Information
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Swinerton Project Name
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SWINERTON DIVISION:
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Conducted on
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Prepared by
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Project Location
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Weather conditions
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On-site Personnel
Safety Assessment
1. Safety Documents/Postings
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1.1 OSHA posters/permits/workers comp postings?
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1.2 SWP/IIPP reviewed (Orientation-sticker provided and visible)?
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1.3 Site Specific Safety Plan?
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1.4 Routine Inspections, Monitoring, Audits?
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1.5 Job Hazard Analysis (JHA) reviewed and signed?
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1.6 Training, Certified Operators certifications on file w/GC & @ Trade Job Trailer?
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1.7 Daily Huddle/(PTP) Pre-Task Planning conducted?
2. Emergency Response
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2.1 Hospital / Clinic
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2.2 CPR Certification
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2.3 Emergency Procedures, Reviewed and Displayed at Site?
3. Work Environment
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3.1 Safe Work Practices
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3.2 PPE (task, conditions, weather)
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3.3 Amenities? (Drinking water, toilets, wash areas, lunch rooms, etc)
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3.4 First Aid Kits and Equipment on Site, Inspected and Identified?
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3.5 Fire Protection (pull rings secured, monthly inspection, secured and "off the ground")
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3.6 Signage Posted?
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3.7 Safe Lifting / Team Lifting Techniques?
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3.8 Risk Controls? (Job Rotation, Lighter Loads, Board Carts, Lifting Equipment, etc)
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3.9 Respiratory Protection?
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3.10 Lighting (minimum 5 fc in main corridors and "common" work areas; task lights for non-common areas)?
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3.11 Trip Hazards (unmarked holes, floor protection, tarps, equipment etc)?
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3.12 Housekeeping/Cleanup (dump buggies)?
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3.13 Daily Stretch & Flex conducted?
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3.14 Is Equipment & Product, stored properly SECURED?
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3.15 (Medical) Ante-room/negative air within proper parameters?
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3.16 (Medical) Proper Infection Control measures in place (PPE, BARRIERS, ETC.)?
4. Electrical Hazards
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4.1 Electrical Cords? (unsafe, damaged, cut, frayed, etc.)
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4.2 Lack of GFCI protection?
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4.3 Hazardous Issues (overhead electrical lines, near water, overloaded, near hazardous chemicals)?
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4.4 Cords off ground (as applicable), out of traffic areas, potential damage hazards avoided?
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4.5 Generators (grounded, inspected)?
5. Hazardous Chemical (paint, fuel, oil)?
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5.1 (SDS) Safety Data Sheets on Site?
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5.2 Spill Containment Equipment?
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5.3 Storage Location? (flammables near ignition sources, spills could enter stormwater drains, etc)
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5.4 Ventilation?
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5.5 Is Fire Protection available (<25') from HazMat containment?
6. Power Equipment (chop saws, p.a.t, screw guns, drills, etc.)
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6.1 Safe Work Practices?
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6.2 PPE?
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6.3 Fire Extinguishers (secured / pin has plastic tab / functioning / missing / inspected/ with in 75ft)?
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6.4 Unsafe or incompatible attachments used with equipment?
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6.5 Inspection Protocol?
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6.6 Certified Operators (P.A.T., Laser, etc.)?
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6.7 Unsafe or Damaged Equipment (JoBoxes/Shocks/Handles/Closed Lids, missing or damaged guards, relief / safety devices)?
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6.8 Clean-up (dump buggies) "NO TRASH HITS THE FLOOR"
7. Fall Protection
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7.1 Safe Work Practices?
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7.2 PFAS Inspection Protocol (harness, lanyard, hooks, yo yo, horizontal life line, beam claps
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7.3 PFAS Stored Properly?
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7.4 Training (awareness)?
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7.5 Fall risks (6 ft. or more, including voids, pits, and trenches)?
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7.6 Unprotected change of elevation >18"?
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7.7 Unsafe or incomplete edge protection?
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7.8 Unsafe or uncertified anchor points?
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7.9 Rescue Procedures in place, team trained?
8. Concrete
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8.1 Inspection Protocol?
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8.2 Safe Work Practices?
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8.3 Rebar capped?
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8.4 Ergonomic?
9. Ladders
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9.1 Safe Work Practices
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9.2 Is all labeling attached and legible?
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9.3 Unsafe or damaged ladders?
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9.4 Unsafe positioning/securing of ladders?
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9.5 Ladder training (awareness) conducted?
10. Mobile Scaffolds (Perry, Tele Tower, Roll n Fold)
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10.1 Safe Work Practices
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10.2 Mobile / Rolling Scaffold Wheels Locked or Top Locks?
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10.3 Unsafe or Incomplete Scaffold (missing handrails, planks, out riggers etc.)?
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10.4 Aluminum / Safway Stair Scaffold
11. Scaffolds (Safway, Fraco, Swing Stage)
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11.1 Safe Work Practices?
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11.2 Inspection Protocol?
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11.3 Is there Safe Access & Egress?
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11.4 Training (awareness, competent person)?
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11.5 Missing handrails, planks? Incompatible Scaffold Components? Unlabelled or do not meet SAIA standards?
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11.6 Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)
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11.7 Certified Operators?
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11.8 Weather Conditions (Inclement weather; <29 mph winds) ?
12. Aerial Work Platforms (scissor, boom)
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12.1 Safe Work Practices?
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12.2 Training (certification on file)?
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12.3 Inspection Protocol?
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12.4 Certified Operators?
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12.5 Is Operators Manual on equipment?
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12.6 Training (certification on file)?
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12.7 Weather Conditions?
13. Mixers, Pumps
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13.1 Safe Work Practices?
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13.2 SWPPP?
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13.3 PPE?
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13.4 Inspection Protocol?
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13.5 Containment Equipment?
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13.6 Fire Extinguisher (secured, missing, pin has plastic tab)?
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13.7 Hoses / Connections?
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13.8 Signage Posted?
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13.9 Cleanup / Maintenance?
14. Forklift (sit down rider, all terrain)
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14.1 Safe Work Practices?
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14.2 Certified Operators?
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14.3 Inspection Protocol?
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14.4 Training (awareness)?
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14.5 Does Fork Lift have a Fire Extinguisher attached?
15. Asbestos / Lead
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15.1 Safe Work Practices?
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15.2 Good Faith Survey Reviewed?
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15.3 Procedure Protocol Reviewed (work steps, containment, air monitor)?
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15.4 JHA Reviewed / Approved?
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15.5 PPE?
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15.6 Training (awareness)?
16. HOT WORK
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16.1 HOT-WORK PERMIT issued?
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16.2 Controlled Access Zone (delineator, tape/flagging, signage, fire blanket/protection, etc.)
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16.3 (Welding) Fire Protection provided (combustibles >35'; 1-A:20:BC extinguisher/10# <25')
17. Heavy Construction Equipment
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17.1 Equipment inspected?
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17.2 Operator Licensed/Certified?
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17.3 Equipment being operated in a safe manner?
18. Traffic Management
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18.1 Traffic Management Plan (TMP) in place? (Physical barriers, bollards, speed limits, flashing lights, spotters, etc.)
19. Crane
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19.1 Safety Plan for lifts reviewed?
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19.2 Qualified Riggers (certifications on file w/GC & at Trade job trailer)?
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19.3 Certified Crane Operator (NCCO License on file w/GC & at Trade job trailer)?
20. Trenching & Excavation
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20.1 Barriers/Delineators-Flagging/Danger tape (fall potential hazard) established?
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20.2 5:4:2 rule enforced?
21. Confined Space
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21.1 Air Monitoring (pre, during, post)?
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21.2 Permit Required?
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21.3 DETAILS?
NOTES:
Sign Off
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Trade Supervisor
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Trade Supervisor
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Swinerton Representative
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Swinerton Safety Inspector
CORRECTIVE ACTIONS
ITEMS REQUIRING ATTENTION ON THE PRECEDING ASSESSMENT, SHOULD BE RECORDED AND RETURNED TO THE SWINERTON DIVISIONAL SAFETY INSPECTOR WITHIN 24 HOURS.
Relative Corrective Action(s)
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Corrective Action Item (e.g. 1), 2), 3) . . .)?
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Corrective Action TAKEN?
Corrective Action Personnel
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Corrective Action by WHO?
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Corrective Action DATE?
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Corrective Action(s) Responsible Employee:
