VALCOM - Christ Hospital Project

• Document No.

• Valcom - Christ Hospital Project Safety Inspection Report

• Conducted on

  Date

• Prepared by

• Personnel

SAFETY4SITE

• Fall Protection required at 6 feet & above

  Safe

  At Risk

  N/A

• Struck-by Hazards

  Safe

  At Risk

  N/A

• Caught-In/Trenching Hazards

  Safe

  At Risk

  N/A

• Electrocution Hazards

  Safe

  At Risk

  N/A

1) JOB SITE INFORMATION

• Posting OSHA and State job site warning Posters?

  Yes

  No

  N/A

• First-aid equipment provided & meets requirements?

  Yes

  No

  N/A

• Are emergency telephone numbers and first-aid sign posted?

  Yes

  No

  N/A

• Authorized employees: Orientated, Badged, etc.?

  Yes

  No

  N/A

2) HOUSEKEEPING AND SANITATION

• General cleanliness of work area?

  Safe

  At Risk

  N/A

• Egress pathways and walkways clear?

  Safe

  At Risk

  N/A

• Proper lighting?

  Safe

  At Risk

  N/A

• Waste containers provided and used?

  Safe

  At Risk

  N/A

• Sanitary facilities adequate and clean?

  Safe

  At Risk

  N/A

• Infection control?

  Safe

  At Risk

  N/A

3) HAND TOOLS

• Proper hand tool, power tools and PAT's being used?

  Safe

  At Risk

  N/A

• Damaged tools repaired or replaced promptly?

  Safe

  At Risk

  N/A

• Cords in good condition, Gaurds present and functional?

  Safe

  At Risk

  N/A

• Proper signage: Laser in use, PAT, etc?

  Yes

  No

  N/A

4) LADDERS AND STAIRWAYS

• Are Ladders being used correctly?

  Safe

  At Risk

  N/A

• Properly secured?

  Safe

  At Risk

  N/A

• Do side rails extend 36" above top of landing?

  Safe

  At Risk

  N/A

• Stepladders fully open when in use?

  Safe

  At Risk

  N/A

• Metal ladders not used?

  Safe

  At Risk

  N/A

• Hollow pan stairs - filled or have barricade up?

  Safe

  At Risk

  N/A

• Proper handrails at stairwells?

  Safe

  At Risk

  N/A

5) SCAFFOLDING

• Are working areas free of debris, snow, ice, and grease?

  Safe

  At Risk

  N/A

• Are workers protected from falling obhects?

  Safe

  At Risk

  N/A

• Are guard rails, intermediate rails, and toe boards in place?

  Safe

  At Risk

  N/A

• Are ropes and cables in good condition?

  Safe

  At Risk

  N/A

• Work platform - fully decked?

  Safe

  At Risk

  N/A

• Are proper access ladders being used?

  Safe

  At Risk

  N/A

• Scaffolding inspected daily? (Tags present?)

  Safe

  At Risk

  N/A

• Baker and Perry scaffold fall protection at 4 feet?

  Safe

  At Risk

  N/A

6) BARRICADES

• Are floor & roof permieters and wall openings guarded?

  Safe

  At Risk

  N/A

• Proper signage or Flaggers/Paddlers?

  Safe

  At Risk

  N/A

7) EXCAVATION AND SHORING

• Are adjacent structures properly shored (including roads & walks)?

  Safe

  At Risk

  N/A

• Is there proper protection? Sloped/Benched/Shored/Shielded

  Safe

  At Risk

  N/A

• Is material 3' from edge?

  Safe

  At Risk

  N/A

• Is excavation barricaded?

  Safe

  At Risk

  N/A

• Are ladders proveded and used?

  Safe

  At Risk

  N/A

• Environmental Conditions: Dust Control, Silt Fencing, etc.

  Safe

  At Risk

  N/A

8) FALL PROTECTION SYSTEMS

• Personal Fall Arrest Systems:

  Safe

  At Risk

  N/A

• Guardrail Systems:

  Safe

  At Risk

  N/A

• Warning Line Systems: (6' - 15', Stands, Slack in Line, Flagged?)

  Safe

  At Risk

  N/A

• Controlled Access Zones: ( Barriers Identified, In place, signs?)

  Safe

  At Risk

  N/A

9) CRANES/SIGNALING/STEEL ERECTION

• Tag lines used?

  Safe

  At Risk

  N/A

• Proper signaling?

  Safe

  At Risk

  N/A

• Lifting: Straps/Slings/Webbing/Chains

  Safe

  At Risk

  N/A

• Proper Inspections?

  Safe

  At Risk

  N/A

• Authorized Rigger?

  Safe

  At Risk

  N/A

10) CONCRETE CONSTRUCTION

• Forms properly installed, braced and shored?

  Safe

  At Risk

  N/A

• Check heating devices.

  Safe

  At Risk

  N/A

• Proper PPE?

  Safe

  At Risk

  N/A

• Nails and stripped form material removed from area?

  Safe

  At Risk

  N/A

• Impalement Protection?

  Safe

  At Risk

  N/A

• Environmental Controls: Wet Methods, Vaccum, etc.

  Safe

  At Risk

  N/A

11) HAZARDOUS COMMUNICATIONS / PUBLIC PROTECTION

• Labeling - Co all secondary containers have labels?

  Safe

  At Risk

  N/A

• Are MSDS present and/or available?

  Safe

  At Risk

  N/A

• Is signage present?

  Safe

  At Risk

  N/A

• Are public walkways protected from construction?

  Safe

  At Risk

  N/A

• Are proper traffic control zones established?

  Safe

  At Risk

  N/A

12) PERSONAL PROTECTIVE EQUIPMENT

• Eye Protection?

  Safe

  At Risk

  N/A

• Respirators and masks?

  Safe

  At Risk

  N/A

• Head Protection?

  Safe

  At Risk

  N/A

• Gloves, aprons, sleeves?

  Safe

  At Risk

  N/A

• Are Confined Spaces being addresses?

  Yes

  No

  N/A

• Vest and/or High Visability Clothing?

  Safe

  At Risk

  N/A

13) ELECTRICAL

• Are receptacles mounted or properly protected?

  Safe

  At Risk

  N/A

• Are terminal boxes equipped with required covers and protected?

  Safe

  At Risk

  N/A

• Extension cords protected, grounded, and in safe condition?

  Safe

  At Risk

  N/A

• Are extension cords removed from walkways?

  Safe

  At Risk

  N/A

• Electrical dangers posted, including overhead power lines?

  Safe

  At Risk

  N/A

• Are Lock-Out/Tag-Out procedures needed?

  Yes

  No

  N/A

• Are GFCI's being used and inspected?

  Safe

  At Risk

  N/A

14) DEMOLITION

• Is there shoring of adjacent structions?

  Yes

  No

  N/A

• Are material chutes used?

  Yes

  No

  N/A

• Is there sidewald and other public protection?

  Yes

  No

  N/A

• Adequate access to ladders or stairs?

  Safe

  At Risk

  N/A

• Environmental: (Infection Control, Filters, Wet Methods, Runoff, etc.)

  Safe

  At Risk

  N/A

15) HOISTING EQUIPMENT/LIFTS (BOOM & SCISSOR)

• Are back up alarms working?

  Safe

  At Risk

  N/A

• Does operator have proper training?

  Yes

  No

  N/A

• Is equipment in good working order and used properly?

  Yes

  No

  N/A

• Fall protection?

  Safe

  At Risk

  N/A

• Nothing to increase height

  Safe

  At Risk

  N/A

16) FIRE PROTECTION & PREVENTION

• Fire Extinguishers: (Present, Charged, Tagged)?

  Safe

  At Risk

  N/A

• Protection Unobstructed: (Alarms, Pull Stations, Strobes, Sprinklers)?

  Safe

  At Risk

  N/A

• Area made fire safe:

  Safe

  At Risk

  N/A

• Fire Watch?

  Yes

  No

  N/A

• Gas Cylinders: (Chained upright, Capped, Seperated)?

  Safe

  At Risk

  N/A

• Gas Cans: (Marked, Stored, Spark Arrestors Present)?

  Safe

  At Risk

  N/A

• Proper Signage: (No Smoking,Flammable Liquids, Etc.)?

  Safe

  At Risk

  N/A

PERMITS

• Hot Work

  Yes

  No

  N/A

• Dig Permits

  Yes

  No

  N/A

• Confined Space

  Yes

  No

  N/A

• Infection Control

  Yes

  No

  N/A

COMMENTS

• Comments:

  Yes

  No

  N/A