Information
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Project Name
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Project Name & Number
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UCONN AES Project Manager -
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Construction Manager
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Project Superintendent
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Conducted on
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Weather Conditions
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Prepared by: Hettrick, Cyr & Associate's Safety Consultant
Hazard Assessment
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Fall Hazards (edges, holes, wall openings)
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Perimeter Edge Protection
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Holes / Openings / Skylight Protection
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Personal Fall Arrest / Restraint Systems Inspected & Proper Use
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Ladders & Stairways
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Proper ladder selected for the task
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Ladder set up and secured properly
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Staircase pans in-filled with concrete or equivalent
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Scaffolding
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Daily Inspection Tag
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Scaffold Design Meets Minimal Compliance (access, decked, fall protection, toe boards)
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Scaffold Free of Accumulated Debris
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Aerial Lifts
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Lift used in accordance Operator's Manual
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Lift is free from visual defects
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Proper use of personal fall arrest equipment
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Electrical
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Are cords protected against damage
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GFCI provided?
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Temporary lighting properly installed and maintained?
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Steel Erection
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Non-essential personnel removed from under hoisting / decking operations
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Fall protection provided @ 15 feet / required at 30 feet
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Perimeter cables provided upon deck completion
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Cranes & Hoisting Operations
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Lift Plan Approved
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Non-Essential Trade Personnel Removed from Hoisting Radius
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Third Party Inspection / Operators License on File
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Trenching & Excavation
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Cave Protection Provided (Depth > 5' or Determined by Competent Person)
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Ladder or Ramp Provided (Depth > 4' or Determined by Competent Person)
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Trench / Excavation Free of Accumulated Water
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Permit Required Confined Spaces
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Fresh Air Ventilation Active
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UCONN Fire Department Notified of PRCS Entry Location
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Permit Signed by CSE Supervisors and Posted
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Hot Work Operations
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Hot Work Permit Posted
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Fire Extinguishers Visible and Inspected
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Area Free of Flammable / Combustible Materials
Safe Work Practices
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Additional Unsafe Conditions and/or Behaviors
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Observation #1
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Corrective Actions #1
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Responsible Party #1
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Additional Unsafe Conditions and/or Behaviors
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Observation #2
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Corrective Actions #2
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Responsible Party #2
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Unsafe Conditions and/or Behavior
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Observation #3
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Corrective Actions #3
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Responsible Party #3
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There are no new recommendations being presented at this time.
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Positive Observation # 1
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Positive Observation # 2
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General Liability
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Perimeter Fence Secured
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Students / Faculty Protected from Construction Hazards (slips/trips/falls, falling objects, mobile equipment, etc)
Old Business
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Open Recommendation / Repeat Observations
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There are no open recommendations or repeat observations noted at this time.
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Project Communications
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