TRAVIS INDUSTRIES LLC INSPECTION

• Conducted on

  Date

• Prepared by

• Location
  Address

• Project Name/Job No.

• Supervisor/Foreman

PERSONAL PROTECTIVE EQUIPMENT

• Safety Glasses/goggles available and are used?

  Yes

  No

  N/A

• Face Shieldavailable for liquid handling or grinding tasks?

  Yes

  No

  N/A

• Hand Protection used/worn as required?

  Yes

  No

  N/A

• Foot Protection worn as required?

  Yes

  No

  N/A

• Hard hats worn on the job? Good condition?

  Yes

  No

  N/A

• Respirators used, cleaned, stored properly?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

HAZCOM

• MSDS/s openly available to all employees?

  Yes

  No

  N/A

• Flammable liquids are in approved safety cans?

  Yes

  No

  N/A

• Flammable liquids storage containers labled properly?

  Yes

  No

  N/A

• All hazardous containers labeled appropriately?

  Yes

  No

  N/A

• Supplies on hand for accidental chemical spills?

  Yes

  No

  N/A

LADDER / STAIR SAFETY

• Ladders are safe and inspected as appropriate? Type 1, 1A or Taype 1AA?

  Yes

  No

  N/A

• Stair rails for 30-inch change in elevation or 4 risers?

  Yes

  No

  N/A

• Stairs or ladder provided for access points > 19-inch high?

  Yes

  No

  N/A

• Extension & straight ladders extend 3-ft beyond landing?

  Yes

  No

  N/A

• Step ladders are only used in open position?

  Yes

  No

  N/A

ELECTRICAL SAFETY

• GFCI's used for portable electrial hand tools?

  Yes

  No

  N/A

• Electrial panels or circuits are labeled appropriately?

  Yes

  No

  N/A

• Lighting bulbs or tubes are protected from breakage?

  Yes

  No

  N/A

• LO/TO is being used for appropriate tasks?

  Yes

  No

  N/A

• Strain relief integrity for cords and plugs intact?

  Yes

  No

  N/A

• Extension cords are rated for hard usage? (S, ST, SO, STO, SJ, SJO, SJT OR SJTO)

  Yes

  No

  N/A

• Electrial cords regularly inspected and all prings are intact?

  Yes

  No

  N/A

• Portable generators are grounded per NEC?

  Yes

  No

  N/A

• Electrial power tools are double-insualted or grounded?

  Yes

  No

  N/A

CONFINED SPACE

• Confince space entry work? Posted?

  Yes

  No

  N/A

• Permit for entry into permit-rquired (2C) confined space?

  Yes

  No

  N/A

• Fire/Resuce notified for permit-required (2C) confined spaces?

  Yes

  No

  N/A

• Air monitoring? Instrument?

• Appropriate CS training in place?

  Yes

  No

  N/A

COMPRESSED GASES

• Compressed gas cylinders stored secured and upright?

  Yes

  No

  N/A

• Oxygen/acetylene torch units have flash back resistors?

  Yes

  No

  N/A

• Compressed gas cylinders not in use have caps in place?

  Yes

  No

  N/A

MATERIAL HANDLING

• Employees operating PIT/SSL/AL's are trainined?

  Yes

  No

  N/A

• Wire rope used for lifting? Deterioration is absent?

  Yes

  No

  N/A

• Crane used? Approved written plan on file with load capacities?

  Yes

  No

  N/A

• Hooks used for lifting have safety latch in place?

  Yes

  No

  N/A

EXCAVATION

• Excavation-ladder if ? 4ft deep? Extends 3ft above and are 25 ft apart, or less?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Sloping, shoring evaluated?

  Yes

  No

  N/A

• Daily inpsection by Competent Person?

EMERGENCY / FIRST AID

• Emergency phone numbers posted and are known by all?

  Yes

  No

  N/A

• Emergency eyewash and/or shower units accessible and useable?

  Yes

  No

  N/A

• First-aid kit avaiable at work site and are well stocked?

  Yes

  No

  N/A

• Fire extinguishers readily available (not blocked)?

  Yes

  No

  N/A

• Fire extinguishers inspected? Sufficient number?

  Yes

  No

  N/A

• Hot work/burn permits used for grinding, cutting, welding?

  Yes

  No

  N/A

• Exits marked? Not Blocked?

  Yes

  No

  N/A

HAND TOOLS / POWER TOOLS

• Grinders (portable and stationary) have guards in place?

  Yes

  No

  N/A

• Impact sytle air tools have safety clips/retainers installed?

  Yes

  No

  N/A

• Pnematic power tools have hoses secured?

  Yes

  No

  N/A

• Portable circular saws equipped with protective guards?

  Yes

  No

  N/A

• No Signs of Unsafe hand tools?

  Yes

  No

  N/A

• Impact tools, hammers kept free of splinters/mushrooms?

  Yes

  No

  N/A

GENERAL SAFETY

• General housekeeping is neat and orderly?

  Yes

  No

  N/A

• Wall openings and floor holes are covered or guarded?

  Yes

  No

  N/A

• Rebar caps used for protruding bars?

  Yes

  No

  N/A

• Concrete work? Silica dust training documents for all ?

  Yes

  No

  N/A

• Saffolding-guardrails used?

  Yes

  No

  N/A

• Scaffold design by Qualified Person?

  Yes

  No

  N/A

• Scaffold Competent Person? Name:

• Lasers in use (Class 2 or 3A/3R only)? Area posted?

  Yes

  No

  N/A

• Illumination adequate?

  Yes

  No

  N/A

• Permits in place (enviornmental, concrete penetration, digging, burning, Hot Work)?

  Yes

  No

  N/A

• Employees signed?

  Y

  N

• Tool-Box safety talks conducted and documented?

  Yes

  No

  N/A

• Safety Training is current and documented

  Yes

  No

  N/A

• Project-Specific training conducted and documented

  Yes

  No

  N/A

• Health & Safety Plan Available? Reviewed with workers?

  Yes

  No

  N/A

• Competent Person on site? Name:

• Buddy Program Participant Present? N / Y ( see other side if yes)

  Yes

  No

  N/A

WELDING

• Are welding leads in good condition with NO visible damage within 10 feet of the rod/wire holder?

  Yes

  No

  N/A

• Are welding machines grounded?

  Yes

  No

  N/A

• Are flammables stored 50ft. Or greater from the work area?

  Yes

  No

  N/A

• Are there requirements for a Fire Watch?

  Yes

  No

  N/A

• Are approprate fire extinshishers available? Inspected?

  Yes

  No

  N/A

• Are welding hoods in good condition?

  Yes

  No

  N/A

• Is the appropriate shade available, is it in place?

  Yes

  No

  N/A

• Are welding blinds necessary to protect others?

  Yes

  No

  N/A

• Will wind or breeze affect the work?

  Yes

  No

  N/A

• Hot Work Permit acquired, completed and signed?

  Yes

  No

  N/A

BLASTING / PAINTING

• Are pressure hoses inspected: (air, blast, etc.) Hoses are without cuts, blisters, soft areas, etc.

  Yes

  No

  N/A

• Fittings on blast pot are secure?

  Yes

  No

  N/A

• "Deadman" control properly working?

  Yes

  No

  N/A

• Are all hose connections and fittings safety wired, or clipped to ensure security?

  Yes

  No

  N/A

• Are whip checks present and in good condition?

  Yes

  No

  N/A

• Are all the hoses neatly laid out and without kinks?

  Yes

  No

  N/A

• Are all Blast hoods in a safe working condition?

  Yes

  No

  N/A

• Proper lifting techiniques used?

  Yes

  No

  N/A

• Hearing protection is worn when equipment is running?

  Yes

  No

  N/A

• Is the area Lead restricted and posted?

  Y

  N

Inspection Conclusion

• Supervisor/Foreman

• Signature

  Sign

• Notes