Site Safety Inspection - duplicate

• Document No.

• Conducted on

  Date

• Job Type

  Select Water Fire Mold Contents Carpet/Duct Cleaning Reconstruction Office

  • Water
  • Fire
  • Mold
  • Contents
  • Carpet/Duct Cleaning
  • Reconstruction
  • Office

• Client / Site

• Prepared by

  Select
• Location
  Address

• Employees on site:

  Select

• Employee name:

General

• Project Manager/Coordinator of this inspection

  Select

• Select site weather conditions at time of this inspection (select all that apply)

  Select Clear Sky Cloudy Raining Windy Hazy Snow / Hail OTHER

  • Clear Sky
  • Cloudy
  • Raining
  • Windy
  • Hazy
  • Snow / Hail
  • OTHER

• Describe weather conditions on site today

• Minimum temperature today?

• Maximum temperature today?

• Current activities being undertaken on site (select all that apply)

  Select General Abatement Demolition Duct Cleaning Flooring Removal Drywall Removal CeilingTeardown Insulation Removal Electrical Plumbing Roofing Painting Drywall Trim Cleaning Post Con OTHER

  • General
  • Abatement
  • Demolition
  • Duct Cleaning
  • Flooring Removal
  • Drywall Removal
  • CeilingTeardown
  • Insulation Removal
  • Electrical
  • Plumbing
  • Roofing
  • Painting
  • Drywall
  • Trim
  • Cleaning
  • Post Con
  • OTHER

• Describe activities being undertaken on site

Site Safety Inspection

Vehicle

• Where is the vehicle parked?

  Street

  Driveway

  Parking Lot

• Are cones being used?

  Yes

  No

  N/A

• Vehicles outside appearance:

  Clean

  Dirty

• Vehicles inside appearance (both cab & back):

  Clean

  Dirty

• Vehicle dashboard appearance (no items on the dash):

  Clean

  Dirty

• Is equipment strapped down?

  Yes

  No

  N/A

• Is the SDS in the vehicle?

  Yes

  No

  N/A

Fire Prevention

• Is a Fire Extinguisher present?

  Yes

  No

  N/A

• Is there a tag on the fire extinguisher?

  Yes

  No

  N/A

• Is the fire extinguisher in good condition?

  Yes

  No

  N/A

• Is the fire extinguisher properly charged?

  Yes

  No

  N/A

• Is the fire extinguisher clear of obstructions?

  Yes

  No

  N/A

• Is the fire extinguisher within 15 feet of a generator

  Yes

  No

  N/A

First Aid

• Is there a First Aid kit present?

  Yes

  No

  N/A

• Are the first aid kits properly stocked?

  Yes

  No

  N/A

• No first aid contents past their expiry date?

  Yes

  No

  N/A

• Are the first aid supplies easily accessible?

  Yes

  No

  N/A

• Employees aware of location of first aid kit?

  Yes

  No

  N/A

Medical Facility

• Is cell service in the area good to be able to call 911?

  Yes

  No

  N/A

• Do employees know the location of the closest Medical facility?

  Yes

  No

  N/A

• Is the employee trainined in First Aid?

  Yes

  No

  N/A

Site Security

• Is site security to be inspected in this audit?

  Yes

  No

  N/A

• Are Demolition/Drying signs posted?

  Yes

  No

  N/A

• Is the Hazard Assessment posted?

  Yes

  No

  N/A

• Is it filled out with hazards & PPE required?

  Yes

  No

  N/A

• Have employees signed the back?

  Yes

  No

  N/A

• When was it last updated?

  Date

• Are entry and exits clear and free of obstructions?

  Yes

  No

  N/A

• Are the walkways clear?

  Yes

  No

  N/A

• Is there adequate lighting?

  Yes

  No

  N/A

• Is ventilation appropriate for operations?

  Yes

  No

  N/A

Employee Appearance

• Does the employee look professional?

  Yes

  No

  N/A

• Is the employee wearing clothing with a company logo on it?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Is Personal Protective Equipment to be inspected in this audit?

  Yes

  No

  N/A

• Is the safety tote on site and properly stocked?

  Yes

  No

  N/A

• Is head protection worn correctly and where required?

  Yes

  No

  N/A

• Is eye protection worn where required?

  Yes

  No

  N/A

• Are the correct forms of eye protection worn for tasks being completed?

  Yes

  No

  N/A

• Is hearing protection worn in designated areas?

  Yes

  No

  N/A

• Are the correct forms of hand protection worn for manual tasks

  Yes

  No

  N/A

• Is respiratory protection worn where dust, mist or fumes are present?

  Yes

  No

  N/A

• Is footwear in good condition and of correct type?<br>

  Yes

  No

  N/A

• Are high-vis vests or clothing worn when needed?

  Yes

  No

  N/A

• Are safety harnesses appropriately worn at height?<br>

  Yes

  No

  N/A

• Is additional PPE used where required?

  Yes

  No

  N/A

• Are staff aware of correct PPE for tasks they are trained to perform?

  Yes

  No

  N/A

Trip and Fall Safety

• Trip and fall safety to be inspected in this audit?

  Yes

  No

  N/A

• Are floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Are entry and walkways kept clear?

  Yes

  No

  N/A

• Are floor surfaces free of liquid spills?

  Yes

  No

  N/A

• Are walkways adequately and clearly marked?

  Yes

  No

  N/A

• Are stairs and risers kept clear?

  Yes

  No

  N/A

• Are railings in good condition?

  Yes

  No

  N/A

• Are fall preventive measures in place and used where gaps occur in railings?

  Yes

  No

  N/A

• Are all floor openings fully barricaded or are protected with a secured cover and labelled?

  Yes

  No

  N/A

• Are appropriate measures in place to prevent falls? ie. barriers (preferred) or harnesses?

  Yes

  No

  N/A

• Is all fall protection equipment is visually inspected prior to use?

  Yes

  No

  N/A

• Is all work above 6 feet, or within 6 feet of an edge being done safely?

  Yes

  No

  N/A

• Are personnel below protected from falling materials?

  Yes

  No

  N/A

Scaffolding

• Scaffolds to be inspected in this audit?

  Yes

  No

  N/A

• Are scaffolds constructed and erected only by qualified and trained personnel?

  Yes

  No

  N/A

• Are scaffolds clean and in good appearance?

  Yes

  No

  N/A

• Is scaffold adequately secured to building (or appropriately secured with alternative method)?

  Yes

  No

  N/A

• Are guard rails installed on all scaffolds above 10 feet?

  Yes

  No

  N/A

• Are scaffold footings stable, secure and free of unstable propping objects?

  Yes

  No

  N/A

• Are scaffold footings and anchorages designed to support the maximum intended load without settling or displacement?

  Yes

  No

  N/A

• Are scaffolds generally safe and orderly?

  Yes

  No

  N/A

• Are scaffolds being regularly inspected?

  Yes

  No

  N/A

Ladders

• Ladders to be inspected in this audit?

  Yes

  No

  N/A

• Are all ladders Industrial strength? (Non Household rated, check label.)

  Yes

  No

  N/A

• Are ladders clean and in good condition?

  Yes

  No

  N/A

• If used for electrical work are ladders non conductive? (wood or fibre glass.)

  Yes

  No

  N/A

• Are ladders being used according to instructions?

  Yes

  No

  N/A

• For extension ladders: are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  N/A

• Are ladders not used to access heights when higher order controls should be used?

  Yes

  No

  N/A

Hazardous (Mold, Asbestos, Lead, Sewage)

• Hazardous situation to be inspected in this audit?

  Yes

  No

  N/A

• Are workers aware of risks?

  Yes

  No

  N/A

• Have Hazardous Materials been identified?

  Yes

  No

  N/A

• Have testing results been provided to the techs?

  Yes

  No

  N/A

• Is the appropriate PPE being worn?

  Yes

  No

  N/A

• Are suitable controls in place?

  Yes

  No

  N/A

• Is the proper equipment on site for cleanup?

  Yes

  No

  N/A

Hand and Power Tools

• Hand and power tools to be inspected in this audit?

  Yes

  No

  N/A

• Are power cords in good condition?

  Yes

  No

  N/A

• Are all tools double insulated or have a ground plug?

  Yes

  No

  N/A

• Are ground fault circuit interrupters in place at the source of electricity?

  Yes

  No

  N/A

• Are all tools in good condition?

  Yes

  No

  N/A

• Are all tools clean?

  Yes

  No

  N/A

• Are defective pieces of equipment and tools red tagged and removed from service?

  Yes

  No

  N/A

• Are tools stored correctly and in the right place when not in use?

  Yes

  No

  N/A

• Are employees using the proper tool for the task they are performing?

  Yes

  No

  N/A

• Are tools being used for ergonomic advantage?

  Yes

  No

  N/A

• Are employees using two hand on tools that are designed to do so?

  Yes

  No

  N/A

• Is a portable heater being used?

  Yes

  No

  N/A

• Is the portable heater electric?

  Yes

  No

  N/A

• Is a Carbon Monoxide detector present?

  Yes

  No

  N/A

Equipment

• Equipment to be inspected in this audit?

  Yes

  No

  N/A

• Is equipment kept clean?

  Yes

  No

  N/A

• Are the cords in good condition?

  Yes

  No

  N/A

• All cords have ground plugs?

  Yes

  No

  N/A

• Are the cords/hoses out of the way to prevent tripping hazards?

  Yes

  No

  N/A

• Is the equipment being used properly?

  Yes

  No

  N/A

• Are the floors around the equipment kept clean?

  Yes

  No

  N/A

• Is the equipment plugged into a GFCI outlet?

  Yes

  No

  N/A

• Is the equipment stored neat and proper?

  Yes

  No

  N/A

Electrical Safety

• Electrical safety to be inspected this audit?

  Yes

  No

  N/A

• Are appropriate extension cords being used?

  Yes

  No

  N/A

• Were GFCI outlet tested?

  Yes

  No

  N/A

• There are no outlets are overloaded / No double adapters in use?

  Yes

  No

  N/A

• There are no broken plugs, sockets or switches?

  Yes

  No

  N/A

• No frayed or damaged leads?

  Yes

  No

  N/A

• Hazardous energy controlled by Lockout/Tagout?

  Yes

  No

  N/A

• Is Lockout/Tagout work being done correctly?

  Yes

  No

  N/A

• Lockout/Tagout keys are properly secured?

  Yes

  No

  N/A

• Service panels are unobstructed?

  Yes

  No

  N/A

Containment

• Containment to be inspected this audit?

  Yes

  No

  N/A

• Is containment setup properly?

  Yes

  No

  N/A

• Is the appareance of the containment professional looing?

  Yes

  No

  N/A

• Is the proper containment set for the job?

  Yes

  No

  N/A

• Are signs attached to the containment?

  Yes

  No

  N/A

• Is the proper sign being used?

  Yes

  No

  N/A

Limited Access Spaces

• Limited access spaces safety to be inspected this audit?

  Yes

  No

  N/A

• Is a limited access space emergency plan in place?

  Yes

  No

  N/A

• Is the exit path clear?

  Yes

  No

  N/A

• Are limited access spaces being continually monitored?

  Yes

  No

  N/A

• Are all workers undertaking limited access space work aware of the dangers?

  Yes

  No

  N/A

Housekeeping

• Is site housekeeping to be inspected in this audit?

  Yes

  No

  N/A

• Is the rubbish and debris bagged up?

  Yes

  No

  N/A

• Are employees still working in the area?

  Yes

  No

  N/A

• Are chemicals stored properly?

  Yes

  No

  N/A

• Does the work area look professional?

  Yes

  No

  N/A

• Do work areas have adequate lighting?

  Yes

  No

  N/A

• Are customers contents protected from dust/work being done?

  Yes

  No

  N/A

• Are walkways and exits clear of debris/tools?

  Yes

  No

  N/A

Quality Control

• Is site quality control to be inspected in this audit?

  Yes

  No

  N/A

• Is a flooring sample left on site for the Project Manager/Coordinator?

  Yes

  No

  N/A

• Was demo of walls or ceiling done?

  Yes

  No

  N/A

• Were lines cut straight?

  Yes

  No

  N/A

• Were lines cut down the middle of a stud?

  Yes

  No

  N/A

• Are items being saved for reinstall?

  Yes

  No

  N/A

• Are items labeled?

  Yes

  No

  N/A

• Are items stored neatly?

  Yes

  No

  N/A

• Are items complete? (no missing screws)

  Yes

  No

  N/A

• Is all applicable hardware present?

  Yes

  No

  N/A

• Are covers being inspected?

  Yes

  No

  N/A

• Are cover plates for outlets present?

  Yes

  No

  N/A

• Are cover plates on the outlets/switches?

  Yes

  No

  N/A

• Is demo currently happening in the area?

  Yes

  No

  N/A

• Was any demo completed?

  Yes

  No

  N/A

• Were nailed pulled?

  Yes

  No

  N/A

• How many nails were missed?

• Has the work area been cleaned up?

  Yes

  No

  N/A

• Does the area where work was performed look professional?

  Yes

  No

  N/A

General Comments

• Any further comments or recommendations arising from this inspection?

• Any Staying Safe Cards handed out?

  Yes

  No

  N/A

• Who got the card:

  Select

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

• Please add any corrective actions to the appropriate questions above before completing this report

Sign Off

• Name & Signature of Inspector

  Sign

• Completed:

  Date