Site Daily Safety Inspection

• PROCORE JOB NAME

  Select

• Division

  General Contracting

  Self Perform

  Industrial Projects

  Equipment Logistics

  Metal Fabrication Shop

• Site conducted (If not in procore)

  Select

• Conducted on

  Date

• Prepared by

• Supervisor In Charge

  Select Jonathan Talbert Craig Doyle David Martinez Jose Comayagua Arturo Gomez David Cobb Kenny Jordan Ed Trent Armando Ian Raynor Other

  • Jonathan Talbert
  • Craig Doyle
  • David Martinez
  • Jose Comayagua
  • Arturo Gomez
  • David Cobb
  • Kenny Jordan
  • Ed Trent
  • Armando
  • Ian Raynor
  • Other

• Name of Person in charge

• Harlan Safety program materials available?

  Pass

  Fail

  N/A

• Safety program materials issues

  Select SSSP not available EAP not available or not posted SDS not available or not posted Harlan Safety manual not available

  • SSSP not available
  • EAP not available or not posted
  • SDS not available or not posted
  • Harlan Safety manual not available

• Emergency Equipment Available on site?

  Pass

  Fail

  N/A

• What type of emergency equipment is missing

  Select First aid kit, incomplete First aid kit, Missing First aid kit, expired Fire extinguisher not present Fire extinguishers not inspected Wrong type of fire extinguisher Eye wash station, not inspected Eye wash station, not available or not full 15 min eye wash station not present Spill kit missing Spill kit missing contents

  • First aid kit, incomplete
  • First aid kit, Missing
  • First aid kit, expired
  • Fire extinguisher not present
  • Fire extinguishers not inspected
  • Wrong type of fire extinguisher
  • Eye wash station, not inspected
  • Eye wash station, not available or not full
  • 15 min eye wash station not present
  • Spill kit missing
  • Spill kit missing contents

Housekeeping/General Hazards

• Housekeeping Issues

  Pass

  Fail

  N/A

• What type of housekeeping issues

  Select Excess Materials in work area causing slip,trip,fall hazards Work unorganized, excess debris present Work area is unkept and messy Scrap materials not cleaned up impalement hazards present work area NOT adequately lit Barricade not tagged on all sides Barricade tag not properly filled out Wrong type of barricade Wrong color tape

  • Excess Materials in work area causing slip,trip,fall hazards
  • Work unorganized, excess debris present
  • Work area is unkept and messy
  • Scrap materials not cleaned up
  • impalement hazards present
  • work area NOT adequately lit
  • Barricade not tagged on all sides
  • Barricade tag not properly filled out
  • Wrong type of barricade
  • Wrong color tape

PPE

• PPE problems?

  Pass

  Fail

  N/A

• What type of PPE problems?

  Select PPE not worn correctly No Hard hat No Safety vest / safety vest dirty/not in spec improper clothing no safety glasses no hearing protection no face shield in the presence of flying debris or pouring concrete. No Gloves improper gloves for task No N95/Improper N95 usage

  • PPE not worn correctly
  • No Hard hat
  • No Safety vest / safety vest dirty/not in spec
  • improper clothing
  • no safety glasses
  • no hearing protection
  • no face shield in the presence of flying debris or pouring concrete.
  • No Gloves
  • improper gloves for task
  • No N95/Improper N95 usage

Excavations

• Trenching or Excavation Issues?

  Pass

  Fail

  N/A

• What type of excavation issues?

  Select Excavations unprotected/Fall risk Improper egress to excavations Improper Benching Improper Shoring/No shoring being used when required Spoil pile too close to excavation Equipment too close to excavation Underground utilities not marked Utilities marked, marks not followed unsafe excavation practices

  • Excavations unprotected/Fall risk
  • Improper egress to excavations
  • Improper Benching
  • Improper Shoring/No shoring being used when required
  • Spoil pile too close to excavation
  • Equipment too close to excavation
  • Underground utilities not marked
  • Utilities marked, marks not followed
  • unsafe excavation practices

Fall Protection / PFAS

• Fall protection or PFAS issues?

  Pass

  Fail

  N/A

• What type of problems

  Select Improper guardrail construction Loading dock doors/holes in wall not covered holes in floor not covered PFAS not being worn correctly PFAS damaged, in use SRL/Lanyard not used correctly missing handrail on slope missing handrail on stairs improper or missing warning line improper stair landing

  • Improper guardrail construction
  • Loading dock doors/holes in wall not covered
  • holes in floor not covered
  • PFAS not being worn correctly
  • PFAS damaged, in use
  • SRL/Lanyard not used correctly
  • missing handrail on slope
  • missing handrail on stairs
  • improper or missing warning line
  • improper stair landing

Electrical / Extension cords

• Electrical or extension cord issues?

  Pass

  Fail

  N/A

• What type of electrical issues

  Select Extension cord being used, not inspected Extension cord being used, Damaged Daisy chaining of extension cords No GFCI in use Multi tap in use Tools with damaged cord being used Generator being used without being grounded

  • Extension cord being used, not inspected
  • Extension cord being used, Damaged
  • Daisy chaining of extension cords
  • No GFCI in use
  • Multi tap in use
  • Tools with damaged cord being used
  • Generator being used without being grounded

Hand and Power Tools

• Tool issues?

  Pass

  Fail

  N/A

• What type of tools issues

  Select Damaged tool in use Job made tool in use Handle cut off of hammer, in use Untrained employee using tool, unsafe behavior Tool not being used for designed function Tool safety guard removed, in use Tool safety guard in use, not in use Laser in use sign missing

  • Damaged tool in use
  • Job made tool in use
  • Handle cut off of hammer, in use
  • Untrained employee using tool, unsafe behavior
  • Tool not being used for designed function
  • Tool safety guard removed, in use
  • Tool safety guard in use, not in use
  • Laser in use sign missing

Ladders

• Ladder issues?

  Pass

  Fail

  N/A

• What type of ladder issues

  Select Damaged ladder in use Incorrect ladder type for work A frame ladder being used in correctly Step ladder used incorrectly, closed Extension ladder being used, not secured Extension ladder being used, improper angle Extension ladder in use without ladder gate, unsafe Extension ladder being used missing req'd decals Aluminum ladder in use, policy violation Ladder left in unsafe condition, storage or not being used

  • Damaged ladder in use
  • Incorrect ladder type for work
  • A frame ladder being used in correctly
  • Step ladder used incorrectly, closed
  • Extension ladder being used, not secured
  • Extension ladder being used, improper angle
  • Extension ladder in use without ladder gate, unsafe
  • Extension ladder being used missing req'd decals
  • Aluminum ladder in use, policy violation
  • Ladder left in unsafe condition, storage or not being used

Mobile Equipment

• Mobile Equipment issues?

  Pass

  Fail

  N/A

• What type of mobile equipment issues

  Select Daily inspection not complete Equipment manual not present Operators not trained Unsafe operation Equipment damaged, in operation Equipment left in unsafe condition

  • Daily inspection not complete
  • Equipment manual not present
  • Operators not trained
  • Unsafe operation
  • Equipment damaged, in operation
  • Equipment left in unsafe condition

Scaffolding

• Scaffolding issues?

  Pass

  Fail

  N/A

• What type of Scaffolding issues?

  Select Scaffolding in bad condition in use Scaffold not properly secured to building Not fully planked Overlap not correct Guardrails not correct Toe board missing inspection tag missing Daily inspection missing

  • Scaffolding in bad condition in use
  • Scaffold not properly secured to building
  • Not fully planked
  • Overlap not correct
  • Guardrails not correct
  • Toe board missing
  • inspection tag missing
  • Daily inspection missing

Welding & Cutting

• Welding and Cutting issues?

  Pass

  Fail

  N/A

• What type of welding or cutting issues

  Select Screen or shields missing Elect equip not grounded Compressed gas cylinders not secured/upright Improper PPE for task, gloves Improper PPE for task,eye/face protection Welding cables in bad condition No firewatch in place Hot work permit missing or incomplete Combustibles within 35ft Fire extinguisher missing Atmospheric monitoring

  • Screen or shields missing
  • Elect equip not grounded
  • Compressed gas cylinders not secured/upright
  • Improper PPE for task, gloves
  • Improper PPE for task,eye/face protection
  • Welding cables in bad condition
  • No firewatch in place
  • Hot work permit missing or incomplete
  • Combustibles within 35ft
  • Fire extinguisher missing
  • Atmospheric monitoring

Material Handling

• Crane/Rigging/Forklift issues?

  Pass

  Fail

  N/A

• What type of material handling issues

  Select Crane not inspected Crane operator not certified for type of crane Swing radius not barricaded properly Lift plan not in place Signalman not trained Rigger not trained Tag line not being used Load not rigged properly Damaged rigging in use Load signaling not being used Employee under suspended load

  • Crane not inspected
  • Crane operator not certified for type of crane
  • Swing radius not barricaded properly
  • Lift plan not in place
  • Signalman not trained
  • Rigger not trained
  • Tag line not being used
  • Load not rigged properly
  • Damaged rigging in use
  • Load signaling not being used
  • Employee under suspended load

Confined Space

• Confined space issues?

  Pass

  Fail

  N/A

• What type of confined space issues?

  Select inadequate atmospheric monitoring Attendant not in place Permit not complete Rescue plan not in place, workers unfamiliar with plan Safety not notified of confined space entry

  • inadequate atmospheric monitoring
  • Attendant not in place
  • Permit not complete
  • Rescue plan not in place, workers unfamiliar with plan
  • Safety not notified of confined space entry

Silica

• Silica issues?

  Pass

  Fail

  N/A

• What type of issues

Job Planning

• JSA/PTP Completed?

  Yes

  No

  N/A

• Job Planning Quality

  Good

  Fair

  Poor

  N/A

• Near Miss Today?

  Pass

  Fail

  N/A

• What type of near miss

• Injury today?

  Pass

  Fail

  N/A

• Summary of injury

• Notes from inspection