Title Page
-
Conducted on
-
Prepared by
-
Location
-
Project Name/Job No.
-
Supervisor/Foreman
PERSONAL PROTECTIVE EQUIPMENT
-
Safety Glasses/goggles available and are used?
-
Face Shieldavailable for liquid handling or grinding tasks?
-
Hand Protection used/worn as required?
-
Foot Protection worn as required?
-
Hard hats worn on the job? Good condition?
-
Respirators used, cleaned, stored properly?
-
Fall protection, full body harness & lanyard used at > 6 ft?
HAZCOM
-
SDS/s openly available to all employees?
-
Flammable liquids are in approved safety cans?
-
Flammable liquids storage containers labled properly?
-
All hazardous containers labeled appropriately?
-
Supplies on hand for accidental chemical spills?
LADDER / STAIR SAFETY
-
Are ladders being used on location?
-
Correctly used Ladders & are safe inspected as appropriate?
-
Stairs or ladder provided for access points > 19-inch high?
-
Extension & straight ladders extend 3-ft beyond landing?
-
Step ladders are only used in open position?
ELECTRICAL SAFETY
-
GFCI's used for portable electrial hand tools?
-
Electrial panels or circuits are labeled appropriately?
-
Lighting bulbs or tubes are protected from breakage?
-
LO/TO is being used for appropriate tasks?
-
Strain relief integrity for cords and plugs intact?
-
Extension cords are rated for hard usage?
-
Electrial cords regularly inspected and all prongs are intact?
-
Electrial power tools are double-insualted or grounded?
CONFINED SPACE
-
Is there confined space work present?
-
Confince space entry work? Posted?
-
Permit for entry into permit-rquired confined space?
-
Fire/Resuce notified for permit-required confined spaces?
-
Air monitoring? Instrument?
-
Appropriate CS training in place?
COMPRESSED GASES
-
Are Compressed Gases Present on location?
-
-
Compressed gas cylinders stored secured and upright?
-
Oxygen/acetylene torch units have flash back resistors?
-
Compressed gas cylinders not in use have caps in place?
MATERIAL HANDLING
-
Wire rope used for lifting? Deterioration is absent?
-
Crane used? Approved written plan on file with load capacities?
-
Hooks used for lifting have safety latch in place?
EXCAVATION
-
Is there excavation work being performed on location?
-
Excavation-ladder if ? 4ft deep? Extends 3ft above and are 25 ft apart, or less?
-
Excavation - protection from cave-ins for depts > 5ft?
-
Sloping, shoring evaluated?
-
Daily inpsection by Competent Person?
EMERGENCY / FIRST AID
-
Emergency phone numbers posted and are known by all?
-
Emergency eyewash and/or shower units accessible and useable?
-
First-aid kit avaiable at work site and are well stocked?
-
Fire extinguishers readily available (not blocked)?
-
Fire extinguishers inspected? Sufficient number?
-
Hot work/burn permits used for grinding, cutting, welding?
-
Exits marked? Not Blocked?
HAND TOOLS / POWER TOOLS
-
Grinders (portable and stationary) have guards in place?
-
Impact sytle air tools have safety clips/retainers installed?
-
Pnematic power tools have hoses secured?
-
Portable circular saws equipped with protective guards?
-
No Signs of Unsafe hand tools?
-
Impact tools, hammers kept free of splinters/mushrooms?
GENERAL SAFETY
-
General housekeeping is neat and orderly?
-
Wall openings and floor holes are covered or guarded?
-
Rebar caps used for protruding bars?
-
Concrete work? Silica dust training documents for all ?
-
Scaffolding
-
Saffolding-guardrails used?
-
Scaffold design by Qualified Person?
-
Scaffold Competent Person? Name:
-
Illumination adequate?
-
Permits in place (enviornmental, concrete penetration, digging, burning, Hot Work)?
-
Employees signed?
-
Tool-Box safety talks conducted and documented?
-
Safety Training is current and documented
-
Project-Specific training conducted and documented
-
Health & Safety Plan Available? Reviewed with workers?
WELDING
-
Is there welding being performed on this project?
-
Are welding leads in good condition with NO visible damage?
-
Are flammables stored 50ft. Or greater from the work area?
-
Are there requirements for a Fire Watch?
-
Are approprate fire extinshishers available? Inspected?
-
Are welding hoods in good condition?
-
Is the appropriate shade available, is it in place?
-
Are welding blinds or screens necessary?
-
Will wind or breeze affect the work?
-
Hot Work Permit acquired, completed and signed?
BLASTING / PAINTING
-
Is there any Blasting / Painting work being performed?
-
Are pressure hoses inspected: (air, blast, etc.) Hoses are without cuts, blisters, soft areas, etc.
-
Fittings on blast pot are secure?
-
"Deadman" control properly working?
-
Are all hose connections and fittings safety wired, or clipped to ensure security?
-
Are whip checks present and in good condition?
-
Are all the hoses neatly laid out and without kinks?
-
Are all Blast hoods in a safe working condition?
-
Proper lifting techiniques used?
-
Hearing protection is worn when equipment is running?
-
Is the area Lead restricted and posted?
Inspection Conclusion
-
Supervisor/Foreman
-
Signature
-
Notes