Title Page
-
Job Foreman/Supervisor
-
Conducted on
-
Prepared by
-
Job Number
-
Location
Site Inspection
Jobsite Information
-
Is there a copy of the company’s Site Specific Safety Plan on site
-
Are numbers for the nearest medical center posted
-
Have all site specific safe work plans been reviewed and signed off
-
Does the JTA’s cover all hazards for the current work being conducted
-
Have members of the crew been orientated
-
Are all current safety meetings, toolbox talks, JHRA's has been reviewed.
-
Are the emergency procedures and contact information available
-
Is the first aid kit available and adequately stocked
-
Is there a plan for extreme weather: Hot/Cold
Stair Towers / Ladders
-
Have all stair tower / scaffolds been tagged and inspected in the required time
-
Are scaffolds/stair towers/ ladders free of ice, mud, snow debris etc.
-
Is scaffold / stair tower adequately braced and free of excess movement
-
Are ladders secured against movement at a 4:1 ratio, 3’ past landing, 3’ lap
Tools / Equipment
-
Are all tools / equipment inspected and in proper working order
-
Damaged / defective tools / equipment tagged and removed from service
-
Are all required guards in place
-
Are the proper / appropriate tools available
-
Are tools and equipment properly stored
-
Are there adequate fire extinguishers available on site and have they been properly inspected
Access / Egress
-
Is proper access/egress to work area provided
-
Are all access / egress points identifiable and accessible
-
Are walkways free from material and debris
Housekeeping
-
Is the job site well maintained and free from excessive material and debris
-
Are there appropriate waste disposal bins available and used as required
-
Are all materials properly stored, organized and secured as required
-
Are surfaces maintained and free of excessive oil, ice, snow etc.
-
Are all exposed dowels protected
PPE
-
Is all required PPE available to all workers
-
Is PPE properly stored and maintained
-
Is all required PPE worn by all workers
Slab Decks / Formwork
-
Has the deck/formwork been inspected and signed off by the general/formwork contractor
-
Are there unprotected openings, gaps, leading edges or other similar hazards
-
Are guardrails in place and complete with top rail, mid rail and toe boards
-
Is all formwork adequately braced for installation of rebar
-
Have the forms been cleaned of excess concrete or similar debris
Rigging / Hoisting
-
Has the vertical lift plan been reviewed and signed off by all on site
-
Has all rigging and hoisting equipment inspected IE: slings
-
Are tag lines available and used as required
-
Are adequate warnings given for overhead loads
-
Is an adequate means of communication available and used
-
Are there any critical or non-routine lifts? Plans?
Excavations
-
Are there excavations / trenches on site
-
Is the trench/excavation properly barricaded with adequate signage
-
Is there adequate sloping or benching system in place
-
Trench / excavation free from water, runoff, signs of sloughs or cave in’s
-
Are there proper access / egress points IE: ladders every 25’
Fall Protection / Specialized PPE
-
Have the Fall Protection Plan(s) been reviewed and signed by everyone on site
-
Is specialized PPE req’d (fall protection, respirators, gas monitors)
-
Are proper anchor points available and used
-
Has Fall Protection /Specialized equipment been inspected prior to use
Work Decks / Scaffolds
-
Is work deck / catwalk properly braced
-
Are there guardrails in place with top rail, mid rail and toe boards
-
Are walkway planks adequately installed and secured
Hot Work
-
Is there hot work being performed on site
-
Is there a hot work permit program required on site
-
Is there a completed hot work permit for any hot work in progress
-
Is there a fire extinguisher in the affected work area