TEI Job Site Inspection Report

• Document No.

• Project Name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Supervisor

General Safety/Housekeeping

• General housekeeping is neat and orderly?

  Safe

  At Risk

  N/A

• Health and Safety Plan available and reviewed with worker?

  Yes

  No

  N/A

• Concrete work? Silica dust training documented for all? Respirators?

  Safe

  At Risk

  N/A

• Rebar cabs used for protruding bars?

  Safe

  At Risk

  N/A

• Toolbox Talks-JSA's conducted and documented?

  Yes

  No

  N/A

• Signs/signals/barricades in place?

  Safe

  At Risk

  N/A

Ladder/Stair Safety

• Ladders are safe and inspected as appropriate?

  Safe

  At Risk

  N/A

• Stair rails- for 30" change in elevation or 4 riser?

  Yes

  No

  N/A

• Stairs or ladder provided or access points > 19" high?

  Yes

  No

  N/A

• Extension & straight ladders extend 3' beyond landing?

  Yes

  No

  N/A

• Stepladders are only used in open position?

  Yes

  No

  N/A

Emergency First Aid Equipment

• Emergency phone numbers posted and known by all?

  Yes

  No

  N/A

• Emergency eyewash and/or shower units accessible?

  Yes

  No

  N/A

• First aid kit available at worksite?

  Yes

  No

  N/A

• Fire extinguishers readily available (not blocked)?

  Yes

  No

  N/A

• Fire extinguishers inspected?

  Yes

  No

  N/A

Confined Space Entry

• Confined space entry work? Posted?

  Yes

  No

  N/A

• Permit for PRCS spaces?

  Yes

  No

  N/A

• Fire/Rescue notified for PRCS permitted spaces?

  Yes

  No

  N/A

• Air monitoring?

  Yes

  No

  N/A

• Training in place?

  Yes

  No

  N/A

Personal Protective Equipment

• Yes

  No

  N/A

• Safety glasses and/or goggles available & being used .

  Yes

  No

  N/A

• Hand protection used/worn as required?

  Yes

  No

  N/A

• Foot protection worn as required .

  Yes

  No

  N/A

• Hearing protection worn where required?

  Yes

  No

  N/A

• Hard hats worn on construction site?

  Yes

  No

  N/A

• Fall protection, full body harness & lanyard used at > 6ft?

  Yes

  No

  N/A

Hazard Communication

• MSDS openly available to all employees?

  Yes

  No

  N/A

• Flammable liquids are in approved safety cans?

  Yes

  No

  N/A

• All hazardous containers labeled appropriately?

  Yes

  No

  N/A

Material Handling

• Hooks used for lifting have safety latch in place?

  Yes

  No

  N/A

Electrical Safety

• GFCI's used for all portable electrical hand tools?

  Yes

  No

  N/A

• Light bulbs for illumination protected from breakage?

  Yes

  No

  N/A

• For extension cords: hard usage cord includes three-wire cords marked S, ST, SO, STO, SJ, SJO, SJT, or SJTO.

  Yes

  No

  N/A

• Electrical cords inspected & have all prongs intact?

  Yes

  No

  N/A

• Electrical power tools are double insulated or grounded?

  Yes

  No

  N/A

Scaffolding

• Scaffolding-guard rails used?

  Yes

  No

  N/A

• Competent person on site?

  Yes

  No

  N/A

• Scaffold design by qualified person?

  Yes

  No

  N/A

• Platforms fully planked or decked?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Documented inspections by competent person .

  Yes

  No

  N/A

Excavations

• Excavation-ladders if > 4ft deep? Extend 3ft? 50ft apart?

  Yes

  No

  N/A

• Excavation-protection from cave-ins for > 5ft?

  Yes

  No

  N/A

• Slipping, shoring evaluated?

  Yes

  No

  N/A

• Daily inspection?

  Yes

  No

  N/A

Field Office

• Entrance/Exits/Steps?

  Yes

  No

  N/A

• Fire Exits/Extinguishers?

  Yes

  No

  N/A

• Electrical?

  Yes

  No

  N/A

• Flammable Liquids?

  Yes

  No

  N/A

Sign Off

• Supervisor's Signature

  Sign

• Auditor's Signature

  Sign