Information
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Job Site Number
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PM/Super
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Conducted on
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Prepared by
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Location
1. 1926.501 Duty to have fall protection.
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1. 1926.501(b)(1) Are all workers above 6 feet protected from falls?
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1.2 1926.502(d)(12) Are restraining devices used correctly in JLGs?
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1.3. 1926.502 Unsafe or incomplete edge protection, Guard rails, toe boards?
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1.4 16VAC25-145-40 Are control zones used correctly ?
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1.5 1926.502(a)(2) Is any fall protection equipment damaged or unsafe or not inspected?
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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
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2.1 1926.601(b)(14) Is equipment inspected before use?
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2.2 1910.178 Are operators trained, and holding certs as required?
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2.3. 1926.602(c)(1)(ii) Unsafe or incompatible attachments used with equipment?
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2.4 Are equipment and or trucks backing up without spotters?
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2.5 Are seat belts in use?
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2.6 Other.
3. 1926.450 Scaffold
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3.1. 1926.451 (a)(6) Are competent persons directing scaffold installation?
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3.2. 1926.451 Unsafe or incomplete scaffold?
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3.3. 1926.451(f)(3) Lack of inspection protocol for scaffold?
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3.4. 1926.452 Incompatible scaffold components?
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3.5 Other.
4. 1926.550 Cranes and lifting equipment
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4. 1926.550(a)(15)(iv) Are loads lifted over persons or in close proximity to objects such as overhead power lines?
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4.1 1926.550 (a)(5) Does the equipment have proper maintenance testing and inspection?
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4.2 1926.550 (a)(5)Is the equipment inspected before use or daily?
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4.3 1926.550(a)(2) Is the latest SWL information displayed on the equipment?
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4.4 1926.550(a)(7)(vi) Is any lifting equipment damaged or unlabeled?
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4.4 Other.
5. 1926.1050 Ladders and stairs
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5. 1926.1053 Have ladders been inspected before use and are not showing any signs of damage?
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5.1 1926.1053 Are the ladders positioned safely?
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5.3 1926.1053 Are access ladders properly secured and have an offset at the top?
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5.4 1926 .1052 Do the stairways have proper handrails, are the treads and landings filled?
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5.5 Other.
6. 1926.65 Hazardous chemicals, subpart Z toxic and hazardous materials including fuel and oil
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6.1 1926.59-1910.1200 Have all chemicals been evaluated stored and labeled correctly and has this information transmitted to employees?
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6.2 1926.152 Are the chemical storage locations clear of ignition sources flammables and storm water areas?
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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?
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6.4 1926.152(e)(2) Are the transfer of flammable liquids only done when containers are electrically bonded or interconnected?
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6.5 1926.152(e)(4) Are fuel dispensing units protected against collision?
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6.6 1926.150 Are spill kits available?
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6.7 Other.
7. 1926.20 Emergency response
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7.1 1926.20(b) Are emergency plans on site displayed and have been rehearsed?
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7.2 Have first responders and fire departments review the job site?
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7.3 1926.23 Are supervisors trained in first aid?
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7.4 1926.50 Are first aid kits adequate for the number of employees on site
8. 1926.200 Traffic management
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8.1 1926.200(g)(2) Is the traffic management plan in place and approved?
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8.2 Are all flaggers trained according to the state of Virginia?
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8.3 Are barriers bollards speed limits flashing lights and spotters adequate to control For the traffic management plan?
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8.4 Other.
9. 1926.28 PPE's Personal protective equipment
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9.1 1926.95 Are personal protective equipment adequate for the work at hand?
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9.2 1926.52 Is hearing protection being used as needed?
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9.3 Other.
10. Subpart C Work environment
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10.1 1926.25 Is housekeeping adequate?
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10.2 1926.26 Is lighting adequate?
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10.3 1926.27 Are toilettes and handwashing areas adequate?
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10.4 1926.51(a)(1) Is drinking water available?
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10.5 1926.252(c) Are all scrap lumber waste material and rubbish being removed from the immediate work area as the work progresses?
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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
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11.1 Is NFPE 70 being followed For power testing and lock out tag out?
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11.2 1926.405(g)(I) Have electrical leads been tested are not damaged and have the owners name on the cord?
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11.3 1926.404(b)(1)(ii) Are ground fault circuit interrupters in use and tested weekly?
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11.4 1926.400(b) Have underground utilities been marked by all parties using this contract?
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11.5 1926 403 (I)(1)(I) Have overhead power lines been taken into account for work on the site?
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11.6 1926.405(g) Are drop cords run on sharp edges, metal structures, or placed on the ground creating trip hazards?
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11.7 1926 403(I)(2) Are all energized electrical cabinets locked and components guarded from accidental contact?
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11.7.A 1926.405(g)(2)(iii) Are flexible cords used in continuous lengths without splice or tap?
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11.8 Other.
12. 1926.55 Occupational health and environmental controls
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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?
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12.2 Is SDS information available and documented on the job site?
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12.3 Are stormwater systems adequate, designed and in place, to prevent contaminants from entering drains and waterways?
13. Administrative procedures
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13.1 1926.10 Do all contractors have a safety plan?
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13.2 Are all workers trained for safety and specifically for safety in their field?
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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.
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13.4 Do all workers have orientation for this job site?
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13.5 Do all contractors have adequate supervisory personnel and adequate training for their employees?
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13.6 Have all contractors been trained in the recording of incidents and incident notification procedures?
14. 1926.650 Excavation trenching and confined space
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14.1. 1926.651(b) Have the location of utility installations been marked?
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14.2. 1926.651(c)(2) Have means of egress been provided?
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14.3. 1926.651(g)(1)(ii) Does the atmosphere need to be tested and or has it been?
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14.4. Subpart P Has the class C soil been sloped one and a half to one?
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14.5. Other?
15. Corrective actions
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15.1 What corrective actions if any are taking place as a result of this inspection?
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On site representative.
