The LP Safety Site Inspection 2022

• PO#

• Client / Site

• Field Supervisor

  Sergio Millan

  N/A

• Crew Leader

  Select Andrei Sogol Joe Kelly Julian Montoya Raul Lizarraga Rayan Gallegos Jeff Ikari

  • Andrei Sogol
  • Joe Kelly
  • Julian Montoya
  • Raul Lizarraga
  • Rayan Gallegos
  • Jeff Ikari

• Job Leader

  Select Ashoor Lado Alejandro Villegas- Villagomez Cristo Gomez Dylan Putnam Edwin Rodriguez Ernesto Servin Javed Noori Javier Maldonado Joshua Lea Manny Villegas Nathan Tanquary Oscar Davila Raul Lizarraga Rogelio Flores Jonathan B.

  • Ashoor Lado
  • Alejandro Villegas- Villagomez
  • Cristo Gomez
  • Dylan Putnam
  • Edwin Rodriguez
  • Ernesto Servin
  • Javed Noori
  • Javier Maldonado
  • Joshua Lea
  • Manny Villegas
  • Nathan Tanquary
  • Oscar Davila
  • Raul Lizarraga
  • Rogelio Flores
  • Jonathan B.
• Location
  Address

• Conducted on

  Date

• Prepared by

• Document No.

Trucks/ Vans

• Is Exterior clean

  Clean

  Needs Work

  Dirty

• Is Interior clean and organized including cab (Would Steve let a customer get in and drive in the current condition?)

  Clean

  Needs Work

  Dirty

• Is the truck/van parked properly?

  Safe

  At Risk

  N/A

• Are all doors closed and/or locked if needed?

  Safe

  At Risk

  N/A

Work Areas

• Are the work activities being managed safely?

  Safe

  At Risk

  N/A

• Discuss and note:

• Take some actions shots of the crew working and add it to company cam under that project

  Media

• Is there a shop set up?

  Yes

  No

  N/A

• Add media

  Media

• Is there a hand washing Station Set up?

  Set up and working

  Not set up or not on site

• Is the standard of housekeeping acceptable?

  Yes

  No

  N/A

• Add media

  Media

• Paint and thinners properly covered when not in use?

  Yes

  No

  N/A

• Is all hardware in a zip lock bag

  Yes

  No

  N/A

• Are there hardwood floors?

  Yes

  N/A

• Are the floors properly protected?

  Safe

  At Risk

  N/A

• Take a few pics for our records

  Media

Crew

• Are all employees properly uniformed (neat & clean appearance)?

  Clean

  Dirty

• Take a pic of employees who are not properly uniformed

  Media

• Does everyone look healthy?

  Yes

  No

  N/A

• Who is the employee? Did you send them home?

• Do all employees have their toolbox on site?

  Yes

  No

  N/A

• List Employees that do not have their grip:

Employee:

• undefined

• Did you ask all employees when the last time they washed there hands?

  Yes

  No

  N/A

• Have you shared your tools?

  Yes

  N/A

• Did you sanitize them when they were returned?

  Yes

  No

Crew Leader

• Has there been a daily huddle?

  Yes

  No

  N/A

• Did you complete a health Questionnaire for everyone on the crew today?

  Yes

  No not everyone

Renovation, Repair and Painting Rule. (EPA RRP)

• Is this a project a pre-1978 housing or child-occupied facility?

  Yes

  N/A

• Might we disturb more then six square feet of the previously painted surface?

  Yes

  N/A

• Does the RRP Rule apply?
  The RRP rule applies to "Target Housing" and "Child-Occupied Facilities."
  
  Definition: Target Housing - is a house or apartment (including mobile homes) built before January 1, 1978 except for:
  1) 0-bedroom units (like dorm rooms or studio apartments)
  2) housing that is officially designated for the elderly or the handicapped
  3) housing that has been tested by a State Certified Lead Inspector and found to be free of lead-based paint.
  
  Definition: Child-Occupied Facility - is a building, or portion of a building, constructed prior to 1978, visited by the same child, 6 years of age or under, on at least 2 different days within any week, provided that each day's visit lasts at least 3 hours, the combined weekly visit lasts at least 6 hours, and the combined annual visits last at least 60 hours. Such facilities may include, but are not limited to, day-care centers, preschools and kindergarten classrooms.

• Does this project fall under the EPA RRP ruling?

  Yes

  N/A

• The RRP Rule require
  1. Pamphlet Distribution - Contractors must give clients a pamphlet called "Renovate Right" and get a signed receipt before beginning a job.
  
  Contractors can call (800) 424-5323 and ask for free copies of "Renovate Right" and the "Small Entity Compliance Guide to Renovate Right" or both can be downloaded as PDF files from the EPA website.
  
  2. Individual Certification - At least one RRP Certified Renovator is required at each job site. Certification involves taking a 1-day class from an EPA Accredited Training Provider like HomeSafe. For available classes visit: RRP Training
  Note: State Certified Lead Abatement Supervisors and Workers must also become RRP certified, but they only need to take a 1/2 day "refresher" class.
  3. Firm Certification - In addition to individual certification, each firm, agency or non-profit must also become RRP certified. (Note: This includes city agencies and school districts as well as small "one-man-band" handymen and owners of rental property.) Firms or "entities" must submit an application and pay EPA a fee ($300) which is good for 5 years.
  
  The EPA Firm Certification Register your firm online at EPA web site. You do not need individual certification to submit a Firm Application. Firms should apply as soon as possible.
  According to the EPA, after April 22, 2010, "... no firm working in target housing or child-occupied facilities, where lead-based paint will be affected by the work, may perform, offer or claim to perform renovations without EPA Firm Certification."
  
  Firm certification is NOT the same as individual certification attained by successful completion of an RRP course. There is no training requirement for Firm Certification.
  Note: Abatement firms must be RRP Certified if they do non-abatementjobs.
  4. On-the-Job-Training - RRP Certified Renovators are rerquired to train all non-certified people at the job site.
  Note: Contractors who do business with agencies receiving Federal money for housing rehabilitation, etc must have everyone trained in the classroom.
  

• Is there adequate warning notices displayed?

  Yes

  No

  N/A

• notices?

  Yes

  No

  N/A

• Are site rules on display?

  Yes

  No

  N/A

Sanitary Facilities

• Is there a Portable restroom? If interior mark N/A

  Yes

  No

  N/A

• When was it last sanitized?

• Is there adequate running water?

  Yes

  No

  N/A

• Is there a place designated for equipment clean up (brushes, rollers, etc.)

  Yes

  No

  N/A

Fall Protection

• Is this project a 2 story?

  Yes

  N/A

• Do you have brackets and ropes installed?

  Yes

  No

  N/A

• Do you have a Fall protection plan in place?

  Yes Submitted

  No I forgot

Onsite safety hazards, lifting & handling

• Is there a fire extinguisher (charged)?

  Yes

  No

  N/A

• Is there a fully stocked first aid kit?

  Yes

  No

  N/A

• Is there a safety binder with up to date IIPP?

  Yes

  No

  N/A

• Do you know what IIPP is?

  Yes

  No

  N/A

• Have safety hazards been identified and addressed? Note items and/or pic below:

  Yes

  No

  N/A

• Note what has been identified:

• Add media

  Media

• Have manual lifting and handling tasks been properly assessed (moving large ladders & equipment)?

  Yes

  No

  N/A

If an accident on the job

• IF you got hurt do you know how you would call?

  Yes

  No

  N/A

• Do you know what facility you would go to in event of accident?

  Yes

  No

  N/A

• If a accident or near miss occurs do you know how to report it?

  Yes

  No

  N/A

Personnel Protective Equipment (PPE)

• Safety Glasses?

  Yes

  No

  N/A

• Earplugs?

  Yes

  No

  N/A

• Harness for fall protection?

  Yes

  No

  N/A

• Proper footwear being worn?

  Yes

  No

  N/A

• Are dust masks available?

  Yes

  No

  N/A

• Does everyone have a mask or Gator on them or if 6 ft or closer using them ?

  Yes Everyone

  No

• Are all site personnel compliant with the site required PPE?

  Yes

  No

  N/A

CAL OSHA

• Are there any special PPE requirements?

  Yes

  N/A

• Are there any hazardous substances being used?

  Yes

  N/A

• Confirm there is MSDS available and discuss appropriate handling

• Is the MSDS sheet available and held onsite?

  Yes

  No

  N/A

Company Safety

• What can we do to improve our safety?

• Additional Notes (if needed):

• Project Leader

  Sign

• Auditor

  Sign