Information

  • Job Site Number

  • PM/Super

  • Conducted on

  • Prepared by

  • Location

1. 1926.501 Duty to have fall protection.

  • 1. 1926.501(b)(1) Are all workers above 6 feet protected from falls?

  • 1.2 1926.502(d)(12) Are restraining devices used correctly in JLGs?

  • 1.3. 1926.502 Unsafe or incomplete edge protection, Guard rails, toe boards?

  • 1.4 16VAC25-145-40 Are control zones used correctly ?

  • 1.5 1926.502(a)(2) Is any fall protection equipment damaged or unsafe or not inspected?

  • 1.6 1926.500(b) Are there any open holes larger than 2 inches in any direction in a roof, floor, or other walking/working surface?

2. 1926.600 Equipment

  • 2.1 1926.601(b)(14) Is equipment inspected before use?

  • 2.2 1910.178 Are operators trained, and holding certs as required?

  • 2.3. 1926.602(c)(1)(ii) Unsafe or incompatible attachments used with equipment?

  • 2.4 Are equipment and or trucks backing up without spotters?

  • 2.5 Are seat belts in use?

  • 2.6 Other.

3. 1926.450 Scaffold

  • 3.1. 1926.451 (a)(6) Are competent persons directing scaffold installation?

  • 3.2. 1926.451 Unsafe or incomplete scaffold?

  • 3.3. 1926.451(f)(3) Lack of inspection protocol for scaffold?

  • 3.4. 1926.452 Incompatible scaffold components?

  • 3.5 Other.

4. 1926.550 Cranes and lifting equipment

  • 4. 1926.550(a)(15)(iv) Are loads lifted over persons or in close proximity to objects such as overhead power lines?

  • 4.1 1926.550 (a)(5) Does the equipment have proper maintenance testing and inspection?

  • 4.2 1926.550 (a)(5)Is the equipment inspected before use or daily?

  • 4.3 1926.550(a)(2) Is the latest SWL information displayed on the equipment?

  • 4.4 1926.550(a)(7)(vi) Is any lifting equipment damaged or unlabeled?

  • 4.4 Other.

5. 1926.1050 Ladders and stairs

  • 5. 1926.1053 Have ladders been inspected before use and are not showing any signs of damage?

  • 5.1 1926.1053 Are the ladders positioned safely?

  • 5.3 1926.1053 Are access ladders properly secured and have an offset at the top?

  • 5.4 1926 .1052 Do the stairways have proper handrails, are the treads and landings filled?

  • 5.5 Other.

6. 1926.65 Hazardous chemicals, subpart Z toxic and hazardous materials including fuel and oil

  • 6.1 1926.59-1910.1200 Have all chemicals been evaluated stored and labeled correctly and has this information transmitted to employees?

  • 6.2 1926.152 Are the chemical storage locations clear of ignition sources flammables and storm water areas?

  • 6.3 1926.152(a) Are incompatible chemicals stored near each other such as oxygen and Compressed fuel cylinders. 1926.350(a)(10) Are oxygen tanks stored at least 20 feet away from oil and compressed fuel cylinders?

  • 6.4 1926.152(e)(2) Are the transfer of flammable liquids only done when containers are electrically bonded or interconnected?

  • 6.5 1926.152(e)(4) Are fuel dispensing units protected against collision?

  • 6.6 1926.150 Are spill kits available?

  • 6.7 Other.

7. 1926.20 Emergency response

  • 7.1 1926.20(b) Are emergency plans on site displayed and have been rehearsed?

  • 7.2 Have first responders and fire departments review the job site?

  • 7.3 1926.23 Are supervisors trained in first aid?

  • 7.4 1926.50 Are first aid kits adequate for the number of employees on site

8. 1926.200 Traffic management

  • 8.1 1926.200(g)(2) Is the traffic management plan in place and approved?

  • 8.2 Are all flaggers trained according to the state of Virginia?

  • 8.3 Are barriers bollards speed limits flashing lights and spotters adequate to control For the traffic management plan?

  • 8.4 Other.

9. 1926.28 PPE's Personal protective equipment

  • 9.1 1926.95 Are personal protective equipment adequate for the work at hand?

  • 9.2 1926.52 Is hearing protection being used as needed?

  • 9.3 Other.

10. Subpart C Work environment

  • 10.1 1926.25 Is housekeeping adequate?

  • 10.2 1926.26 Is lighting adequate?

  • 10.3 1926.27 Are toilettes and handwashing areas adequate?

  • 10.4 1926.51(a)(1) Is drinking water available?

  • 10.5 1926.252(c) Are all scrap lumber waste material and rubbish being removed from the immediate work area as the work progresses?

  • 10.6 1926.34 Are exits free so arranged and maintained as to be provide free and unobstructed egress from all parts of the building at all times?

11. 1926.400/1910.137 Electrical hazards

  • 11.1 Is NFPE 70 being followed For power testing and lock out tag out?

  • 11.2 1926.405(g)(I) Have electrical leads been tested are not damaged and have the owners name on the cord?

  • 11.3 1926.404(b)(1)(ii) Are ground fault circuit interrupters in use and tested weekly?

  • 11.4 1926.400(b) Have underground utilities been marked by all parties using this contract?

  • 11.5 1926 403 (I)(1)(I) Have overhead power lines been taken into account for work on the site?

  • 11.6 1926.405(g) Are drop cords run on sharp edges, metal structures, or placed on the ground creating trip hazards?

  • 11.7 1926 403(I)(2) Are all energized electrical cabinets locked and components guarded from accidental contact?

  • 11.7.A 1926.405(g)(2)(iii) Are flexible cords used in continuous lengths without splice or tap?

  • 11.8 Other.

12. 1926.55 Occupational health and environmental controls

  • 12.1 1926.55(a) Are all employees protected from the inhalation, indigestion, skin absorption or contact with any material or substance, at a concentration above those specified in the threshold limit values of airborne contaminants by the American conference of governmental industrial hygienist?

  • 12.2 Is SDS information available and documented on the job site?

  • 12.3 Are stormwater systems adequate, designed and in place, to prevent contaminants from entering drains and waterways?

13. Administrative procedures

  • 13.1 1926.10 Do all contractors have a safety plan?

  • 13.2 Are all workers trained for safety and specifically for safety in their field?

  • 13.3 1910.146 Have subcontractors applied for and received all work permits needed to perform their job? Such as hot work permits confined space entry permits etc.

  • 13.4 Do all workers have orientation for this job site?

  • 13.5 Do all contractors have adequate supervisory personnel and adequate training for their employees?

  • 13.6 Have all contractors been trained in the recording of incidents and incident notification procedures?

14. 1926.650 Excavation trenching and confined space

  • 14.1. 1926.651(b) Have the location of utility installations been marked?

  • 14.2. 1926.651(c)(2) Have means of egress been provided?

  • 14.3. 1926.651(g)(1)(ii) Does the atmosphere need to be tested and or has it been?

  • 14.4. Subpart P Has the class C soil been sloped one and a half to one?

  • 14.5. Other?

15. Corrective actions

  • 15.1 What corrective actions if any are taking place as a result of this inspection?

  • On site representative.

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