Information
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Jobsite Name:
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Superintendent
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Project Manager
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Project Executive
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Conducted on
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Prepared by
TCC FIELD OFFICE AND SAFETY ADMINISTRATION
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OSHA, DOL and all mandatory posters posted?
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Emergency phone numbers posted?
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Hospital / clinic information posted?
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OSHA 300 forms completed and posted from February 1 to April 30?
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Site safety / evacuation plan posted?
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Emergency Procedures posted? Plan shows shut off valves?
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TCC Code of Safe Work Practices / General safety rules posted?
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TCC Injury and Illness Prevention Program (IIPP) on site?
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TCC Heat Illness Prevention Program (HIPP) on site?
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TCC Safety inspections being conducted, documented, and current?
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TCC Daily Reports current and safety section completed?
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TCC Tailgate meetings up to date?
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Cal/OSHA required permits current and posted for - Building Height/Scaffold<br><br>A) Construction of any building, structure, scaffolding or falsework more than three (3) stories high or the equivalent height of (36 feet)
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Cal/OSHA permit current and posted for - Trench/Excavation?<br><br>A) Construction of trenches or excavations which are five feet (5ft) or deeper and into which a person is required to descend.
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Cal/OSHA permit current and posted for - Demolition <br><br>A) Demolition of any building or structure, or dismantling of scaffolding or falsework more than three stories high or the equivalent height (36 feet)
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Cal/OSHA permit current and posted for - Vertical Shoring Systems<br><br>A) Erecting or dismantling of vertical shoring systems more than three stories high, or equivalent height (36 feet).
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TCC first aid kit present, stocked, and within expiration date?
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TCC - Fire Extinguisher in the field office (at least one 2A-10B-C extinguisher).
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Subcontractor(s) IIPP filed?<br>
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Sub contractor(s) MSDS filed?
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Sub contractor(s) tailgate meetings up to date?
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Sub contractor(s) Competent person(s) identified (e.g. Fall Protection, Scaffolding, Trench/Excavation, Confined Space) and a copy of certification(s) provided to TCC and filed?
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Sub contractor(s) person identified for first aid/CPR and copy of certification provided to TCC and filed?
COMPRESSED GASSES
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Oxygen and fuel (eg. Acetylene) cylinders are stored at least 20 feet apart or in a cart that has a 5 foot high barrier rated for 30 min.?
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Are cylinders secured from movement (tied up)?
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Cylinders are secured and transported in an up-right position?
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Is there a flash arrestor on the fuel gas? (regulators do not have built in arrestors)
CONFINED SPACES
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Sub contractor(s) - Permit Required Confined space written program on site?
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Are all confined spaces identified and labeled?
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If the space has been labeled as permit required confined space, does the trade have a permit? Is it completely filled out and kept at the confined space entrance?
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Air monitoring results provided to support the designation of non-permitted / permitted confined space? Documented and provided to TCC?
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Is the Crew entering the confined space following their Confined Space Entry Permit?
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Ventilation properly set up and being used in a Permit Required Confined Space?
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Rescue team trained, equipment set up (e.g. tri-pod) and being utilized?
CRANES
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Certificates of insurance filed, TCC listed as certificate holder?
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Certified riggers and signalmen identified and certificates on file?
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Lift plan reviewed and on file?
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Pre-lift inspection conducted and a copy on file?
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Outriggers extended on a firm surface (e.g. floats on an outrigger pad)?
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Swing radius barricade (e.g. "Danger" tape) in place?
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Employees kept from under loads?
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Tag lines used to guide loads?
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Rigging (e.g. slings, wire cables, chain) inspected and are in good condition (no "red" thread or other visible damage), and have capacity labels/tags?
ELECTRICAL
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Cords are free of damage and repairs?
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Electrical cords have ground posts?
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All cords (extension and bull cords) protected from roll over
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Ground fault circuit interrupters (GFCI) being used when plugged directly into structures?
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All outlets and panel boxes are covered with an approved cover?
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All outlets being used correctly and not overloading?
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All powerstrips are rated for construction?
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Temporary lighting adequate (5 foot candles) in corridors, hallways and stairwells?
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Temporary lighting is being suspended by the eyelet (not the cord)?
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Temporary lighting cages are in place and protecting bulbs (no bare bulbs)?
ELECTRICAL - "Energized"
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All "Live" electrical panels are protected (e.g. Dead-front secured - no exposed conductors) and properly labeled (e.g. "Danger - Live Wires")?
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Lockout/Tagout (LOTO) procedure in place? De-energized circuits have tag(s) (filled out) and lock(s)?
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PPE - Proper Arc Flash PPE being worn based upon Arc Flash Hazard Evaluation and/or NFPA 70E (e.g. Arc Rated arc flash suit, hard hat, face shield, safety glasses, hearing protection, electrical rated gloves)?
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All electrical lines minimum distance of at least 10 feet being maintained?
EQUIPMENT / EQUIPMENT OPERATIONS
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Forklift Operators have been identified and a current certification has been provided to TCC and is on file?
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Equipment (e.g. Scissor lift, Boom lift, Backhoe, Excavator, Blade, Earth mover, etc.) inspected daily and documentation provided to TCC?
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Equipment being used in good condition? Equipment does not have any modifications.
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Operators driving at a safe speed? Adhering to job site posted speed limit?
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Seat belts being used when applicable?
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Boom lifts - PPE - Workers are wearing Personal Fall Arrest Systems (PFAS - e.g. Harness, and Lanyard), and are tied-off to an appropriate anchor point?
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Scissor lifts are not being overloaded with materials?
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Scissor lift and Boom lift operators staying in the basket? Operators staying off mid rails or guardrails?
FALL PROTECTION
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Rod busters utilizing fall protection (above 6 feet - except for point-to-point travel)?
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Ramps are at least 20 inches wide (foot ramps), or 30 inches wide if used for wheelbarrows?
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Ramps made of material that can handle 2 times the maximum intended load?
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Ramps are secured / tied down to assure ramps do not move?
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Work being performed over 6 feet (e.g. windows, balconies, roof, wall openings, leading edge, floor openings, etc.) protected by the use of guardrail or other fall protection system?
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Guardrails (Wood or Cable) - top rails (42-45 inches), mid rails (21-23 inches), and toe boards are in place? If Cable, at least 2 wire clamps properly used (never saddle a dead horse)?
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Skylights, roof holes, floor openings (2 inches or greater in diameter), and wall openings (wider than 16 inches) are completely covered or protected?
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Covers are secured (e.g. cleated or nailed) to prevent easy displacement?
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Covers are capable of supporting 400 lbs. or twice the anticipated load, and are clearly marked "Hole" or "Cover"?
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Implement hazards (e.g. rebar, flat stakes, EMT conduit, anchor bolts, etc.) protected?
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Fall Protection Plan (includes rescue plan) developed by each Subcontractor working over 6 feet, and submitted to TCC for review?
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Training - Subcontractor(s) have trained their employees on proper use of fall protection (e.g. harness and lanyard) and have provided a copy of their training certification to TCC and is on file?
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PPE - Subcontractor(s) working over 6 feet are properly wearing Personal Fall Arrest Systems (PFAS - e.g. Harness, and Lanyard), and are tied-off to an appropriate anchor point or are following Cal/OSHA fall protection guidelines (e.g. Connectors, roofers, Iron workers, frames - see trigger heights on the below questions)
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Iron workers (Connectors only) utilizing fall protection (above 30 feet) per Cal-OSHA standards?
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Roofers utilizing fall protection (above 20 feet) per Cal/OSHA standards?
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Iron workers and/or Framers utilizing fall protection (above 15 feet) and on 4 inch nominal or wider structural members?
FIRE PREVENTION
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No Smoking signs posted at flammable or combustible liquids are stored?
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No smoking being enforced?
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Fire extinguisher(s) present (2A-10B:C), inspected (monthly) and accessible? (Every 3000 sq feet or 75 feet of work, and/or at least 1 located adjacent to the stairway at each floor)?
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Fire extinguishers present during hot work?
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Hot work permit filled out completely and a copy provided to TCC?
HAND AND POWER TOOLS - POWDER ACTIVATED TOOLS (P.A.T.)
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Tools are being used per manufacturers specifications?
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Tool guards (e.g. grinders) in place and being used correctly?
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The correct tool being used for the job?
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Tools are unaltered, no repairs and maintain ground posts on cords?
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All Powder Actuated Tools (P.A.T) operators are certified? Operator has the certificate on them?<br>
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P.A.T. signs are properly displayed when being used?
HOUSEKEEPING
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Work areas clear of obstructions?
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Paths of travel clear of all trash, materials, and debris
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Access and egress, ladders and stairways are clear of all trash, material, debris, or other trip hazards?
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Trash bins are being provided, and trash and/or debris are being removed on a regular basis?
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Staging / lay down areas orderly?
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Projecting nails / screws bent over or backed out?
LADDERS
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Extension ladders extend at least 3 feet above the landing and tied off?
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"A" frame ladders are being used per manufacturer specifications? Open with spreaders locked?
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Subcontractor(s) are refraining from utilizing the top two steps of an "A" frame ladder?
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Subcontractor(s) are using proper height ladders for the job?
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Subcontractor(s) are using like new ladders free of damage?
PERSONAL PROTECTIVE EQUIPMENT
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Hard Hats being worn 100% of the time?
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Safety glasses being worn when exposed to an eye hazard?
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Face shields being used (with safety glasses) when cutting block, using a chop saw or other activity which could cause injury to the face?
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Hearing protection being used when required / necessary?
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Foot protection being used while using jack hammer or soil compactor (e.g. wacker)?
SCAFFOLDS
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Scaffold(s) inspected by competent person daily, and documentation is provided at all access points ("Green" tag), and a copy provided to TCC?
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Scaffold footings and mud sills visible? Footing nailed to the mud sills? Mud sill not being undermined.
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Scaffold tied off (double-looped No. 12 iron wire, or single-looped No. 10 iron wire or equivalent) to structure as required?
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Guardrails, mid rails and toe boards in place and at the proper height?
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Planks have been inspected, and any split or damaged planks are removed?
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Proper access provide to all levels?
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Person(s) working below scaffold system are protected from falling objects (e.g. toe board, orange fencing, etc.)?
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Scaffold are kept clear of trash and material?
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Mobile Scaffold (e.g. Perry/Baker scaffold) are built and used per manufacturers recommendations?
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Mobile Scaffold wheels are locked when in use?
SITE PERIMETER
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Perimeter fence in good condition, gates closed, graffiti removed?
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TCC Safety Requirement Board is located at entry point(s)?
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Perimeter fence has signage such as "Caution - Keep out - Construction area", at all access locations and periodically around the jobsite?
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Pedestrian walk areas clear of construction related hazards (i.e. rocks, dirt, construction material)?
TRAFFIC CONTROL and FLAGGERS
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Traffic control plan has been developed and a copy has been provided to TCC?
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Traffic control devices (TCD's) are set-up according to the Traffic Control Plan or Cal/MUTCD?
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TCD's are inspected at least daily and documentation of the inspection is completed and provided to TCC?
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Flaggers have been trained and a copy of training certificate has been provided to TCC?
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Flaggers are using proper signs and hand signals?
TRENCHES, EXCAVATIONS AND PROTECTIVE SYSTEMS
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Competent person identified and present?
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Dig Alert has been contacted, work area has been marked, and their is an active Dig Alert ticket?
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Pot-holing has been done by hand (i.e. hand dig with flat shovel, or vacuum truck) to locate existing underground utilities?
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Trench/Excavation inspections being conducted daily prior to entry, and a copy of the inspection is provided to TCC daily?
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Trench/Excavation soil properly identified (A,B,C)?
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Trench/Excavation properly shored, benched, or slopped?
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Ladders (extension or straight, NO step ladders) are in place and within 25 feet of workers in a trench/excavation 4 feet or greater?
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Spoils pile and material(s) (e.g. trucks, unnecessary material) are stored at least 2 feet away from trench/excavation edge?
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Equipment operating at a safe distance from trench or excavation?
WELDING
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Welding leads are in good condition? No splicing or repairs within 10 feet from the cable end.
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Welding shields being used to protect other trades?
GENERAL
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List any imminent danger conditions
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General notes on conditions
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Miscellaneous Pictures
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Please draw any clarifying pictures