Title Page

  • Job name

  • Job number

  • Job site address
  • Safety inspector

  • Branch

  • Roof height

  • Date

Rooftop dangers

  • Electrical lines and gas lines or other potential hazards on the roof have been identified and communicated to the project manager

  • All outside safety concerns have been taken into account and the project planned around them (hazardous ventilation, falling debris, power lines)

  • Safety plan has been made to facilitate recovery of potentially injured personnel in case of fall or rooftop injury

Ladder

  • Ladder is at proper angle

  • Ladder is in good working condition and is inspected before each use

  • Ladder extends past the roof edge a minimum of three feet when used to access the roof

  • Top and base of ladder are free from debris and have a system in place to redirect heavy foot traffic

  • Ladder’s load does not exceed manufacture’s rated capacity

  • Hard hats worn whenever ascending or descending the ladder

  • Ladder placed at any break in elevation greater that 19”

  • Ladders have nonconducting side rails when used near electrical equipment

  • Personnel ascending or descending the ladder face the ladder at all times with a minimum of one hand grasping the ladder

  • Personnel ascending or descending the ladder do not carry a load that could cause them to lose balance or fall

  • Ladders appear to be above OSHA minimum standards

Warning lines

  • Entryway present in warning line system

  • Entryway meets OSHA standards

  • Warning lines present around roof work area

  • Warning line system is 34”-39” from the roof surface

  • Warning lines have flags a maximum of 6’ apart

  • Warning line tensile strength is a minimum of 500lbs

  • Warning lines and stansions are able to support 16 pounds of horizontal force without tipping

  • Sections between the stanchions are unable to influence the tension of other sections

  • Points of access, material handling areas, storage areas, and hoisting areas are connected to the work area by an access path formed by two warning lines

  • Staggered pathway to roof section meets OSHA regulations

  • Safety monitor in place at all times when work outside the lines was performed

  • Safety monitor is on same plane as work being performed

  • Safety monitor is able to communicate orally with the personnel they are monitoring

  • Safety monitor is able to see all personnel that they are monitoring

  • Safety monitor is competent person who is able to recognize and warn personnel of potential fall hazards

Mechanical equipment in use

  • Lines set back 6’ from roof edge (parallel to equipment operation)

  • Lines set back 10’ from roof edge (perpendicular to equipment operation)

Mechanical equipment not in use

  • Lines set back a minimum of 6’ from roof edge

  • Warning line systems appear to meet OSHA minimum standards

Holes

  • All holes greater than 2” need a cover designed to withstand two times the intended applied weight. Must be secured and labeled (“hole”, or “cover”)

  • Holes greater that 6’ above lower levels are protected against tripping or falling into via personal fall arrest systems, covers, or guardrail systems

  • All skylights are fall rated or have proper fall protection (ie safety nets)

  • Personnel below holes are protected from falling objects

  • All holes managed with the proper fall protection means

Fall arrest

  • Anchor point able to support 5000lbs per person attached

  • D rings and snap hooks are capable of withstanding 5000lbs

  • Snap hooks used for fall arrest have a corrosion resistant finish, are locking type, and are properly sized for connection to the anchor point

  • Fall arrest system meets OSHA minimum standards

Fall restraint

  • Anchor able to support a minimum of 3000lbs per person attached

  • Fall restraints used limit free fall to 2’

  • Snap hooks and D rings used are properly sized, have a corrosion resistant finish and are capable of withstanding 5000lbs of force

  • Fall restraint equipment is inspected regularly and is in good working condition

  • Fall restraint system meets OSHA minimum standards

Equipment

  • All equipment is in good working condition

  • All generators have GFCI in good working condition

  • Equipment/material stored within flag lines secured from wind

  • Handheld tools intended to be used with a guard (ie. Saws and grinders), have guard properly in place when in use

  • Extension cords are proper gauge for tool being used

  • Extension cords and other electrical equipment connections are protected from water intrusion

  • Extension cords are free from damage

  • Internal combustion equipment exhausts are directed away from flammable materials at all times

  • Trash chute properly secured on buildings greater than 20’

  • Trash chute has proper guardrail system in place

  • Equipment and material placed in area that can properly support the load

  • All equipment is serviced regularly and meets OSHA minimum standards

PPE

  • Proper PPE worn at all times

  • PPE in good working condition

  • Harness’ are free from damage and are inspected before use

  • Hard hats are damage free and are inspected before each use

  • Respirators have fresh filters, are in good working condition, and are inspected before each use

  • Flame retardant clothing worn during grinding or when working with open flames

  • No baggy or loose clothing used around reciprocating or rotating assemblies

  • Z28+ rated safety glasses used during cutting, grinding, or any other work that could bring injury to the eyes

  • Proper hearing protection worn in high decibel areas

  • Safety equipment is in good working condition and has a recorded log of inspections

  • All PPE provided complies with OSHA minimums

Guardrails

  • Top edge of guardrail falls between 39”-45”

  • Midrails installed when there is not parapet at least 21” high

  • Top rail able to support 200lbs of horizontal or downward force at any point

  • Midrails able to support 150lbs of horizontal or downward force at any point

  • All guardrail systems meet OSHA minimum standards

Safety nets

  • Safety nets are installed 8’ past the exposed edge and installed a maximum of 25’ below the working surface

  • Mesh size does not exceed 6”x6”

  • Safety net meets 17,500 ftlb minimum impact resistance

  • Edge ropes provide a minimum breaking strength of 5000 lbs

  • Nets mounted prevent impact with structures or surfaces below and are impact tested before use

  • Forged steel safety hooks used to secure net to supports are capable of withstanding the implied forces on the net

  • Connections between net panels are able to withstand the implied forces on the net

Chemical, fire, and airborne contaminants hazards

  • Respirators provided when air quality standards fall below OSHA minimums

  • Rubber gloves worn whenever handling hazardous chemicals

  • Hazardous or flammable chemicals stored in labeled safety cans away from ignition sources

  • Hazardous or flammable materials stored away from ignition sources

  • No smoking around combustible materials or on the rooftop

  • Fire extinguishers are provided in trailers and job boxes

  • Fire extinguishers are serviced regularly and have ample pressure

  • SDS book provided on trailer and is easily accessible

  • First aid kit in trailer and job box fully stocked

  • All chemical, fire, and airborne hazards have been accounted for and equipment meets OSHA minimum standards

Third Party Protection

  • Personnel below/surrounding working area are safe from falling debris at all times

  • Toe boards capable of withstanding a minimum of 50lbs of downward/outward force

  • Toe boards are a minimum 3.5” in height with a maximum 1” space between boards, and no more than 1.25” off the working surface

  • Areas directly below holes are flagged off to prevent injury

  • Protection for personnel surrounding/below the work area meets OSHA minimum standards

Elements

  • Workers are not exposed to dangerous weather conditions

  • Working conditions meet OSHA minimum standards

Scaffolding

  • Scaffold and components able to support its own weight plus 4x the intended load applied

  • Fall protection used at heights greater than 10’

  • Scaffold secured properly from wind

  • Each platform is completely decked between the guardrails and front uprights

  • Scaffold deck able to support 4x the intended weight to be applied

  • Scaffolding erected meets OSHA minimum requirements

Hoisting

  • Hard hats worn at all times when hoisting operations are taking place

  • No part of the hoist equipment, load line, or load get closer than 20’ to any hot power lines

  • No personnel operate below an active hoist unless that person is guiding or receiving the load

  • Weather conditions are not hazardous to hoisting operations (ie. high winds, lightning, etc.)

  • The signal person is able to communicate clearly with the operator and is free from distraction

  • The signal person and operator are properly trained/licensed in hoisting operations

  • The load weight does not exceed the capacity of the equipment being used

  • All equipment used during hoisting operations is inspected regularly and is in good working condition

PFA to crane hook

  • Equipment used is capable of withstanding 5000lbs of pressure

  • Operator is informed of intended use and present at time of action

  • No load is suspended from the load line

  • All hoisting equipment and techniques meet OSHA minimum standards

Lifts

  • All airial lifts are operated with proper PPE

  • Airial lifts are serviced regularly and are in good working condition

  • Airial lift operator is properly trained

  • Telehandler operator is properly trained

  • Telehandler is in good working condition

  • Telehandler is operated with proper PPE

  • All lifts and their operations meet OSHA minimum standards

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