University of Minnesota

• University of Minnesota

• UConstruction Safety Inspection

• Conducted on

  Date
• Location
  Address

• Prepared by

• Personnel

Personal Protective Equipment (PPE)

• PPE: Eye protection, hard hats, gloves, high-visibility clothing/vests, hearing protection used as required.

  Yes

  No

  N/A

Worksite and Traffic Control

• Adequate physical barriers, signage, warning tape, bollards, spotters? Housekeeping acceptable? Sufficient lighting and noise levels or controls

  Yes

  No

  N/A

Ladders

• Positioned safely and properly secured? In good condition and suitable for the job?

  Yes

  No

  N/A

Working at Heights

• Fall exposures of 6 feet or higher have adequate edge protection with railings or warning lines, or personal fall protection is employed. Aerial lifts or scaffolding set up and used properly.

  Yes

  No

  N/A

Confined Spaces

• Procedures properly implemented (entry permit, air monitoring, ventilation, LOTO, retrieval equipment, trained entrant and standby personnel, etc)?

  Yes

  No

  N/A

Lockout/Tagout and Machine Hazards

• Are machine guards in place? Is LOTO utilized properly?

  Yes

  No

  N/A

Tools & Equipment

• In good condition, including no missing or damaged guards, power cords in good condition, ground prongs not missing, etc). Correct equipment is used for the job.

  Yes

  No

  N/A

Electrical Hazards

• GFCI protection used. Extension cords in good shape, protected from damage, and not used permanently. Circuits not overloaded, electrical equipment not near water, no exposed live wiring, etc. Minimum 10-foot distance maintained from overhead power lines.

  Yes

  No

  N/A

Hot Work

• Was a Hot Work Permit completed and protective measures employed?

  Yes

  No

  N/A

Hoisting Equipment

• Loads not lifted over persons, not in close proximity to obstacles, and 10-feet minimum distance from overhead power lines. Lifting equipment, including ropes, slings, chains, hooks, appears in good condition. Safe Working Loads are not exceeded. Inspections performed.

  Yes

  No

  N/A

Environmental & Health Hazards

• Are chemicals, including fuel, stored and transported safely? Health hazards controlled? Adequate dust suppression? Adequate systems to prevent contamination of storm water drains?

  Yes

  No

  N/A

Other Comments, Notes or Sketches:

• Notes:

  Yes

  No

  N/A

• Sketches:

  Drawing