Superintendent's Weekly Safety Report - Revised 20140714

• Job Name

• Conducted on

  Date

• Prepared by

• Project Superintendent

• Project Manager

• Location
  Address

• Activities in Progress

• Project Completion Status

• Jobsite status photo.

  Media

Jobsite Amenities, Posters and Signage

• Are fencing, Jobsite safety signage and barricades in place as necessary to protect both employees and the public?

  Yes

  No

  N/A

• Do you have an adequate supply of safety vests, safety glasses and hard hats?

  Yes

  No

  N/A

Emergency Action Plan

• Has an Emergency Action Plan been posted and communicated to employes and subcontractors?

  Yes

  No

  N/A

• Are emergency access and egress routes maintained throughout the jobsite?

  Yes

  No

  N/A

Sanitation, First Aid and Heat Emphasis

• Is cool clean drinking water available to workers in compliance with OSHA requirements?

  Yes

  No

  N/A

• Does your Jobsite have a First-Aid station and a cool or shady location that workers can use for heat relief?

  Yes

  No

  N/A

• Is the Heat Emphasis poster on display?

  Yes

  No

  N/A

Subcontractor Safety Review

• Have the Minimum Project Safety Standards, plus all known and pertinent site specific safety issues, been reviewed with each onsite subcontractor?

  Yes

  No

  N/A

• Is a Job Hazard Analysis on file for each major task or as otherwise outlined in the CMSWillowbrook Safety Policy and Minimum Project Safety Standards?

  Yes

  No

  N/A

Temporary Employees

• Have you reviewed the Minimum Project Safety Standards plus any known and pertinent site specific safety issues, with each onsite CMSWillowbrook temporary employee before allowing them to work?

  Yes

  No

  N/A

• Have you instructed them not to perform any task for which they have not had safety training and to immediately notify their supervisor if such occasion should arise?

  Yes

  No

  N/A

Weekly Progress Meetings

• Was a weekly foremen's progress meeting held that included Jobsite specific safety discussion?

  Yes

  No

  N/A

• Provide photo of signatures and topics discussed

  Media

Weekly Toolbox Talk

• Was a job-wide weekly toolbox talk safety meeting attended and signed by all onsite personnel, regardless of whether or not they held their own trade-specific safety meeting?

  Yes

  No

  N/A

• Provide photo of signatures and topics discussed.

  Media

Hazardous Chemicals & Hazardous Communication

• Is all required MSDS/SDS readily available to onsite personnel?

  Yes

  No

  N/A

Asbestos or Lead Paint

• For work in older structures, have surveys been done to determine whether asbestos or lead paint are present?

  Yes

  No

  N/A

• If asbestos and/or lead paint was found, has it been abated or are measures in place to prevent employees exposure?

  Yes

  No

  N/A

Confined Space

• For work in non-permit required confined spaces, has a hazard assessment been done to assure employee protection?

  Yes

  No

  N/A

• Have subcontractors been informed that entry into confined spaces which contain potentially hazardous conditions is strictly prohibited without prior notification and coordination with the Safety Director?

  Yes

  No

  N/A

Site Conditions, Material Storage and Housekeeping

• Are materials stored in an orderly and professional manner?

  Yes

  No

  N/A

• Is effective housekeeping an ongoing process and carried out in an effort to prevent undue accumulation of materials, building debris or trash that could create hazards such as trips, falls, punctures, fire, etc.

  Yes

  No

  N/A

• Is reasonable effort made to ensure the site is graded and drained to prevent or minimize rutting?

  Yes

  No

  N/A

Traffic Control

• Are traffic controls in place as required for work in congested areas or adjacent to roadways?

  Yes

  No

  N/A

Erosion Control

• Are all required SWPPP inspection reports up to date with all repairs and modifications completed and documented on the Erosion Control Plan?

  Yes

  No

  N/A

• Provide photo of most current SWPPP inspection report.

  Media

Fire Protection

• Are fire extinguishers readily available and current on annual and monthly inspections?

  Yes

  No

  N/A

• Are gas and diesel stored in approved metal safety cans, as defined in 1926 Subpart F?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Do you strictly enforce the CMSWillowbrook standard PPE policy requiring safety glasses, hard hat and CMSWillowbrook (or company specific) high-vis upper garment with prominent logo that is visible from 50' or more?

  Yes

  No

  N/A

• Is other PPE, whether or not specifically listed, utilized as required for other tasks?

  Yes

  No

  N/A

General Fall Protection (Excluding Ladders and Scaffolds)

• Are walking surfaces free of debris, oil and other substances that are likely to cause slips, trips and falls?

  Yes

  No

  N/A

• Are stairs, ramps and ladders utilized when and where needed?

  Yes

  No

  N/A

• Are leading edges, floor holes, floor & window openings, skylights and similar fall hazards guarded?

  Yes

  No

  N/A

• Is roof fall protection in place to protect rooftop workers?

  Yes

  No

  N/A

• Are steps, ramps and landings equipped with guardrail systems where required, including at storage trailers?

  Yes

  No

  N/A

• Have subcontractors been reminded of their contractual obligation to ensure all Personal Fall Arrest Systems (PFAS) are inspected by and used under the direction of a competent person?

  Yes

  No

  N/A

Impalement Hazards

• Are rebar and other impalement hazards capped or guarded?

  Yes

  No

  N/A

Concrete and Masonry

• Is the masonry lay-down area free of impalement hazards, or is it barricaded to prevent employee exposure?

  Yes

  No

  N/A

• To the extent feasible, is the wet-cut method used when sawing concrete, masonry products and similar materials, including cuts made with a Quickie-saw?

  Yes

  No

  N/A

Scaffolds

• Have subcontractors been instructed to ensure their scaffolds are inspected by a competent person each morning and as work progresses to ensure safety compliance is maintained?

  Yes

  No

  N/A

• Have non-compliant scaffold sections been tagged or barricaded to prevent access by anyone other than erectors or dismantlers?

  Yes

  No

  N/A

• Do scaffolds that are in use appear to be OSHA compliant and used in a safe manner?

  Yes

  No

  N/A

Ladders

• Do ladders appear to be of the approved type, legibly labeled and used in accordance with the manufacturer's instructions?

  Yes

  No

  N/A

Electrical

• Is temporary power fed through GFCI's which have been tested at least monthly?

  Yes

  No

  N/A

• Do extension and power tool cords and appurtenances appear to be in good condition and of the approved type?

  Yes

  No

  N/A

• Are Lockout-Tagout measures in place to ensure live electrical panels and parts are accessible only to qualified persons?

  Yes

  No

  N/A

• Have you advised subcontractors that all switches, receptacles and similar devices are to remain de-energized until cover plates are installed?

  Yes

  No

  N/A

• Are signs utilized as required to designate circuits that are de-energized for working downstream, and have those circuits been rendered inoperable, either by locks or by disconnecting the wiring from the power source?

  Yes

  No

  N/A

• Does general lighting appear adequate?

  Yes

  No

  N/A

Hand and Power Tools

• Do tools appear to be maintained in good condition, properly guarded and used as designed?

  Yes

  No

  N/A

Aerial and Scissor Lifts

• Do aerial and scissor lifts appear to be adequately maintained and used in a safe manner?

  Yes

  No

  N/A

Forklifts

• Do forklifts appear to be adequately maintained and used in a safe manner?

  Yes

  No

  N/A

Cranes

• Has a Notification of Site Conditions for Cranes been issued by the controlling contractor?

  Yes

  No

  N/A

• Are the operator's daily log and the most recent crane inspection records on site and available upon request?

  Yes

  No

  N/A

• Has the work zone been identified and demarcated with signs, barricades or similar methods as required to maintain at least 20' clearance from overhead power lines?

  Yes

  No

  N/A

• Is an OSHA compliant encroachment plan in place if the work zone has not been identified and effectively demarcated to maintain at least 20' clearance from overhead power lines?

  Yes

  No

  N/A

• Do hooks, slings and other lifting equipment appear to be tagged and in good condition?

  Yes

  No

  N/A

• Are measures in place to ensure only qualified riggers and connectors will be in the lift zone during hoisting operations?

  Yes

  No

  N/A

• Do cranes appear to be adequately maintained and used in a safe manner?

  Yes

  No

  N/A

Mobile Equipment

• Does mobile equipment appear to be adequately maintained and used in a safe manner?

  Yes

  No

  N/A

Excavation

• Have subcontractors been instructed to ensure all excavation work is OSHA compliant and performed under the direct supervision of a competent person?

  Yes

  No

  N/A

• Do excavation competent persons appear knowledgable and diligent in regards to safety?

  Yes

  No

  N/A

Welding and Cutting

• Does damaged welding cable insulation appear to be repaired with rubber and friction tape, or equivalent insulation and free of repairs within 10' of the electrode holder? (No vinyl electrical tape, except when used as a very thin protective covering for rubber or friction tape.)

  Yes

  No

  N/A

• Are welding lugs protected by lug boots or equivalent means?

  Yes

  No

  N/A

• Are stored oxygen and acetylene bottles secured and stored at least 20' apart or separated by a 1/2-hour fire partition?

  Yes

  No

  N/A

• Are oxyacetylene torches equipped with flashback arresters?

  Yes

  No

  N/A

Safety Supervision

• When a subcontractor foreman change is made with an individual who was not involved in the initial Minimum Project Safety Standards review, is it your practice to review it plus all known and pertinent site specific safety issues with him prior to commencement of his competent person role?

  Yes

  No

  N/A

• Do you hold subcontractor foremen responsible for safety compliance relating to their work, employees and subcontractors?

  Yes

  No

  N/A

Miscellaneous

• Other than those required for safety meeting and SWPPP report verification, have you attached at least five safety verification photos to this report?

  Yes

  No

• Will this completed report be emailed to "safety@cmswillowbrook.com" before 5:00 PM on Thursday?

  Yes

  No

Signatures

• Superintendent's comments:

• Superintendent's signature:

  Sign