Title Page
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Job name
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Job number
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Job site address
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Safety inspector
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Branch
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Roof height
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Date
Rooftop dangers
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Electrical lines and gas lines or other potential hazards on the roof have been identified and communicated to the project manager
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All outside safety concerns have been taken into account and the project planned around them (hazardous ventilation, falling debris, power lines)
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Safety plan has been made to facilitate recovery of potentially injured personnel in case of fall or rooftop injury
Ladder
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Ladder is at proper angle
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Ladder is in good working condition and is inspected before each use
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Ladder extends past the roof edge a minimum of three feet when used to access the roof
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Top and base of ladder are free from debris and have a system in place to redirect heavy foot traffic
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Ladder’s load does not exceed manufacture’s rated capacity
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Hard hats worn whenever ascending or descending the ladder
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Ladder placed at any break in elevation greater that 19”
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Ladders have nonconducting side rails when used near electrical equipment
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Personnel ascending or descending the ladder face the ladder at all times with a minimum of one hand grasping the ladder
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Personnel ascending or descending the ladder do not carry a load that could cause them to lose balance or fall
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Ladders appear to be above OSHA minimum standards
Warning lines
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Entryway present in warning line system
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Entryway meets OSHA standards
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Warning lines present around roof work area
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Warning line system is 34”-39” from the roof surface
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Warning lines have flags a maximum of 6’ apart
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Warning line tensile strength is a minimum of 500lbs
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Warning lines and stansions are able to support 16 pounds of horizontal force without tipping
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Sections between the stanchions are unable to influence the tension of other sections
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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
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Staggered pathway to roof section meets OSHA regulations
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Safety monitor in place at all times when work outside the lines was performed
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Safety monitor is on same plane as work being performed
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Safety monitor is able to communicate orally with the personnel they are monitoring
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Safety monitor is able to see all personnel that they are monitoring
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Safety monitor is competent person who is able to recognize and warn personnel of potential fall hazards
Mechanical equipment in use
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Lines set back 6’ from roof edge (parallel to equipment operation)
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Lines set back 10’ from roof edge (perpendicular to equipment operation)
Mechanical equipment not in use
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Lines set back a minimum of 6’ from roof edge
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Warning line systems appear to meet OSHA minimum standards
Holes
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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”)
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Holes greater that 6’ above lower levels are protected against tripping or falling into via personal fall arrest systems, covers, or guardrail systems
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All skylights are fall rated or have proper fall protection (ie safety nets)
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Personnel below holes are protected from falling objects
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All holes managed with the proper fall protection means
Fall arrest
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Anchor point able to support 5000lbs per person attached
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D rings and snap hooks are capable of withstanding 5000lbs
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Snap hooks used for fall arrest have a corrosion resistant finish, are locking type, and are properly sized for connection to the anchor point
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Fall arrest system meets OSHA minimum standards
Fall restraint
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Anchor able to support a minimum of 3000lbs per person attached
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Fall restraints used limit free fall to 2’
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Snap hooks and D rings used are properly sized, have a corrosion resistant finish and are capable of withstanding 5000lbs of force
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Fall restraint equipment is inspected regularly and is in good working condition
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Fall restraint system meets OSHA minimum standards
Equipment
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All equipment is in good working condition
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All generators have GFCI in good working condition
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Equipment/material stored within flag lines secured from wind
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Handheld tools intended to be used with a guard (ie. Saws and grinders), have guard properly in place when in use
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Extension cords are proper gauge for tool being used
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Extension cords and other electrical equipment connections are protected from water intrusion
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Extension cords are free from damage
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Internal combustion equipment exhausts are directed away from flammable materials at all times
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Trash chute properly secured on buildings greater than 20’
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Trash chute has proper guardrail system in place
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Equipment and material placed in area that can properly support the load
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All equipment is serviced regularly and meets OSHA minimum standards
PPE
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Proper PPE worn at all times
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PPE in good working condition
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Harness’ are free from damage and are inspected before use
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Hard hats are damage free and are inspected before each use
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Respirators have fresh filters, are in good working condition, and are inspected before each use
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Flame retardant clothing worn during grinding or when working with open flames
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No baggy or loose clothing used around reciprocating or rotating assemblies
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Z28+ rated safety glasses used during cutting, grinding, or any other work that could bring injury to the eyes
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Proper hearing protection worn in high decibel areas
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Safety equipment is in good working condition and has a recorded log of inspections
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All PPE provided complies with OSHA minimums
Guardrails
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Top edge of guardrail falls between 39”-45”
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Midrails installed when there is not parapet at least 21” high
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Top rail able to support 200lbs of horizontal or downward force at any point
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Midrails able to support 150lbs of horizontal or downward force at any point
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All guardrail systems meet OSHA minimum standards
Safety nets
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Safety nets are installed 8’ past the exposed edge and installed a maximum of 25’ below the working surface
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Mesh size does not exceed 6”x6”
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Safety net meets 17,500 ftlb minimum impact resistance
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Edge ropes provide a minimum breaking strength of 5000 lbs
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Nets mounted prevent impact with structures or surfaces below and are impact tested before use
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Forged steel safety hooks used to secure net to supports are capable of withstanding the implied forces on the net
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Connections between net panels are able to withstand the implied forces on the net
Chemical, fire, and airborne contaminants hazards
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Respirators provided when air quality standards fall below OSHA minimums
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Rubber gloves worn whenever handling hazardous chemicals
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Hazardous or flammable chemicals stored in labeled safety cans away from ignition sources
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Hazardous or flammable materials stored away from ignition sources
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No smoking around combustible materials or on the rooftop
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Fire extinguishers are provided in trailers and job boxes
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Fire extinguishers are serviced regularly and have ample pressure
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SDS book provided on trailer and is easily accessible
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First aid kit in trailer and job box fully stocked
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All chemical, fire, and airborne hazards have been accounted for and equipment meets OSHA minimum standards
Third Party Protection
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Personnel below/surrounding working area are safe from falling debris at all times
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Toe boards capable of withstanding a minimum of 50lbs of downward/outward force
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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
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Areas directly below holes are flagged off to prevent injury
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Protection for personnel surrounding/below the work area meets OSHA minimum standards
Elements
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Workers are not exposed to dangerous weather conditions
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Working conditions meet OSHA minimum standards
Scaffolding
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Scaffold and components able to support its own weight plus 4x the intended load applied
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Fall protection used at heights greater than 10’
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Scaffold secured properly from wind
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Each platform is completely decked between the guardrails and front uprights
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Scaffold deck able to support 4x the intended weight to be applied
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Scaffolding erected meets OSHA minimum requirements
Hoisting
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Hard hats worn at all times when hoisting operations are taking place
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No part of the hoist equipment, load line, or load get closer than 20’ to any hot power lines
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No personnel operate below an active hoist unless that person is guiding or receiving the load
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Weather conditions are not hazardous to hoisting operations (ie. high winds, lightning, etc.)
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The signal person is able to communicate clearly with the operator and is free from distraction
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The signal person and operator are properly trained/licensed in hoisting operations
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The load weight does not exceed the capacity of the equipment being used
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All equipment used during hoisting operations is inspected regularly and is in good working condition
PFA to crane hook
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Equipment used is capable of withstanding 5000lbs of pressure
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Operator is informed of intended use and present at time of action
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No load is suspended from the load line
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All hoisting equipment and techniques meet OSHA minimum standards
Lifts
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All airial lifts are operated with proper PPE
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Airial lifts are serviced regularly and are in good working condition
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Airial lift operator is properly trained
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Telehandler operator is properly trained
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Telehandler is in good working condition
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Telehandler is operated with proper PPE
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All lifts and their operations meet OSHA minimum standards