Title Page
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TSC Construction
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Client / Site
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Jobsite Location
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Date/ Time
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Crew Lead/ Crew
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Inspector:
Current Temperature
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Current Weather Conditions
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Comments
General
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Posters and safety signs/ warnings?
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JSA Completed Correctly?
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Equipment Inspection Logs Completed?
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Crew Certifications correct/ up to date?
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Safety meetings held daily?
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First-aid kit available and adequately stocked?
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Rescue Kit Properly Positioned?
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Site Specific Rescue Plan Completed?
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Accident reporting procedure established?
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Emergency telephone numbers posted?
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Hospital directions posted?
Housekeeping and Sanitation
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General housekeeping of work area(s)?
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Containers to handle normal waste?
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Passageways and walkways clear?
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Adequate lighting?
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Waste containers provided and used?
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Portable toilets adequate and clean?
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Adequate drinking water supply and cups?
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Nails, boards, debris removed and stacked neatly?
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Eyewash facilities available?
Hazard Communication
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Written program on-site?
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Employees trained?
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SDSs on file and available?
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Material properly stored and labeled?
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Chemical inventory list on site and available?
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Labels legible?
Fire Prevention
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Adequate number and type of fire extinguisher(s) available?
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Fire prevention/extinguisher training accomplished?
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Fire extinguisher inspections accomplished (monthly/periodically)?
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Phone number of fire department posted?
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Fire extinguisher(s) provided on appropriate equipment?
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Are flammable liquids in approved containers and correctly labeled?
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Are flammable liquids properly stored?
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Fuel supplies protected from accidental impact?
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“No smoking” signs posted and enforced?
Electrical Safety
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Electrical devices have current inspection and coding?
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Electrical equipment properly maintained?
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Equipment properly grounded?
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GFCI used and tested where required?
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Electrical dangers posted?
Personal Protective Equipment
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Daily Inspection of PFAS/ PPE?
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Employees issued PPE where needed?
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Is PPE being used?
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Employees trained in the use of PPE?
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Adequate fall protection provided?
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Eye protection/Face protection?
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Hearing protection?
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Respirators and masks?
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Head protection?
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Hand and foot protection?
Hand and Power Tools
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Ropes Inspected?
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Rigging Gear Inspected?
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Capstan Inspected?
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Proper tool used for the job?
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Handles free of cracks and attached to tool properly?
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Inspections and proper maintenance accomplished prior to use?
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Tools neatly stored, safely carried?
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Good housekeeping where tools are used?
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Tools grounded properly or double insulated?
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Guards in place and used correctly?
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Damaged or malfunctioning tools tagged out until repaired or replaced?
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Tools protected from unauthorized use?
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Competent instruction and supervision?
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Cords included in electrical inspection?
Ladder Safety
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Ladders inspected and in good condition?
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Ladders used properly for type of exposure?
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Ladders secured to prevent slipping, sliding, or falling?
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Do side rails extend 36” above top of landing?
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Are ladders spliced?
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Rungs or cleats not over 12” on center?
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Proper maintenance and storage?
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Are ladders painted?
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Do fixed ladders in excess of 20’ have fall protection?
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Are ladders of sufficient strength for the task?
Cranes and Derricks
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Are annual inspections completed?
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Are operators certified and physical exams current?
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Are daily inspections completed by operators?
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Outriggers used?
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Power lines deactivated, removed, or warning signs posted warning of at least 10’ clearance from overhead power lines (voltages 50,000 volts or below)?
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Proper loading for capacity at lifting radius?
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Operation in accordance with manufacturer’s instruction?
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Competent person inspecting crane?
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Equipment properly lubricated and maintained?
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Load testing accomplished?
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Signal person qualified and used where needed?
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Riggers qualified?
Heavy Equipment
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Regular inspection and maintenance?
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Seat belts provided and used in equipment with ROPS?
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Backup alarms working and audible?
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Slow-moving-vehicle emblem attached to rear of equipment operating at less than 25 mph?
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No employees riding equipment without proper seating?
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Lights, brakes, warning signals operative?
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Wheels chocked when necessary?
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Haul roads well maintained and laid out properly?
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Equipment properly secured when not in use?
Motor Vehicles
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Regular inspection and maintenance?
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Qualified operators?
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Local and state laws observed?
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Brakes, lights, warning devices operative?
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Weight limits and load stress controlled?
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Personnel carried in correct manner?
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All glass in good condition?
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Backup signals provided?
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Fire extinguisher(s) installed?
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Seat belts worn?
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Tie-down straps or chains inspected?
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Are all vehicles checked at the beginning of each shift?
Steel Erection
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Hard hats, safety shoes, gloves, and other PPE used?
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Taglines for controlling loads?
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Fire hazards covered and barricaded?
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Hoisting apparatus checked?
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Adequate fall protection?
Concrete Construction
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Forms properly installed and braced?
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Shoring adequate, plumbed, and cross-braced?
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Proper curing period and procedures used?
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Adequate PPE?
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Caps on rebar?
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Nails and stripped form material removed from area?
Work Zone Safety
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Adequate warning signs and markers?
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Equipment not blocking right-of-way?
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Traffic control through construction site?
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Dust control used?
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Adequate lighting?
Inspector's Signature
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Assessor's Name