Skyrise Daily Site Hazard Assessment

• Audit Title

• Client / Site

• Location
  Address

• Conducted on

  Date

• Prepared by

Skyrise Scaffold Daily Hazard Assessment/Inspection

• Names of workers

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Worksite Environment Hazards

• Weather

  Select Windy Rain Snow Ice Cold Heat

  • Windy
  • Rain
  • Snow
  • Ice
  • Cold
  • Heat

• Area Cleanliness

  Safe

  At Risk

  N/A

• Confined Space

  Safe

  At Risk

  N/A

• Open Pits/Excavations

  Safe

  At Risk

  N/A

• Holes In Floor

  Safe

  At Risk

  N/A

• Slips/Trips

  Safe

  At Risk

  N/A

• Cuts/Scrapes

  Safe

  At Risk

  N/A

• Eye Injury Risks

  Safe

  At Risk

  N/A

• Lighting

  Safe

  At Risk

  N/A

• Noise Level

  Safe

  At Risk

  N/A

• Air Quality

  Safe

  At Risk

  N/A

• Electrical Hazards/Power Lines

  Safe

  At Risk

  N/A

• Workers/Vehicles In Area

  Safe

  At Risk

  N/A

• Welding/Cutting/Grinding In Area

  Safe

  At Risk

  N/A

• Water Hazards

  Safe

  At Risk

  N/A

Ergonomic Hazards

• Repetitive Motions

  Safe

  At Risk

  N/A

• Heavy Lifting

  Safe

  At Risk

  N/A

• Awkward Body Positioning

  Safe

  At Risk

  N/A

Equipment/Power Tools

• Guards On Saws/Grinders

  Safe

  At Risk

  N/A

• Tagged/Visual Inspection

  Yes

  No

  N/A

• Braces

  Safe

  At Risk

  N/A

• Guardrails

  Safe

  At Risk

  N/A

• Decks

  Safe

  At Risk

  N/A

• Toe Boards

  Safe

  At Risk

  N/A

Working At Heights

Please review Fall Protection Plan when: ~ Arriving at a new site ~ Environment changes require alternate plan ~ Close call occurs

• Training In Fall Protection

  Yes

  No

  N/A

• Fall Hazards Identified

  Yes

  No

  N/A

• Workers Above/Below

  Yes

  No

  N/A

• Ladders Angle/Tied Off/Good Shape

  Yes

  No

  N/A

Elevated Platforms

Personal Protective Equipment

• Safety Boots

• Hard Hat

• Safety Glasses

• High Visibility Vest/Clothing

• Hearing Protection

• Safety Harness

• Gloves

Emergency

• Muster Point Identified

  Yes

  No

  N/A

• Evacuation Route Plan

  Yes

  No

  N/A

• First Aid Station/Personnel Identified

  Yes

  No

  N/A

• Closest Hospital

  Dartmouth General

  Halifax Infirmary

  Cobequid Health Centre

  Other

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