Stevens Construction Corp.

• Document No.

• Job Name

• Conducted on

  Date

• Prepared by Duane Reith

• Location
  Address

• Superintendent/Safety Officer

Administrative

• Did the superintendent or his representative accompany the inspection?

  Yes

  No

  N/A

• OSHA 300 forms posted and complete?

  Yes

  No

  N/A

• OSHA poster posted?

  Yes

  No

  N/A

• Phone number for nearest emergency medical facility posted?

  Yes

  No

  N/A

• Is the medical facility within 15 minutes of the job site or is there an employee trained in first aid and CPR on the site?

  Yes

  No

  N/A

• Weekly safety meetings up to date?

  Yes

  No

  N/A

• Work areas indicated with proper signage and barricaded?

  Yes

  No

  N/A

• All employees and subcontractors have attended the job site safety orientation?

  Yes

  No

  N/A

• Is potable drinking water available on site including cups and trash can?

  Yes

  No

  N/A

• Are adequate toilet facilities available at the site?

  Yes

  No

  N/A

• Is a first aid kit including a CPR barrier provided and maintained including an inventory log?

  Yes

  No

  N/A

• Is protection for blood borne pathogens available?

  Yes

  No

  N/A

• Is the Ready to Work Program being complied with?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

Housekeeping

• General neatness of work area?

  Yes

  No

  N/A

• Projecting nails bent over or removed?

  Yes

  No

  N/A

• Waste containers provided and used?

  Yes

  No

  N/A

• No debris being dropped to a lower level without 42" barricades 6' back from projected edge or more than 20' without a chute?

  Yes

  No

  N/A

• Passageways and walkways clear (24" minimum)?

  Yes

  No

  N/A

• Are cords and hoses kept to one side of halls and stairs to prevent trip hazards?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Add media

  Media

Fire Prevention

• Adequate fire extinguishers provided? (3000sf per extinguisher with max travel of 100')

  Yes

  No

  N/A

• Fire extinguishers have annual certification and are checked monthly including date and initials?

  Yes

  No

  N/A

• No smoking signs posted and enforced near flammables?

  Yes

  No

  N/A

• Hot work permits issued for all flame or spark producing activities?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Add media

  Media

Fall Protection

• Safety rails and cables are secured properly?

  Yes

  No

  N/A

• Workers exposed to fall hazards greater than 6' are tied off?

  Yes

  No

  N/A

• Subcontractors using personal fall arrest systems have a competent person on site?

  Yes

  No

  N/A

• Fall protection plan on site for any work not utilizing standard fall protection?

  Yes

  No

  N/A

• Employees below are protected from falling objects?

  Yes

  No

  N/A

• All edges or openings that could expose workers to falls of greater than 6' are properly barricaded or otherwise protected?

  Yes

  No

  N/A

• Is there a rescue plan in place?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

Hand, Power, and Powder Actuated Tools

• Hand tools are inspected regularly? No broken handles or mushroomed heads?

  Yes

  No

  N/A

• Guards are in place on machines and saws?

  Yes

  No

  N/A

• Correct tool being used for the job?

  Yes

  No

  N/A

• Operators of powder actuated tools are licensed?

  Yes

  No

  N/A

• Spent or unused loads are properly stored or disposed of?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Add media

  Media

Electrical

• Assured grounding program in use on site?

  Yes

  No

  N/A

• All flexible cords are protected from damage? (Placed against corridor walls or elevated 7')

  Yes

  No

  N/A

• Flexible cords or equipment cords with compromised insulation, missing ground pins or other damage are removed from service and tagged?

  Yes

  No

  N/A

• GFCI in use with all power tools including those connected to existing wiring in a renovation?

  Yes

  No

  N/A

• Are GFCI's inspected monthly by the electrical subcontractor?

  Yes

  No

  N/A

• All electrical boxes are equipped with the required covers?

  Yes

  No

  N/A

• Temporary electrical panels are properly labeled and clearances maintained?l

  Yes

  No

  N/A

• All openings in electrical panels/boxes are properly closed?

  Yes

  No

  N/A

• All cabinets, panels, switches, and outlets in potentially wet locations are rated for the potential exposure?

  Yes

  No

  N/A

• Lockout/tagout is maintained on all electrical circuits including all permanent panels that have been energized?

  Yes

  No

  N/A

• Proper electrical equipment used for proper purpose?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Add media

  Media

Ladders

• Ladders extend at least 3' above the landing?

  Yes

  No

  N/A

• Extension ladders maintain a 1:4 base to height distance ratio?

  Yes

  No

  N/A

• Ladders are secured to prevent slipping, sliding, or falling?

  Yes

  No

  N/A

• Stepladders are used only in the fully open position?

  Yes

  No

  N/A

• No workers are standing on the top two steps of step ladders?

  Yes

  No

  N/A

• Damaged ladders are taken out of service and tagged out?

  Yes

  No

  N/A

• All manufacturers labels are present and legible?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Add media

  Media

Scaffolding

• Subcontractor utilizing scaffolding has a competent person on site while work is being performed?

  Yes

  No

  N/A

• All scaffolding is properly tagged?

  Yes

  No

  N/A

• Scaffolding is inspected daily by a competent person?

  Yes

  No

  N/A

• Scaffolding is erected on a sound footing?

  Yes

  No

  N/A

• Guard rails, mid rails, toe boards and screens are in place?

  Yes

  No

  N/A

• Planking is sound and sturdy?

  Yes

  No

  N/A

• Workers below protected from falling objects?

  Yes

  No

  N/A

• Working levels are fully planked with platforms no less than 18" in width?

  Yes

  No

  N/A

• Proper access is provided to all working levels? (Starting within 24" of the ground and rung spacing or no more then 16 3/4"?

  Yes

  No

  N/A

• Scaffolds exceeding 1:4 least base width to height ratio properly secured to structure? (Repeated every 26' or less)

  Yes

  No

  N/A

• Suspended scaffolds have adequate counterweights, rigging, and are properly tied back to a structural member?

  Yes

  No

  N/A

• Safety harnesses are worn and attached to independently secured vertical lifelines?

  Yes

  No

  N/A

• Chains hooked on scissors lifts?

  Yes

  No

  N/A

• Workers tied off in aerial lifts?

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Floor & Wall Openings

• Perimeter protection is in place and properly maintained?

  Yes

  No

  N/A

• All materials are stored away from the edge?

  Yes

  No

  N/A

• All floor or deck openings are covered with a properly identified secured cover or barricaded?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

Welding & Burning

• Hot work permits issued for each activity producing sparks or flame?

  Yes

  No

  N/A

• Proper distance maintained between fuel cylinders and oxygen? (20' min.)

  Yes

  No

  N/A

• Cylinders properly secured with cable cover caps installed when not in use?

  Yes

  No

  N/A

• Burning/welding goggles or shields are used?

  Yes

  No

  N/A

• Fire extinguisher is readily available?

  Yes

  No

  N/A

• Hoses, regulators, and torches are in good working order?

  Yes

  No

  N/A

• Fire watch is maintained for spark/fire producing activities within close proximity to combustible materials?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Add media

  Media

Cranes

• Was a Safety Preconstruction Meeting held with the Crane Supplier before mobilization?

  Yes

  No

  N/A

• Is access to the tower crane secured from unauthorized access?

  Yes

  No

  N/A

• Crane has a current annual inspection?

  Yes

  No

  N/A

• Operator holds the proper credentials to operate the crane?

  Yes

  No

  N/A

• Crane is free of leaks and mechanically sound?

  Yes

  No

  N/A

• Crane operators inspection logs are current?

  Yes

  No

  N/A

• Load charts are posted on the crane?

  Yes

  No

  N/A

• Hand signal charts are on crane?

  Yes

  No

  N/A

• Rigging personnel are trained and have written documentation demonstrating training?

  Yes

  No

  N/A

• Signal personnel are trained and have written documentation demonstrating training?

  Yes

  No

  N/A

• Outriggers are extended, crane is level, and proper supporting materials are used?

  Yes

  No

  N/A

• All rigging equipment is inspected?

  Yes

  No

  N/A

• Swing radius of crane is properly barricaded?

  Yes

  No

  N/A

• No workers are positioned under suspended loads unless they are required as part of the lifting operation?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

Masonry & Concrete Construction

• Employees are protected from cement dust?

  Yes

  No

  N/A

• Exposed skin is covered?

  Yes

  No

  N/A

• All cutting activities are conducted in such a manner as to eliminate the production of dust?

  Yes

  No

  N/A

• Walls over 8' are supported?

  Yes

  No

  N/A

• All protruding reinforcing rods and other implement hazards are covered?

  Yes

  No

  N/A

• Are perimeter shore posts properly secured?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Add media

  Media

Personal Protective Equipment

• Hard hats are being worn at all times?

  Yes

  No

  N/A

• Safety glasses are being worn at all times?

  Yes

  No

  N/A

• High visibility clothing is being worn at all times, including the use of Class II vests when exposed to heavy equipment or vehicle traffic?

  Yes

  No

  N/A

• Hearing protection being used when required?

  Yes

  No

  N/A

• Respirators are being used when required?

  Yes

  No

  N/A

• All companies utilizing respirators have provided a hard copy of their respiratory protection plan?

  Yes

  No

  N/A

• Leather boots are being worn by all personnel and protective toed boots are being worn where required?

  Yes

  No

  N/A

• Face shields are being worn by workers participating in cutting operations requiring face protection?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

Trenching, Excavation, & Shoring

• Subcontractors engaging in trenching or excavating has competent person on site while work is being performed?

  Yes

  No

  N/A

• Underground utilities have been properly located and positively identified (potholed)?

  Yes

  No

  N/A

• Trenches/excavations are inspected daily or after any significant event by competent person and documented?

  Yes

  No

  N/A

• Excavations 4' or deeper have been tested for hazardous atmospheres?

  Yes

  No

  N/A

• Excavations 4' or deeper have a safe means of egress within 25' of lateral travel?

  Yes

  No

  N/A

• Excavations over 5' deep are properly sloped or protective systems are in use?

  Yes

  No

  N/A

• Materials and loose soils are at least 2' from the edge of the excavation?

  Yes

  No

  N/A

• Equipment is a safe distance from the edge of the excavation?

  Yes

  No

  N/A

• All employees exposed to vehicular traffic are wearing the appropriate high visibility vests?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Add media

  Media

Material Handling

• Materials are properly stored and stacked?

  Yes

  No

  N/A

• Employees are using proper lifting methods?

  Yes

  No

  N/A

• Proper number of workers for each operation?

  Yes

  No

  N/A

• Tag lines used to guide loads?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Add media

  Media

Equipment & Vehicles

• Daily inspections are conducted for all equipment?

  Yes

  No

  N/A

• Equipment that does not pass the vehicle inspection is removed from service tagged out?

  Yes

  No

  N/A

• Seat belts are available on all equipment and are in use?

  Yes

  No

  N/A

• All workers in proximity to moving equipment are wearing Class II clothing unless the hazard requires higher rated clothing?

  Yes

  No

  N/A

• All employees operating equipment have been properly trained?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Add media

  Media

Stairs

• All personnel access points with a break in elevation exceeding 19" have a stairway, ladder, or ramp provided for access?

  Yes

  No

  N/A

• All flights of stairs with 4 or more risers are equipped with handrails?

  Yes

  No

  N/A

• Have metal pans been properly filled before use?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Add media

  Media

Environmental

• Has air monitoring equipment been bump tested?

  Yes

  No

  N/A

• Have all confined spaces been identified on the project?

  Yes

  No

  N/A

• A written hazard communication program is on site including all SDS information?

  Yes

  No

  N/A

• Are carbon monoxide levels being monitored and documented?

  Yes

  No

  N/A

• Exposure to lead, asbestos, and other known hazardous materials is controlled?

  Yes

  No

  N/A

Miscellaneous

• The contractor's corporate safety manual is available on site?

  Yes

  No

  N/A

• A safety manual for each subcontractor is available on site?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Add media

  Media