Information

  • Superintendent

  • Job Site

  • Conducted on

  • Prepared by

  • Location
  • 1. Superintendent/Foremen/Competent Person on job site?

  • 2. All employees and subcontractors have completed the current site orientation?

  • 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

  • 4. Housekeeping-Trash Cans Available; Trash Piles, Scrap Materials Properly Stored/Located. Walkways, Work Platforms-Walkways clear of debris, hazardous conditions

  • Housekeeping rating on site (0 being lowest, 10 being highest)

  • 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)

  • 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.

  • 7. Trenches, Excavations; Properly Benched, Sloped, Shored; Trenches, Shoring Systems Inspected By Competent Person Prior To Entry By Personnel

  • 8. Mobile Machinery, Heavy Equipment; Daily Inspections, Safety Equipment. Mobile equipment on site in good operating condition.

  • 9. Power Tool Condition; Electrical Cords, Safety Attachments

  • 10. Electrical Conditions; Extension Cords, Junction Boxes, Cords Protected From Vehicular Traffic, Generator GFCI's (Ground Fault Circuit Interruptors)

  • 11. Fire Hazards/Equipment; Fire Suppression Equipment Located Near Hot Work, Extinguishers Have Current Inspection Tags, Equipment In Serviceable Condition

  • 12. Impalement Hazards; Rebar, Other Impalement Hazard Protection As Required, Nails Bent Or Removed

  • 13. Scaffolds; Properly Constructed, Inspected Daily, Scaffold Grade Planks Min. 20" Wide Walkway, Standard Guardrails Properly Installed

  • 14. Safety awareness/attitude meets Company expectations?

  • 15. Employees or Subcontractors are exposed to imminent danger.

  • 16. Other; hazardous condition or behavior. Explain

CLOSING

  • Safe behaviors observed - actions taken to encourage safe behavior.

  • Unsafe behaviors observed - action taken to correct and prevent recurrence.

  • Overall safety rating of site (0 being lowest, 10 being highest)

  • Superintendent

  • Supervisor, PM, PE

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