VA Roofing Safety Inspection 2

• Roofing Safety Inspection

  Date

• Client / Site

• Conducted on

  Date

• Prepared by

• Site Project Name
  Address

Site Details

• Area of work

• Use this audit to assess the following aspects of this site as Safe, At Risk or Not Applicable. Unsafe response indicate that attention is required to bring items to a satisfactory standard. Notes and photos should be attached where appropriate, particularly to At Risk items.

Work Areas

• Name of the Competent person on-site at all times?

Personal Protective Equipment (PPE)

• IS PPE available and being used on site?

  Yes

  No

  N/A

• Hard Hats (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Safety Glasses (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Safety vest or hi viz outer wear used by crew

  Safe

  At Risk

  N/A

• Face Shield / Goggles (worn when cutting with power saw)

  Safe

  At Risk

  N/A

• Respiratory Protection (Voluntary Use Appendix D to document)

  Safe

  At Risk

  N/A

• Appropriate Clothing (Hot Tar Applied-Leather gloves and face shield at kettle)

  Safe

  At Risk

  N/A

• Gloves (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Foot Protection (fit for task, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

Fall Protection Equipment

• Is PFAS being used to protect from Falls?

  Yes

  No

  N/A

• Fall protection equipment inspected prior to use and found with no defects?

  Safe

  At Risk

  N/A

• Appropriate for task and used properly by crew where applicable

  Safe

  At Risk

  N/A

• Suitable Anchorage Points (provide at least 5,000 pound anchorage)

  Safe

  At Risk

  N/A

• If guardrail or parapet walls is the height at least 39 inches

  Safe

  At Risk

  N/A

Ladders

• Are ladders used on site this inspection?

  Yes

  No

  N/A

• Ladders are well maintained and inspected prior to use?

  Safe

  At Risk

  N/A

• Extension Ladder base, secure and level and top secured from movement

  Safe

  At Risk

  N/A

• Proper heavy duty or extra heavy duty type 1 or 1A ladders used?

  Safe

  At Risk

  N/A

Tools -Power and hand held

• Are torches being used at this inspection site?

  Yes

  No

  N/A

• Are all LP tanks secured from falling?

  Yes

  No

  N/A

• Have regulator connections been tested for leaks?

  Yes

  No

  N/A

• Is at least a 10 pound ABC fire extinguisher readily available?

  Yes

  No

  N/A

• Has a Hot work permit been completed prior to starting scope of work?

  Yes

  No

  N/A

Electrical Safety

• Will electrical cords and tools be used?

  Yes

  No

  N/A

• Ground fault circuit interrupters in use

  Yes

  No

  N/A

• Extension Cords are not causing trip hazards or used inappropriately

  Safe

  At Risk

  N/A

• Extension cords have been inspected for damage before use?

  Yes

  No

  N/A

Equipment Inspections

• Will equipment be used during this inspection?

  Yes

  No

  N/A

• Have equipment inspections been completed (forklift-aerial lift-scissor lift)

  Yes

  No

  N/A

• Are operators licensed where required and trained to operate safely?

  Yes

  No

  N/A

• Is barricade installed at ground level to protect from falling objects from overhead work?

  Yes

  No

  N/A

People Safety

• Do you wish to check work crew safety knowledge at this inspection?

  Yes

  No

  N/A

• Approach at least one team member and record their responses to the following. Make clear this is not an assessment of the team member themselves, but rather the safety procedures on site.

General Comments

• Has toolbox talk been completed this week (take photo)

• Add any additional relevant photos

  Media

• Have all required permits been completed prior to task

  Yes

  No

  N/A

• Please send a copy of this report with photo of toolbox talk to dchagnon@jtmurphyconstruction.com

  Media

Sign Off

• Name & Signature of Inspector

  Sign

• Name & Signature of Site Supervisor / Foreman

  Sign