Information
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Superintendent
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Job Site
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Conducted on
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Prepared by
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Location
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1. Superintendent/Foremen/Competent Person on job site?
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2. All employees and subcontractors have completed the current site orientation?
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3. Ladder Condition/Setup-Ladders in Serviceable Condition; Job Built Ladders Properly Constructed; Ladders in Trenches Available at Not More Than 25' of Lateral Travel; Ladder Rails Extend 3' Above Landing
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4. Housekeeping-Trash Cans Available; Trash Piles, Scrap Materials Properly Stored/Located. Walkways, Work Platforms-Walkways clear of debris, hazardous conditions
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5. Fall protection used correctly, inspected, with proper anchor points; Standard Guardrails-Properly Installed (42"-45" Top Rail, Mid-Rail Half The Distance To Top Rail)
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6. Personal Protective Equipment-Basic PPE, Safety Eye Wear, Hard Hat, Visibility Clothing; Special PPE for Job Specific Activities Including Respiratory, Protective Toe Caps, Welding, etc.
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7. Trenches, Excavations; Properly Benched, Sloped, Shored; Trenches, Shoring Systems Inspected By Competent Person Prior To Entry By Personnel
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8. Mobile Machinery, Heavy Equipment; Daily Inspections, Safety Equipment. Mobile equipment on site in good operating condition.
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9. Power Tool Condition; Electrical Cords, Safety Attachments
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10. Electrical Conditions; Extension Cords, Junction Boxes, Cords Protected From Vehicular Traffic, Generator GFCI's (Ground Fault Circuit Interruptors)
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11. Fire Hazards/Equipment; Fire Suppression Equipment Located Near Hot Work, Extinguishers Have Current Inspection Tags, Equipment In Serviceable Condition
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12. Impalement Hazards; Rebar, Other Impalement Hazard Protection As Required, Nails Bent Or Removed
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13. Scaffolds; Properly Constructed, Inspected Daily, Scaffold Grade Planks Min. 20" Wide Walkway, Standard Guardrails Properly Installed
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14. Safety awareness/attitude meets Company expectations?
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15. Employees or Subcontractors are exposed to imminent danger.
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16. Other; hazardous condition or behavior. Explain
CLOSING
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Safe behaviors observed - actions taken to encourage safe behavior.
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Unsafe behaviors observed - action taken to correct and prevent recurrence.
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Superintendent
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Supervisor, PM, PE