Supervisor Weekly Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General

• Emergency phone numbers posted, First Aid kit on-site

  Yes

  No

  N/A

• Trained First Aid/CPR supervisor on-site

  Yes

  No

  N/A

• Site specific safety manual on-site?

  Yes

  No

  N/A

• Where is it located?

  C-Train

  Gangbox

  Super Truck

• Port-a-John available on-site?(1 for every 20 employees)

  Yes

  No

  N/A

• Stretch and Flex every morning

  Yes

  No

  N/A

• Tool Box Talk every Monday morning

  Yes

  No

  N/A

Fuel Storage

• No Smoking signs in place around fuel storage

  Yes

  No

  N/A

• Fire extinguisher tags are punched within one year of today's date

  Yes

  No

  N/A

• Fuel is stored 25 ft from cylinders

  Yes

  No

  N/A

Traffic Control

• Roads and sidewalks properly closed and barricaded

  Yes

  No

  N/A

• Attach an additional photo here if traffic control devices are in your area

  Yes

  No

  N/A

Tools

• Air tools secured with safety chains, hose connection points tied off

  Yes

  No

  N/A

• Portable electrical tools provided with GFCI

  Yes

  No

  N/A

• Extension cords free from cuts, exposed insulation, broken ground prongs

  Yes

  No

  N/A

• Portable lights equipped with bulb guards and proper grounding equipment

  Yes

  No

  N/A

• Guards on all saws, grinders, other portable power tools

  Yes

  No

  N/A

• Ladder Rungs and side rails in good condition

  Yes

  No

  N/A

• NO Type II step ladders on-site

  Yes

  No

  N/A

Equipment

• Windows/glass in good condition

  Yes

  No

  N/A

• Back up alarms in good condition

  Yes

  No

  N/A

• Annual inspection forms and owners manuals in each piece of equipment(man lift, loader, sky track,etc.)

  Yes

  No

  N/A

• Daily visual inspection performed

  Yes

  No

  N/A

• Have you checked crane daily inspection sheets this week

  Yes

  No

  N/A

• Swing radius devices properly installed

  Yes

  No

  N/A

Handling and Storage Materials

• Chains are alloy steel with permanent tag showing year if annual inspection and rating capacity

  Yes

  No

  N/A

• Check gang box rigging for tags/wear/center of gravity

  Yes

  No

  N/A

• All materials stacked, racked, blocked, and interlocked to prevent sliding

  Yes

  No

  N/A

• Safety latches on all hooks

  Yes

  No

  N/A

• Slings, cable hooks inspected(no inner stitching exposed on slings)

  Yes

  No

  N/A

Compressed Gas, Welding/Cutting Materials

• Cylinders are stored upright and secured

  Yes

  No

  N/A

• Cylinders are properly labeled, capped when not in use

  Yes

  No

  N/A

• Valves and regulators are functioning properly

  Yes

  No

  N/A

• Oxygen and Acetylene cages are separated by at least 25'

  Yes

  No

  N/A

• Hot work separated from combustibles by at least 50'

  Yes

  No

  N/A

• Fire extinguisher no closer than 25' and no further than 75'

  Yes

  No

  N/A

Fall Protection

• Inspecting harnesses before each use

  Yes

  No

  N/A

• Documenting monthly harness inspection on provided grid

  Yes

  No

  N/A

• Anchor point installed above shoulder level

  Yes

  No

  N/A

• Ladders tied off and extend 3' above landing

  Yes

  No

  N/A

• Beam erection plan on-site

  Yes

  No

  N/A

• Life jackets, ring buoys, and boat provided for working over water

  Yes

  No

  N/A