TST Roofing

• Conducted on

  Date

• Prepared by

• Location
  Address

Safety Inspection

• Job Name:

• Inspected by:

• Date:

  Date

• Foreman:

• Fall Protection

  Yes

  No

  N/A

• Warning lines are a minimum of 6' from roof edge

  Yes

  No

  N/A

• Access path controlled (building access, roof access, chute access)

  Yes

  No

  N/A

• Safety stands are adequately spaced

  Yes

  No

  N/A

• Safety lines are tight

  Yes

  No

  N/A

• Guardrail system being used properly

  Yes

  No

  N/A

• Lifeline system installed and being used properly

  Yes

  No

  N/A

• Proper use of safety monitor(s)

  Yes

  No

  N/A

Ladders

• Ladders inspected and in good condition

  Yes

  No

  N/A

• Ladders properly secured,

  Yes

  No

  N/A

• properly sloped and extended 36" above landing

  Yes

  No

  N/A

• Step ladders fully opened

  Yes

  No

  N/A

• Elevation changes greater than 19" have properly installed steps

  Yes

  No

  N/A

Scaffolding

• Scaffold plumb, fully cross-braced, and secured

  Yes

  No

  N/A

• Guardrails and toe boards properly used

  Yes

  No

  N/A

• Access ladder provided

  Yes

  No

  N/A

Floor and Wall Openings

• Curb openings / skylights covered & identified or barricaded

  Yes

  No

  N/A

• Roof drain baskets installed at drain openings / Holes larger than 2" identified & covered

  Yes

  No

  N/A

Fire Prevention

• Extinguishers 25' - 50' from all equipment, trash piles, work areas

  Yes

  No

  N/A

• Extinguishers labeled, in date, and charged

  Yes

  No

  N/A

• Flammable materials properly identified, stored and posted- fire extinguisher 25'-50'

  Yes

  No

  N/A

• No smoking sign posted at roof entrance and enforced

  Yes

  No

  N/A

Electrical

• Electrical dangers posted

  Yes

  No

  N/A

• Lock out/Tag out procedures followed

  Yes

  No

  N/A

• GFCI's being used

  Yes

  No

  N/A

• Tools and cords in good working condition

  Yes

  No

  N/A

• PPE

  Yes

  No

  N/A

• Hard hats being worn properly

  Yes

  No

  N/A

• Appropriate safety glasses/face sheild being worn

  Yes

  No

  N/A

• Appropriate gloves being worn

  Yes

  No

  N/A

• Appropriate shoes, pants, and shirts being worn

  Yes

  No

  N/A

• Respirators and dust mask being worn properly

  Yes

  No

  N/A

Housekeeping & Sanitation

• Working area orderly

  Yes

  No

  N/A

• Adequate supply of drinking water and individual drinking containers

  Yes

  No

  N/A

• Trash bags provided and used at water cooler

  Yes

  No

  N/A

• Dumpster

  Yes

  No

  N/A

• /kettle area flagged and kept neat and orderly

  Yes

  No

  N/A