UVMC ED Expansion

• Daily Work Site Safety Inspection

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Specific Area(s) Inspected

Pre-Work

• Pre-task safety plan communicated, understood and signed by each worker?

  Yes

  No

  N/A

• Pre-task safety plan posted in conspicuous place at work site?y

  Yes

  No

  N/A

• Workers physically ready for work?y

  Yes

  No

  N/A

• Is the MSDS Log current for the materials currently onsite

  Yes

  No

  N/A

• SDS Sheets obtained and available?

  Yes

  No

  N/A

• Fire extinguishers maintained

  Yes

  No

  N/A

• All required permits obtained

  Yes

  No

  N/A

• Lockout/Tryout performed

  Yes

  No

  N/A

• All training completed for work to be performed?

  Yes

  No

  N/A

• Stretch-N-Flex complete

  Yes

  No

  N/A

Personal Protective Equipment

• Hardhats (bills forward)

  Yes

  No

  N/A

• Face shields

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Safety glasses with side shields

  Yes

  No

  N/A

• Burning goggles

  Yes

  No

  N/A

• Hearing Protection

  Yes

  No

  N/A

• Leather work boots

  Yes

  No

  N/A

• Welding hood and gloves

  Yes

  No

  N/A

• Reflective Vests

  Yes

  No

  N/A

Fall Protection (100% Fall Protection Required at Six Feet or Greater)

• Guardrail systems checked

  Yes

  No

  N/A

• Floor and Roof openings covered

  Yes

  No

  N/A

• Harnesses and lanyards checked

  Yes

  No

  N/A

• Fall protection used when over 6' feet

  Yes

  No

  N/A

• Hole covers secure and labeled

  Yes

  No

  N/A

• Horizontal lifeline checked

  Yes

  No

  N/A

• Wall openings guarded

  Yes

  No

  N/A

• Safety nets checked

  Yes

  No

  N/A

Ladders and Scaffolding

• Ladder tied off

  Yes

  No

  N/A

• Workers facing ladder

  Yes

  No

  N/A

• Scaffold inspected and tagged

  Yes

  No

  N/A

• Ladder access

  Yes

  No

  N/A

• Ladder extended three feet

  Yes

  No

  N/A

• Working at a safe height

  Yes

  No

  N/A

• Scaffold sections properly pinned

  Yes

  No

  N/A

• Handrail in place

  Yes

  No

  N/A

• Stepladders in open position

  Yes

  No

  N/A

• Components not damaged

  Yes

  No

  N/A

• Compliant ladders being used

  Yes

  No

  N/A

• Planking secured

  Yes

  No

  N/A

Housekeeping

• Material stacked orderly

  Yes

  No

  N/A

• Cords and hoses off floor

  Yes

  No

  N/A

• Trash cans in work area

  Yes

  No

  N/A

• Access maintained

  Yes

  No

  N/A

• Debris removed

  Yes

  No

  N/A

• Nails removed and clinched

  Yes

  No

  N/A

Hoisting and Rigging Equipment

• Daily crane inspection

  Yes

  No

  N/A

• Crane Warning Lights working properly

  Yes

  No

  N/A

• Qualified rigger named

  Yes

  No

  N/A

• Slings/chokers inspected

  Yes

  No

  N/A

• One-eye per hook

  Yes

  No

  N/A

• Safety latch on hook checked

  Yes

  No

  N/A

• Knowledge of crane signals

  Yes

  No

  N/A

• Sling/chokers stored

  Yes

  No

  N/A

• Cranes flagged off

  Yes

  No

  N/A

Mobile Equipment

• Seat belts used

  Yes

  No

  N/A

• Backup alarms working

  Yes

  No

  N/A

• Workers trained

  Yes

  No

  N/A

• Spotters used when needed

  Yes

  No

  N/A

• Equipment inspected

  Yes

  No

  N/A

• Equipment secured at night

  Yes

  No

  N/A

Excavations

• Competent person named

  Yes

  No

  N/A

• Utilities located

  Yes

  No

  N/A

• Proper access/egress

  Yes

  No

  N/A

• Shore/shield/slope/bench proper

  Yes

  No

  N/A

• Air monitoring if over 4' feet deep

  Yes

  No

  N/A

• Spoil pile 2' feet from edge

  Yes

  No

  N/A

• Excavation checked daily

  Yes

  No

  N/A

• Workers trained

  Yes

  No

  N/A

Temporary Barricades

• Proper tape used(red-danger, yellow-caution)

  Yes

  No

  N/A

• All sides of work area barricaded

  Yes

  No

  N/A

• Barricade removed and disposed of properly

  Yes

  No

  N/A

Electrical

• Cords checked for damage

  Yes

  No

  N/A

• Current Inspection color on cords

  Yes

  No

  N/A

• GFCI provided and working

  Yes

  No

  N/A

Environmental

• No hazardous material spills

  Yes

  No

  N/A

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