Information
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Job Number
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Job Name
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Superintendent
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Conducted on
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Location
Current Status of Project (check all that apply)
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Site Clearing & Grubbing
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Structural Frame
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Overhead Mechanical/Electrical
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Interior Finishes
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Foundations
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Remodeling
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Excavations
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Demolition
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Exterior Enclosure
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Close-out
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Other
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A=Adequate at time of inspection B= Needs Consideration
C=Needs immediate attention N/A= Not applicable
Job Information
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OSHA 300 and 301 forms posted and complete?
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Action Taken:
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OSHA poster posted?
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Action Taken:
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Phone number to nearest medical center posted?
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Action Taken:
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Tool box talks up-to-date?
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Action Taken:
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Work areas signed and barricaded?
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Action Taken:
Housekeeping
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Work area generally neat?
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Action Taken:
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Projecting nails removed or bent over?
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Action Taken:
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Waste containers used?
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Action Taken:
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Passageways/walkways clear?
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Action Taken:
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Cords and leads off of the floor?
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Action Taken:
Fire Prevention
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Adequate fire extinguishers, checked and accessible?
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Action Taken:
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Phone number of fire department posted?
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Action Taken:
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“NO SMOKING” signs posted and enforced near flammables?
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Action Taken:
Electrical
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Extension cords with bare wires or missing ground prongs removed from service?
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Action Taken:
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Ground fault circuit interrupters used?
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Action Taken:
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Terminal boxes equipped with required covers?
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Action Taken:
Hand, Power and Powder-Actuated Tools
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Hand tools inspected regularly?
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Action Taken:
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Guards in place on machines?
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Action Taken:
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Tools suited for their jobs?
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Action Taken:
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Operators of powder-actuated tools licensed?
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Action Taken:
Fall Protection
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Safety rails and cables secured properly?
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Action Taken:
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Employees have D-ring of belts in center of back?
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Action Taken:
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Employees exposed to fall hazards tied off?
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Action Taken:
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Employees below protected from falling objects?
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Action Taken:
Ladders
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Ladders extend at least 36 inches above the landing?
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Action Taken:
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Ladders secured to prevent slipping, sliding, or falling?
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Action Taken:
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Ladders with split or missing rungs taken out of service?
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Action Taken:
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Stepladders used in fully open position?
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Action Taken:
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No stepping at top two rungs of stepladder?
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Action Taken:
Scaffolding
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All scaffolding inspected daily?
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Action Taken:
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Erected on sound rigid footing?
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Action Taken:
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Tied to structure as required?
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Action Taken:
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Guardrails, intermediate rails, toe-boards, and screens in place?
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Action Taken:
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Planking sound and sturdy?
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Action Taken:
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Proper access provided?
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Action Taken:
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Employees below protected from falling objects?
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Action Taken:
Floor and Wall Openings
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All floor and deck openings planked over or barricaded?
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Action Taken:
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Perimeter protection is in place?
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Action Taken:
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Deck planks secured?
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Action Taken:
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Materials stored away from edge?
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Action Taken:
Trenches, Excavation, and Shoring
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Competent person on hand?
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Action Taken:
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Excavations shored or sloped back?
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Action Taken:
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Materials stored at least two feet from trench?
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Action Taken:
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Ladders provided every 25 feet in trench?
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Action Taken:
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Equipment is a safe distance from edge of trench or excavation?
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Action Taken:
Materials Handling
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Materials properly stored or stacked?
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Action Taken:
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Employees use proper lifting methods?
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Action Taken:
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Tag lines used to guide loads?
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Action Taken:
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Proper number of workers for each operation?
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Action Taken:
Welding and Burning
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Gas cylinders stored upright?
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Action Taken:
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Proper separating distance between fuels and oxygen?
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Action Taken:
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Burning/welding goggles or shields used?
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Action Taken:
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Fire Extinguishers nearby?
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Action Taken:
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Hoses in good condition?
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Action Taken:
Cranes
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Outriggers extended and swing radius barricade in place?
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Action Taken:
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Operators familiar with load charts?
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Action Taken:
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Hand signal charts on crane?
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Action Taken:
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Crane operators’ logs up-to-date?
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Action Taken:
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Employees kept from under suspended loads?
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Action Taken:
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Chains and slings inspected and tagged as required?
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Action Taken:
Concrete Construction
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Employees protected from cement dust?
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Action Taken:
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Exposed skin covered?
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Action Taken:
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Runways adequate?
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Action Taken:
Personal Protective Equipment
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Hard hats being worn?
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Action Taken:
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Safety glasses being worn?
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Action Taken:
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Respirators used when required?
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Action Taken:
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Hearing protection being worn when required?
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Action Taken:
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Traffic vests being worn?
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Action Taken:
Signature
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Select date
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Signature