Title Page
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Date of Inspection:
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Project / Site:
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Location:
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Job #:
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Schuler-Haas Project / Site Foreman:
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Were they present during this walkthrough?
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Who was the contact during this inspection?
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Schuler-Haas Project Manager:
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# of Personnel on Site:
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Primary scopes of work for the day visited:
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Any new hires to site this week
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First Aid kit is available?
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Why?
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Is Job Hazard Analysis available?
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Why?
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Daily Pre-Task Plan (PTP) form completed and signed by crew
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Ladders Last followed
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Why?
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Anti-crush guard controls on all booms and lifts
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Why?
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Hard hats, safety glasses, ANSI Class 2 vest, work boots, and cut-resistant gloves in use
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Why?
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Fall Protection in use > 6’
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Why?
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Weekly Toolbox Talks reviewed and signed
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Why?
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Hearing protection available (task-specific)
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Why?
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Personal Fall Arrest Systems used in aerial lifts and boom lifts
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Why?
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Emergency Contacts are posted
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Why?
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Nothing Hits the Ground is being upheld
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Why?
Other observations
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Are there any additional Notes/Comments/Recommendations?
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Form Completed by:
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Did this project pass today's inspection?
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Primary (Full Name):
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Signature:
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Is there another observer present?
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Observer (Full Name):
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Title:
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Company
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Signature: