Triple's Linings Site Safety Inspection - Operations

• Company name / Job Name

• Conducted on

  Date

• Prepared by

• Location
  Address

Site Overview

• Number Employees in Site

• TTT Vehicles

• Weather Conditions

• Permits

• Did workers complete the Triple T's Linings Job Safety Analysis Prior Commencing Tasks?

  Yes

  No

  N/A

• Task being Performed

• Nearest Medical Centers

• Emergency numbers and procedures posted?

  Yes

  No

  N/A

Water Availability

• Does crew have enough water Fluids for everyone?

  Yes

  No

  N/A

• Temperature of Location

FIRST AID

• Is first aid equipment available on site.

  Yes

  No

  N/A

• Are first aid kit properly stocked?

  Yes

  No

  N/A

• All Trucks that have First Aid Kits in Location

• Are first aid trained coworkers on site?

  Yes

  No

  N/A

• Are coworkers aware of the address of the site and the nearest hospital?

  Yes

  No

  N/A

• Are coworkers aware of the address of the site and capable of giving directions to emergency crew

  Yes

  No

  N/A

HOUSEKEEPING & SANITATION

• Do the trailers in site have good housekeeping ?

  Yes

  No

  N/A

• If no Trailer Numbers?

• Is general neatness of working areas aceptable?

  Yes

  No

  N/A

• Is good housekeeping observed?

  Yes

  No

  N/A

• Are passageways and walkways clear and free of debris?

  Yes

  No

  N/A

• Are waste and trash containers provided and used?

  Yes

  No

  N/A

• If no Trailers missing Trash Cans?

• Are exposed nails removed or bent over?

  Yes

  No

  N/A

• Is there regular removal of waste and trash from the containers?

  Yes

  No

  N/A

• Is temporary storage of materials and supplies done in a organized fashion?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT (PPE)

• Are all Workers in Location wearing FRC?

  Yes

  No

  N/A

• If No Name of Employee?

• Are hard hats being worn?

  Yes

  No

  N/A

• Are proper steel toe boots utilized for foot protection?

  Yes

  No

  N/A

• Is eye protection at all times?

  Yes

  No

  N/A

• Is respiratory protection being used when conditions require them?

  Yes

  No

  N/A

• Is hearing protection being used by coworkers that may be exposed to noisy conditions?

  Yes

  No

  N/A

• Are coworkers using proper hand protection?

  Yes

  No

  N/A

• Are all staff and visitors are wearing Hi-Viz vests or jackets.<br>Ensure Hi-Viz clothing is not damaged.

  Yes

  No

  N/A

• Are respirators stored and worn properly?

  Yes

  No

  N/A

• Do all employees have H2S monitors

  Yes

  No

  N/A

• All Employees have TTT training card, Safeland, Fit Test card?

  Yes

  No

  N/A

• Are 4 Gas Monitors Required?

  Yes

  No

  N/A

FIRE PROTECTION & PREVENTION

• Are extinguishers readily accessible?

  Yes

  No

  N/A

• Do fire extinguishers have current inspection tags?

  Yes

  No

  N/A

• Is there a clear path to fire hydrants for the fire deparment?

  Yes

  No

  N/A

• Are all flammable liquid containers clearly identified?

  Yes

  No

  N/A

• Are all flammable liquid containers metal cans that are UL or FM listed?

  Yes

  No

  N/A

• Have proper storage practices for flammables been observed?

  Yes

  No

  N/A

• Have gas cylinders been chained upright with valve caps securely fastened?

  Yes

  No

  N/A

• Are temporary heaters located at a safe distance from combustibles?

  Yes

  No

  N/A

• Is ventilation adequate for temporary heaters?

  Yes

  No

  N/A

HAZARD COMMUNICATION

• Are SDS sheets maintained on each product in use?

  Yes

  No

  N/A

• Are SDS labels on each chemical container that is unmarked.?

  Yes

  No

  N/A

• Are coworkers properly trained on hazardous chemicals present?

  Yes

  No

  N/A

DUST, GASES, VAPORS, FUMES & MISTS

• Is adequate ventilation provided?

  Yes

  No

  N/A

• Is protective equipment used to protect against over-exposure?

  Yes

  No

  N/A

• Are coworkers made knowledgeable of the hazards when working with harmful agents?

  Yes

  No

  N/A

HANDLING & STORAGE OF MATERIALS

• Are materials properly stored and stacked?

  Yes

  No

  N/A

• Are passageways clear?

  Yes

  No

  N/A

• Proper number of workers for each operations?

  Yes

  No

  N/A

LIFTING OPERATIONS

• The operators had the appropriate training

  Yes

  No

  N/A

• Are the rate capacity/safe working loads clearly marked

  Yes

  No

  N/A

• Is lift positioned on solid level ground

  Yes

  No

  N/A

• Is the lift equipment been inspected daily before use?

  Yes

  No

  N/A

• Are the lifting operations at a minimum clearance of 20" from the power lines

  Yes

  No

  N/A

• Everyone in the lift basket standing firmly on the floor, wearing proper fall protection or protection equipment?

  Yes

  No

  N/A

FLAMMABLE GASES & LIQUIDS

• Has there been proper segregation between flammable gas cylinders?

  Yes

  No

  N/A

• Proper labeling of full and empty flammable gas cylinders?

  Yes

  No

  N/A

• Are proper type and number of fire extinguishers nearby?

  Yes

  No

  N/A

HAND TOOLS

• Are tools neatly stored and accessible when not in use?

  Yes

  No

  N/A

• Are tools being carried safely?

  Yes

  No

  N/A

• Is the proper hand tool used for the task?

  Yes

  No

  N/A

• Are hand tools and other equipment regularly inspected for safe conditions?

  Yes

  No

  N/A

• Are the handles on hand tools in good condition, not bent, splintered or broken?

  Yes

  No

  N/A

POWER TOOLS & POWDER ACTUATED TOOLS

• Are power tools inspected before use?

  Yes

  No

  N/A

• Are tools inspected for frayed and damaged cords?

  Yes

  No

  N/A

• Are tools and cords properly grounded and are ground pin in good condition?

  Yes

  No

  N/A

• Are double insulated tools in use and in good condition?

  Yes

  No

  N/A

• Are tools neatly stored and accessible when not in use?

  Yes

  No

  N/A

• Are tools being carried safely?

  Yes

  No

  N/A

• Is the proper power tool being used for the task?

  Yes

  No

  N/A

• Are guards in place on the tool and in good condition?

  Yes

  No

  N/A

• Are portable circular saws equipped with guard above and bellow the base or shoe?

  Yes

  No

  N/A

• Are rotating or moving parts of equipment guarded to prevent contact by coworker?

  Yes

  No

  N/A

• Are all hoses on air or hydraulic tools in good condition?

  Yes

  No

  N/A

ELECTRICAL

• Are extension cords free of nicks, gouges or cuts?

  Yes

  No

  N/A

• Are cords ends inspected for proper grounded prongs?

  Yes

  No

  N/A

• Are power cords protected in traffic ways?

  Yes

  No

  N/A

• Are GFCI's and/or assured equipment grounding conductor programs being used?

  Yes

  No

  N/A

• Lockout / tagout devices available and used on circuits that could be come energized?

  Yes

  No

  N/A

• If temporary lighting is provided, are bulbs protected against accidental breackage?

  Yes

  No

  N/A

LADDERS

• Is the proper ladder being used for the task?

  Yes

  No

  N/A

• Are portable ladders adequate for their purpose?

  Yes

  No

  N/A

• Are step ladders fully open when in use?

  Yes

  No

  N/A

• Are ladder rungs in good condition, none missing or broken?

  Yes

  No

  N/A

• Are safety shoes/cleats on the bottom of the ladder?

  Yes

  No

  N/A

• Is the proper foundation present at base of ladder?

  Yes

  No

  N/A

• Are ladder properly secured to prevent slipping, sliding or falling?

  Yes

  No

  N/A

• Do side rails extend 36" above top of each landing?

  Yes

  No

  N/A

• Are portable ladders used at such a pitch that the horizontal distance from the top bearing to the foot of the ladder is about 1/4 of the working length of the ladder?

  Yes

  No

  N/A

• Are areas around the top and bottom of the ladder kept clear?

  Yes

  No

  N/A

• Are ladder prohibited from being used in a horizontal position as platforms, runways or scaffolds?

  Yes

  No

  N/A

SCAFFOLDING

• Is erection movement and dismantling properly supervised by a competent person?

  Yes

  No

  N/A

• Are scaffold components visible free of any physical damage with no bent support or braces?

  Yes

  No

  N/A

• Are scaffold no greater than 14" away from the wall?

  Yes

  No

  N/A

• Is the scaffold plumb, square and in good condition?

  Yes

  No

  N/A

• Are scaffold which are 4 times higher that the width tied off?

  Yes

  No

  N/A

• Is scaffold erected on a firm and substantial surface (concrete, base plate, mud sill)?

  Yes

  No

  N/A

• Is scaffold properly erected with all pins and two braces installed?

  Yes

  No

  N/A

• Is platform area free of debris/trash?

  Yes

  No

  N/A

• Is planking of sufficient stress grade of scaffold grade timber?

  Yes

  No

  N/A

• Is planking in good condition and fully installed across the platform?

  Yes

  No

  N/A

• Is planking overlapped at least 6" but not greater than 12"?

  Yes

  No

  N/A

• Are planking overlaps centered over a support member?

  Yes

  No

  N/A

• Is planking secured from movement?

  Yes

  No

  N/A

• Area access rungs at least 8" wide and evenly spaced no greater than 16 3/4" apart?

  Yes

  No

  N/A

SCAFFOLD AT 10' - 0" OR MORE IN HEIGHT

• Are guardrails, intermediate rails and toe-board in place?

  Yes

  No

  N/A

• Are guardrails and toe-boards installed on all open sides and ends of scaffold platforms?

  Yes

  No

  N/A

• Are scaffolds equipped with toe-board wherever there is a possibility that falling material could cause a hazard?

  Yes

  No

  N/A

• Are toe-board at least 4" in height?

  Yes

  No

  N/A

• Are top rails between 38" & 48" above the planking?

  Yes

  No

  N/A

• Can top rails withstand a downward force of 200 lbs.?

  Yes

  No

  N/A

• Are coworkers on the ground protected from falling objects?

  Yes

  No

  N/A

• Are coworkers on the scaffold protected from falling objects?

  Yes

  No

  N/A

ROLLING SCAFFOLDS

• Are rolling scaffolds equipped with locking wheels?

  Yes

  No

  N/A

• Are wheels locked when scaffold is in use?

  Yes

  No

  N/A

• Are ladders provided for access to scaffold work platform?

  Yes

  No

  N/A

BARRICADES - FLOOR & WALL OPENINGS

• Is perimeter fall protection installed or CAZ zone utilized when above 6'-0"?

  Yes

  No

  N/A

• Are floor openings planked, secured or barricaded?

  Yes

  No

  N/A

• Are floor openings and other open holes marked and covered?

  Yes

  No

  N/A

• Are stairs with four or more risers equipped with standard hand rail protection?

  Yes

  No

  N/A

• Are anchor post and framing capable of withstanding 200 lbs loads in any direction?

  Yes

  No

  N/A

• Are open excavations barricaded?

  Yes

  No

  N/A

• Is a flag person provided to direct traffic when needed?

  Yes

  No

  N/A

EXCAVATING & TRENCHING

• The Mandatory rule of staying 24 inches or 2ft of Lines being followed?

  Yes

  No

  N/A

• Have utilities companies been notified of proposed excavation work?

  Yes

  No

  N/A

• Is the spoil pile at least two feet from the edge of the excavation?

  Yes

  No

  N/A

• If needed, are barricades, stop logs, properly placed?

  Yes

  No

  N/A

Hazards -Corrective Action -Recommendations

• Recommendation

• Photos of Hazard or recommend corrective action Required

  Media

Report

Photos of Location

• Add media

  Media

Crew at time of inspection

Foreman / responsible party on site

• Add signature

  Sign

Completed by

• Add signature

  Sign

• Yes

  No

  N/A