operators of powder-actuated tools are authorized<br>

  Yes

  No

  N/A

Fall Protection

• 1. Safety rails/cables are secured properly

  Yes

  No

  N/A

• 2. Employees exposed to fall hazards are protected from falls

  Yes

  No

  N/A

• 3. Fall protection equipment is appropriate for working heights

  Yes

  No

  N/A

• 4. Employees below protected from falling objects

  Yes

  No

  N/A

Ladders & Stairs

• 1. Ladders are of appropriate duty rating for the task

  Yes

  No

  N/A

• 2. Ladders are of proper type and size for the task

  Yes

  No

  N/A

• 3. Ladders extended at least 36 inches above the landing if accessing upper level (ladder access kept clear at all times)

  Yes

  No

  N/A

• 4. Ladders are secured to prevent slipping, sliding, or falling (Ladders pitched at a 4:1 ratio, staked, tied, etc)

  Yes

  No

  N/A

• 5. Defective ladders removed from service and tagged

  Yes

  No

  N/A

• 6. Stepladders used in fully open position

  Yes

  No

  N/A

• 7. Stairways rail or handrails installed when required

  Yes

  No

  N/A

• 8. Stairway or ladder provided at points of access where a break in elevation of 19 inches or more exists

  Yes

  No

  N/A

• 9. Ladders are being used in accordance with the manufacturer's specifications

  Yes

  No

  N/A

Scaffolding (fall protection required on all scaffolds at 10 feet or greater)

• 1. Erected on sound rigid footing

  Yes

  No

  N/A

• 2. Proper mud sills in place where necessary

  Yes

  No

  N/A

• 3. Tied to structure as required

  Yes

  No

  N/A

• 4. Scaffold is plumb, square, and level

  Yes

  No

  N/A

• 5. Complete guardrail system around working platform (guardrail, intermediate rails, toe boards, screens in place

  Yes

  No

  N/A

• 6. All working-level platforms fully planked/decked

  Yes

  No

  N/A

• 7. Proper access/egress provided and adequate

  Yes

  No

  N/A

• 8. All scaffolding inspected daily by a competent person)

  Yes

  No

  N/A

• 9. Mobile scaffolding equipped with locking casters

  Yes

  No

  N/A

• 10. Proper pins (no wire, nails, etc.) used in all connections

  Yes

  No

  N/A

• 11. Employees below protected from falling objects

  Yes

  No

  N/A

Floor & Wall Openings

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

  Yes

  No

  N/A

• Perimeter protection is in place

  Yes

  No

  N/A

• Deck planks are secured

  Yes

  No

  N/A

• Materials stored away from edge

  Yes

  No

  N/A

Excavation

• 1. Excavations protected by guardrails, fences, or barricades if not readily seen due to plant growth or other visual barriers

  Yes

  No

  N/A

• 2. Competent person with knowledge of excavation hazards, pertinent OSHA regulations, and soil analysis on hand

  Yes

  No

  N/A

• 3. Excavation inspected daily by a competent person before workers enter

  Yes

  No

  N/A

• 4. Are employees trained in recognition of hazards

  Yes

  No

  N/A

• 5. Materials and spoil piles are stored at least two feet from trench or excavation

  Yes

  No

  N/A

• 6. Equipment is a safe distance from edge of trench/excavation

  Yes

  No

  N/A

• 7. Ladders provided every 25 feet in trench

  Yes

  No

  N/A

• 8. Excavations are shored or sloped back for excavations greater than 5 feet deep

  Yes

  No

  N/A

• 9. Proper utility services identifications and locations made

  Yes

  No

  N/A

Material Handling/Motorized equipment

• Aerial lift operators trained and authorized

  Yes

  No

  N/A

• Aerial lift controls clearly marked

  Yes

  No

  N/A

• Aerial lift platform chain or door closed

  Yes

  No

  N/A

• 4. Fall protection used in the aerial lift

  Yes

  No

  N/A

• 5. Fall protection used in the aerial lift is the appropriate type

  Yes

  No

  N/A

• 6. Reverse signal alarms working (audible) above surrounding noise levels

  Yes

  No

  N/A

• 7. Materials are properly stored/stacked/cribbed

  Yes

  No

  N/A

• 8. If mechanical equipment is being used, is equipment in good repair

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• 1. Are employees wearing their PPE? (Hardhats, safety glasses with side shield, reflective vest, gloves)

  Yes

  No

  N/A

• 2. Face shield is being worn when drilling/grinding overhead

  Yes

  No

  N/A

• 3. Dust masks are used when needed

  Yes

  No

  N/A

• 4. Respirators are used when required

  Yes

  No

  N/A

• 5. All PPE kept in sanitary and reliable condition

  Yes

  No

  N/A

Job Information/Administration

• 1. OSHA 300A form posted between February 1 and April 30

  Yes

  No

  N/A

• 2. OSHA posters posted

  Yes

  No

  N/A

• 3. Workers' compensation poster posted

  Yes

  No

  N/A

• 4. Specific Site Emergency Plan posted

  Yes

  No

  N/A

• 5. First aid kit available/stocked

  Yes

  No

  N/A

• 6. Work areas properly signed/barricaded

  Yes

  No

  N/A

Housekeeping & General Conditions

• Are there adequate trash containers available, exits/stairs clear & walkways free of slips & trips?

  Yes

  No

  N/A

Hazard Communication

• 1. All chemicals on site stored in original or approved containers with proper labels attached

  Yes

  No

  N/A

Fire Prevention

• 1. Is there a fire extinguisher at the hot work being performed, inspected annually & monthly, fire extinguishers placed every 100' & are combustibles & flammables 35' away or covered with a fire blanket?

  Yes

  No

  N/A

• 2. Extinguishers have current inspection (check tag) and storage areas have proper signage (No Smoking or Open Flame)

  Yes

  No

  N/A

Welding/Burning

• 1. Gas cylinders stored upright

  Yes

  No

  N/A

• 2. Proper separation between fuels and oxygen (1/2 hr-rated fire wall of a minimum distance of 20 feet)

  Yes

  No

  N/A

• 3. Burning/welding/cutting goggles or shields are used

  Yes

  No

  N/A

• 4. Fire extinguishers are nearby

  Yes

  No

  N/A

• 5. Are welding leads and gas hoses free from defects?

  Yes

  No

  N/A

• 6. Are welding screens being used to protect others from UV exposures?

  Yes

  No

  N/A

Others

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A