The Pierce San Jose

• Prepared by:

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• Conducted on

  Date

• Superintendent

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Office Set up

• Clark Safety & Hazcom Manual

  Yes

  No

  N/A

• OSHA Poster/ EEO ,Map to Hospital, Evacuation , Fire Extinguisher

  Yes

  No

  N/A

• First Aid cabinet has been inspected and supplies ordered

  Yes

  No

  N/A

• Proper access- steps & handrails in place

  Yes

  No

  N/A

• Posting of No Smoking Signs Office/Trailer

  Yes

  No

  N/A

Safety on Job Sites

• PPE- personal protective equipment

  Yes

  No

  N/A

• Hard hats

  Yes

  No

  N/A

• Safety vests

  Yes

  No

  N/A

• Safety glasses

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Balcony Guard Rails

  Safe

  At Risk

  N/A

• Posting of the Caution Balcony Signs

  Yes

  No

  N/A

• Guard Rails

  Safe

  At Risk

  N/A

• If no guardrails are workers 100% tied off

  Yes

  No

  N/A

• Is body harness worn properly

  Yes

  No

  N/A

• Is d-ring between shoulder blades

  Yes

  No

  N/A

• Safe Access to each level

  Safe

  At Risk

  N/A

• Access ladder secured/tied off

  Yes

  No

  N/A

• Area near ladder clear of trash and debris

  Yes

  No

  N/A

• Scaffolds inspected/green tag

  Safe

  At Risk

  N/A

• Access ladder

  Yes

  No

  N/A

• Fully planked

  Yes

  No

  N/A

• Mid rails top rails end rails and cross bracing installed properly

  Yes

  No

  N/A

• Are mudsills nailed down

  Yes

  No

  N/A

• Rebar caps

  Safe

  At Risk

  N/A

• Fire Extinguishers charged and in place

  Safe

  At Risk

  N/A

• Fire extinguisher currently inspected

  Yes

  No

  N/A

• Smoking in the Building

  Safe

  At Risk

  N/A

• Posting of the No Smoking Signs

  Yes

  No

  N/A

• Electrical

  Safe

  At Risk

  N/A

• Extension cords not frayed-ground pins-GFCI

  Yes

  No

  N/A

• Power tools-guards in place-PPE

  Yes

  No

  N/A

• Cords protected

  Yes

  No

  N/A

Violations

• Violations

Violation

• Photos

  Media

• Subcontractor

• Location

• Infraction

• Correction

• General site Photos

  Media
General Comments

• Superintendent sign off. Date corrected

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