Title Page
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Site conducted
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Client / Site
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Conducted on
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Prepared by
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Name(s) of Person(s) Participating in Inspection:
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Location
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Number of Employees on Site
General
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Supervisor / Foreman at time of this inspection
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Select site weather conditions at time of this inspection (select all that apply)
- Clear Sky
- Cloudy
- Raining
- Windy
- Hazy
- Snow / Hail
- OTHER
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Describe weather conditions on site today
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Minimum temperature today?
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Maximum temperature today?
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Current activities being undertaken on site (select all that apply)
- Asbestos Abatement
- Abrasive Blasting
- Cleanup
- Coatings
- General
- Insulation
- Lead Removal
- OTHER
- Scaffolding
- Siding
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Describe activity being undertaken on site
Site Safety Inspection
Administrative / General Inspection
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Is Administrative/General Inspection to be conducted during this audit?
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Federal and State Posters are posted and up to date.
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Daily/Weekly Safety Meetings documented.
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Supervisor Safety Inspections are being conducted throughout the week.
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JHA/JSA are completed for each task and reviewed daily.
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Accident reporting procedures established and followed.
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Near Miss reporting procedures established and followed.
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Emergency phone numbers and evacuation procedures posted.
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Do all employees know what to do in an emergency.
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BBP and First Aid kit available and adequately stocked for workplace manpower.
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Is a local hospital and medical clinic identified for the project site.
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Monthly/Quarterly Equipment Inspections completed (Color Tape).
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Scaffold log available and up to date.
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Work areas properly signed/barricaded.
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Sign In/Out Log completed and accurate.
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OSHA 300 Summary Posted (Feb. 1 – Apr.1).
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Safety violations documented and reported.
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Drinking water is available.
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Sanitary facilities available.
Housekeeping
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Is housekeeping to be inspected during this audit?
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General housekeeping is neat and orderly
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Break/Lunch areas are clean and neat. All personal items are stored properly.
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Are waste receptacles provided for waste and are they emptied regularly.
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Material is stored neatly in a secure storage area.
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Materials stored away from unprotected edges.
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Scrap materials have been removed or stacked in an orderly fashion.
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Scrap materials are not creating a slip/trip/fall hazard (i.e. clear aisles and stairs)
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Waste is disposed of in appropriate containers.
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Nails and other hazards have been removed from lumber and other unused materials.
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No spills of liquid materials are creating a slip/trip/fall hazard.
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Work areas have the appropriate amount of lighting.
Fire Prevention
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Is fire prevention being inspected during this audit?
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A portable fire extinguisher is in close proximity to all working areas.
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Fire extinguishers located in an accessible location with 3’ of clearance.
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Sufficient fire extinguishers provided, of the correct type.
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Fire extinguishers inspected monthly and documented.
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Fire extinguisher have documented annual inspection.
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Exits marked/accessible.
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Flammable and combustible materials are properly stored and labeled.
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Are NO SMOKING signs posted where needed.
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Flammable and combustible substances are safely stored and labeled in approved safety cans/cabinets.
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Flammable material containers are properly bonded when transferring liquids.
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Soiled or combustible rags are stored and disposed of properly.
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Fuel supplies protected from accidental impact.
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Flammable and combustible materials are stored a safe distance from heat generating equipment.
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Intrinsically safe tools and equipment used in hazardous areas.
Personal Protective Equipment/PPE
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Is Personal Protective Equipment/PPE to be inspected during this audit?
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Proper equipment available for existing or potential hazards.
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Safety supplies adequate for job manpower.
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Employees issued appropriate PPE for assigned tasks.
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Eye and face protection available and utilized (i.e. safety spoggles, face shield)
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Hearing protection available, utilized and properly maintained
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Hand protection available, utilized and properly maintained
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Hard hats available, utilized and properly maintained
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Appropriate clothing worn by employees (No synthetic materials).
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Foot Protection worn as required by all employees (No synthetic materials).
Respiratory Protection
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Is Respiratory Protection to be inspected during this audit?
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Respirators available, maintained, and stored properly.
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Respirators and cartridges appropriate for the hazard.
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Employees have fit test, respirator training and clearance.
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CO generating equipment is used in well ventilated areas to avoid CO build up.
Abrasive Blasting
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Is Abrasive Blasting to be inspected during this audit?
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Operators have abrasive blasting and silica trainings.
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Equipment hoses are not creating a tripping hazard.
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Hose couplings have lock pins and whipcheck.
Fall Protection
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Is Fall Protection to be inspected during this audit?
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Wall and floor openings are covered/guarded and marked appropriately.
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Adequate fall protection provided and utilized at > 4ft. (100% tie off required on all scaffold)
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Personal fall arrest systems are in good conditions and suitable for use.
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Fall protection equipment inspected quarterly and documented.
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Appropriate anchorage locations are utilized.
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Appropriate fall protection devices available and used for work being performed.
Hand Tools/Power Tools
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Hand Tools/Power Tools to be inspected during this audit?
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Tools stored in a secure location and maintained in an orderly fashion.
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All hand and power tools properly maintained.
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All guards and safety devices in place and operational.
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Correct tools available and utilized for the job.
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Inoperable/Unsafe tools are destroyed or tagged and repaired.
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All tools are inspected before use.
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Electrical power tools are double insulated or properly grounded.
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Electrical tools, plugs, cords, and receptacles are inspected prior to use.
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Powder actuated tools (PAT's) are unloaded while not in use.
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Operators of PAT’s are trained.
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Charges are properly stored and disposed of.
Electrical Safety
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Electrical Safety to be inspected during this audit?
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GFCI’s are available/maintained/utilized.
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Temporary lights are equipped with guards
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Electrical cord wiring is appropriately sized.
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Electrical cords strung so they do not hang on pipes, nails, hooks, etc.
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Energized panels/device outlets are covered.
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Electrical panel has at least 3' of unobstructed frontal space.
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Damaged electrical cords are removed from use.
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Only authorized employees conduct LOTO.
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LOTO procedures followed prior to working on equipment which may contain hazardous energy.
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Locks & tags are identifiable to each employee
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Locks & tags are standardized
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Group lock boxes available for group LOTO.
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Sub sheets utilized for group TagOut in PowerGen facilities.
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Only authorized employees attach locks & tags.
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Locks and tags are removed by the owner of the lock.
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Authorized and affected employees verify isolation and tag prior to beginning work.
Company Vehicles/Powered Industrial Trucks
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Are Company Vehicles/Powered Industrial Trucks to be inspected in this audit?
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Equipment and vehicles are parked so as to prevent the release of stored energy.
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Equipment and vehicles are maintained in good working order.
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Seatbelts are available and in use by all operators and passengers.
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All weight limit tags are in place, legible, and observed.
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Current licenses maintained for all vehicle drivers on or off road.
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Equipment and vehicle operators are trained and possess an operators permit.
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Spotters are used as conditions deem it necessary.
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Mobile equipment and vehicles are inspected before each use.
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Speed limits, local/state/site, vehicle regulations observed.
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Equipment powered off prior to refueling.
HAZCOM/Right to Know
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Is HAZCOM/Right to Know to be inspected in this audit?
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Written program available.
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SDS for all Incorp & client supplied materials on file and readily available.
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Materials properly stored and labeled.
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Spill kits available.
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Emergency eyewash and/or shower units provided/accessible.
Ladders
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Are ladders to be inspected in this audit?
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Ladders inspected, in good condition, and properly stored.
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Ladders are of appropriate duty rating and size for the task.
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Ladders used properly.
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No stepping on top two rungs of stepladder.
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Secured with proper slope (4 to 1 ratio).
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Ladders extend at least 36” above top of landing.
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Step ladders fully opened when in use.
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No metal or wooden ladders.
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No painted ladders.
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All labels and decals legible.
Scaffold
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Are scaffolds to be inspected in this audit?
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Erection, Dismantling, and Modification properly supervised
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All workers properly trained.
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All structural members free from defects.
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All connections are pinned or fastened securely.
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Scaffolds have secure foundations with mud sills, base plates, and screw jacks.
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Scaffolds plumb and square with proper cross bracing.
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Guardrails, midrails, and toe boards in place.
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All working-level platforms fully planked/decked.
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Scaffolds tied, guyed, or braced where appropriate.
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Maintains safety factor of 4 to 1.
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All platforms at least 18” wide or protected by guardrail system or PFAS.
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Open sides of scaffold less than 14” form the face of the work or PFAS in use.
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Platforms properly constructed with scaffold grade lumber/planks.
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Scaffold levels are being completed as the scaffold is erected.
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Properly loaded.
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Safe access provided and adequate.
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Ladders have a rest platform and break at ≤ 27’.
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SRL’s are provided for ladder access ≥ 10’ above a lower level or where an employee could fall into dangerous equipment.
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Rolling scaffolds properly secured/positioned.
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Workers prohibited from riding rolling scaffolds.
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Competent person has inspected scaffold prior to each shift scaffold is in use.
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Scaffold tag displayed at every point of access.
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Working areas free of debris, snow, ice, grease, etc.
Confined Space
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Is confined space to be inspected in this audit?
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Proper permits executed, posted, and retained.
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Pre-entry requirements met (i.e. air monitoring, cleaning, purging, etc.).
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Personnel involved in CS operations are properly trained.
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All entrants are wearing a PFAS harness.
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Continuous air monitoring being performed and documented.
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Sign In/Out sheet in use.
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Emergency procedure and phone numbers documented.
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Attendant in present and performing monitoring from outside.
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Communication.
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Integrity of confined space maintained.
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Procedures for prompt rescue identified.
Hazardous Material Operations
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Is Hazardous Material Operations to be inspected in this audit?
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Properly supervised by a Competent Person.
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Training, licenses, and medical surveillance maintained.
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Supervisor’s daily log maintained.
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All required permits/notifications executed and retained.
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Waste is adequately wet, properly bagged, labeled, and promptly removed from work area.
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Waste containers are secured, lined, and labeled.
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Waste manifests are maintained.
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Containments properly constructed.
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Warnings and barricades in place.
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Containment security maintained.
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Appropriate work practices and engineering controls in use.
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Appropriate PPE available and in use.
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Decon areas properly constructed, maintained, sanitary.
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Exposure monitoring being conducted where necessary.
Welding and Cutting
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Is welding and cutting to be inspected in this audit?
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Properly stored, inspected, and maintained.
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Are only authorized, trained personnel permitted to use such equipment.
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Full cylinders segregated from empty cylinders.
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Welding hoses and cords maintained in good condition.
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Proper PPE available and in use.
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Electrical equipment properly grounded.
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Hot work permits in use.
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Fire watch is use during and after hot work activities
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Tools being used properly.
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Gas cylinders secured and upright.
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Fuel gas and oxygen stored separately.
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Flow gauges and regulators maintained and removed when not in use.
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Torches have flash back arrestors.
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Cylinders capped when not in use.
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Cutting tools maintained in good condition.
Hoists/Rigging
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Are Hoists/Rigging to be inspected in this audit?
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Properly stored, inspected, and maintained.
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Proper equipment available and in use.
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Hoists used properly.
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Personnel have training for the equipment being used.
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Correct rigging procedures followed (i.e. barricade in place, away from suspended load).
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Tag line in use.
General Comments
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Any further comments or recommendations arising from this inspection?
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Add any additional relevant photos
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Have all required corrective actions been added as Actions to this inspection?
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Please add any corrective actions to the appropriate questions above before completing this report
Sign Off
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Name & Signature of Inspector
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Name & Signature of Site Supervisor / Foreman
