Sellen Weekly Safety Inspection - duplicate

• Audit Title/Job Name

• Job No.

• Prepared by

• Location
  Address

• Superintendent

• Project Manager

• Inspected With

Housekeeping

• Site Clean, Trash & Debris Managed

  Yes

  No

  N/A

• Nothing Hits The Deck In Place

  Yes

  No

  N/A

• Material staged properly, on carts, off the floor

  Yes

  No

  N/A

• All materials secured and wheels chocked on floors without curtain walls

  Yes

  No

  N/A

• Sani-Can in place

  Yes

  No

  N/A

• Potable water and trash can in place

  Yes

  No

  N/A

• No Hazardous Waste on-site

  Yes

  No

  N/A

Public / Pedestrian Controls

• Designated public access ways, Signage in place & effective. No trip/other hazards present, Barricades/Fencing as req.

  Yes

  No

  N/A

• Flaggers/Spotters as req.

  Yes

  No

  N/A

• All work/material inside zone

  Yes

  No

  N/A

Access

• Designated access ways provided, free of trip or other hazards, and access signage in place & effective

  Yes

  No

  N/A

• Danger tape permit used with danger tape?

  Yes

  No

  N/A

• Laser in use sign in place as req.

  Yes

  No

  N/A

• Stair rails @ 30" in height or 4 risers

  Yes

  No

  N/A

• Stairs when elevation changes > 19"

  Yes

  No

  N/A

• Ramps at least 18" wide & secured

  Yes

  No

  N/A

Lighting

• Passageways/access well lit, Emergency lighting in place

  Yes

  No

  N/A

• Task lighting as needed and Lighting covers/guards in place & single power source

  Yes

  No

  N/A

PPE

• PPE use per site plan/AHA, High Vis outerwear in use, 100% Safety glasses in use, Hardhat tether used at shafts and unprotected leading edges. Face Shield used as req. Gloves used as required. Hearing protection used as req.

  Yes

  No

  N/A

• Respirators used as req. Silica exposure plan in place?

  Yes

  No

  N/A

Electrical

• Cords elevated and managed, Cords protected with cord cover

  Yes

  No

  N/A

• 100% GFCI protection in place

  Yes

  No

  N/A

• LOTO procedures as required. 480v Plugs locked out with lockout box when not in use?

  Yes

  No

  N/A

• Energized panels have covers & breakers are labeled and locked? 480v cords labeled?

  Yes

  No

  N/A

Fire Control

• Sufficient Fire Extinguishers on site & in working order/inspected

  Yes

  No

  N/A

• Emergency exit routes established

  Yes

  No

  N/A

• Combustible debris removed daily

  Yes

  No

  N/A

• Flammables in metal cans & stored in Flame Locker when not in use

  Yes

  No

  N/A

• Fire extinguisher within 25ft of fuel storage (propane, gasoline/diesel, solvents, flammables)

  Yes

  No

  N/A

• Powder booster shots properly stored?

  Yes

  No

  N/A

Tools

• Grinders have guards in place

  Yes

  No

  N/A

• Portable & table saws guarded

  Yes

  No

  N/A

• Pneumatic tool hoses secured. Whip checks in use?

  Yes

  No

  N/A

• Proper tool for job being used

  Yes

  No

  N/A

• Compressed gas cylinders secured upright with caps

  Yes

  No

  N/A

• Tool tether used within 15' of unprotected leading edge

  Yes

  No

  N/A

• Dust Collector system used with dust generating tools (Rotor hammer, Grinder, Chipping Gun, Bushing Gun)

  Yes

  No

  N/A

Ladders

• Correct type/size used

  Yes

  No

  N/A

• Step ladders and Ext ladders used safely

  Yes

  No

  N/A

• Ladders secured as required

  Yes

  No

  N/A

• 3 or > rungs above for access

  Yes

  No

  N/A

• Jobsite built ladder per code

  Yes

  No

  N/A

• Are ladder stored properly? (not leaned against the wall)

  Yes

  No

  N/A

Fall Protection

• All working/walking surfaces guarded/protected above 4'. All other fall hazards above 4' controlled or guarded

  Yes

  No

  N/A

• All fall protection gear properly used by trained employees

  Yes

  No

  N/A

• Anchor points suitable for 5000lbs?

  Yes

  No

  N/A

• Wall openings/holes covered or guarded

  Yes

  No

  N/A

• Guardrails (42" +/- 3") with mid rail - toe boards in place?

  Yes

  No

  N/A

• Cable guardrails are taught with less than 3" deflection? with 2+ crosby clamps?

  Yes

  No

  N/A

• are impalement hazards capped?

  Yes

  No

  N/A

Environmental

• Air quality/dust / Silica controlled

  Yes

  No

  N/A

• No Health Hazard 3 or > material on site

  Yes

  No

  N/A

• Noise exposure controlled/acceptable level

  Yes

  No

  N/A

• No run off from site present to public areas

  Yes

  No

  N/A

• Applicable number/type of spill kits available

  Yes

  No

  N/A

• Work adjacent to occupied space evaluated

  Yes

  No

  N/A

Aerial Lifts

• Qualified operators only

  Yes

  No

  N/A

• Lifts inspected prior to use

  Yes

  No

  N/A

• Gates/chains closed when in use

  Yes

  No

  N/A

• No standing/climbing on rails

  Yes

  No

  N/A

• Scissor lift used on flat/level surface

  Yes

  No

  N/A

• Fall protection used in boom lifts

  Yes

  No

  N/A

Forklifts

• Qualified operators only - documented training

  Yes

  No

  N/A

• Inspected daily with documented inspection

  Yes

  No

  N/A

• Forklift and attachments used properly per design

  Yes

  No

  N/A

• No loads rigged under forks or to mast

  Yes

  No

  N/A

• Loads properly secured/carried

  Yes

  No

  N/A

• Operator demonstrates safe operating skills

  Yes

  No

  N/A

Cranes

• Qualified operators only - documented certs

  Yes

  No

  N/A

• Cranes certification verified

  Yes

  No

  N/A

• Inspected daily - inspection log maintained

  Yes

  No

  N/A

• All operational hazards identified/controlled

  Yes

  No

  N/A

• Qualified riggers assigned - rigging inspected

  Yes

  No

  N/A

• Critical lift/Pre-lifts meeting when required

  Yes

  No

  N/A

Work Platforms

• Platforms fully planked (min 36")

  Yes

  No

  N/A

• Safe access to platforms in place

  Yes

  No

  N/A

• 100% guardrails including end returns

  Yes

  No

  N/A

• Control zones/falling object protection

  Yes

  No

  N/A

• Platform fully supported/correctly installed

  Yes

  No

  N/A

• Fall protection for assembly/disassembly

  Yes

  No

  N/A

• Castors locked when Platform is in use?

  Yes

  No

  N/A

Trenching / Excavations

• Cave in protection system/design when >4' deep

  Yes

  No

  N/A

• Soil spoils are greater than 2' from the excavation

  Yes

  No

  N/A

• Inspected daily when workers in trench/excav

  Yes

  No

  N/A

• Safe access provided - ladders every 25 feet

  Yes

  No

  N/A

• Fall protection/control zones when >6 feet deep

  Yes

  No

  N/A

• Standing water/other hazards control

  Yes

  No

  N/A

Scaffolds

• Scaffolding erected per manufacturers design

  Yes

  No

  N/A

• Safe access on/off scaffolds

  Yes

  No

  N/A

• Qualified scaffold users/erectors

  Yes

  No

  N/A

• Daily inspections performed/logs maintained

  Yes

  No

  N/A

• Control zones under scaffolding as required

  Yes

  No

  N/A

• is there a rope for hoisting tools and materials?

  Yes

  No

  N/A

• Guardrails in place on scaffolding above 4'

  Yes

  No

  N/A

Confined Space

• Permit required/issued/checked

  Yes

  No

  N/A

• Air monitoring required/in place

  Yes

  No

  N/A

• Rescue equipment/plan in place

  Yes

  No

  N/A

• Lighting/Ventilation established

  Yes

  No

  N/A

• All space entrants have harnesses on

  Yes

  No

  N/A

Demolition Work

• Dust/environment conditions controlled

  Yes

  No

  N/A

• No unidentified/suspect hazardous material

  Yes

  No

  N/A

• Identify energized/no-demo conduits and piping

  Yes

  No

  N/A

• PPE - cut resistant gloves/sleeves used

  Yes

  No

  N/A

• Debris control/removal means in place

  Yes

  No

  N/A

Hot Work

• City/jurisdiction permit current/on file

  Yes

  No

  N/A

• Sellen Burn Permit issued/signed

  Yes

  No

  N/A

• Fire watch protocols established/in place

  Yes

  No

  N/A

• Areas of hot work/spark travel inspected

  Yes

  No

  N/A

• All flammables and combustibles removed

  Yes

  No

  N/A

• Gas cylinders/torches properly used/secured

  Yes

  No

  N/A

SUBCONTRACTOR EVALUATION: (Evaluate a Subcontractor's Safety Performance)

• Company:

General Notes:

• Add media

  Media

Corrective Actions Required:

Assigned To:

Completed / Comp By Date:

Corrective Actions Carried Over From Previous Inspections / Not Completed:

Assigned To:

Status / Comp By Date:

Personnel Present During Inspection:

Safety Rep Signature:

• Add signature

  Sign

Superintendent Signature:

• Add signature

  Sign

Project Manager Signature:

• Add signature

  Sign

• Send copy of completed inspections to the Safety Department and maintain copies on file at project site.