USACE Daily Inspection

• Site conducted

  Select

• Inspection Date

  Date

• Prepared by

• Temperature/ Weather Conditions

• Project Manager

  Select

• QC Manager

  Select

• Superintendent

  Select

• SSHO

  Select

• Subcontractors On Site

• Pre-planning: AHA, APP, CP, Site Setup

  Safe

  Coached

  Corrected

  At Risk

  N/A

• Training: Orientation/ Operator Certifications

  Safe

  Coached

  Corrected

  At Risk

  N/A

• HAZCOM: Trained, SDS availability, Placards

  Safe

  Coached

  Corrected

  At Risk

  N/A

• Temporary Power: Inspected/ Tagged, GFCI

  Safe

  Coached

  Corrected

  At Risk

  N/A

• Lockout/ Tag Out: Key(s) Secure, Log, Training

  Safe

  Coached

  Corrected

  At Risk

  N/A

• Mobile Equipment: Inspection, Seatbelts, Extinguisher

  Safe

  Coached

  Corrected

  At Risk

  N/A

• Trench: Dig Safe, Shoring, Access, Ladder

  Safe

  Coached

  Corrected

  At Risk

  N/A

• Slips/Trips/Falls: Hazards

  Safe

  Coached

  Corrected

  At Risk

  N/A

• Ladders/ Scaffolding: Condition/ Use, Tag Labels, CP

  Safe

  Coached

  Corrected

  At Risk

  N/A

• Fall Protection: Plan, CP, Inspected, ANSI Z359

  Safe

  Coached

  Corrected

  At Risk

  N/A

• Sanitation: Toilets, Handwashing, Lunch Area

  Safe

  Coached

  Corrected

  At Risk

  N/A

• Tools: Condition, Guards, Placards, Online Manual

  Safe

  Coached

  Corrected

  At Risk

  N/A

• PPE: Feet, Head, Eyes, Ears, Hands, Hi-Vis, Respirators

  Safe

  Coached

  Corrected

  At Risk

  N/A

• Fire: Extinguishers, Egress, Flammable Storage

  Safe

  Coached

  Corrected

  At Risk

  N/A

• Emergency: First Aid, BBP, Eyewash, EAP, Rescue

  Safe

  Coached

  Corrected

  At Risk

  N/A

• Hot Work: Fire Watch, Combustibles, Extinguisher

  Safe

  Coached

  Corrected

  At Risk

  N/A

• Environmental: Lead, Asbestos, Signage, Erosion

  Safe

  Coached

  Corrected

  At Risk

  N/A

• Permits: Confined Space, Trench, Hot Work, Hoisting

  Safe

  Coached

  Corrected

  At Risk

  N/A

• Confined Space: Permit, Training, Controls

  Safe

  Coached

  Corrected

  At Risk

  N/A
Additional Item

• Please explain

• Positive Observations

  Media

Signature

• Inspector Signature

  Sign

• Superintendent Signature

  Sign