Information
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Site conducted
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Template title
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Inspector
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Date & Time
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THIS REPORT MUST BE COMPLETED DAILY
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ALL VMS EMPLOYEES PRESENT MUST SIGN
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AT LEAST ONE REP FROM EACH SUBCONTRACTOR MUST SIGN
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INCLUDE PHOTOS AS APPROPRIATE FOR INDIVIDUAL ITEMS
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ENSURE THAT YOU INCLUDE SOME GENERAL PHOTOS OF THE JOBSITE
VMS DAILY PROJECT INSPECTION
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PROJECT NAME
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CONDUCTED ON
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PREPARED BY
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TASK TO BE PERFORMED TODAY
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LOCATION
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Name Subcontractors and Personnel onsite today
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Take a couple photos of good safety practices on your jobsite
SAFETY MEETING (EVERY MONDAY) (ALL PERSONS ONSITE MUST ATTEND)
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DID YOU HAVE A SAFETY MEETING TODAY
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WHAT WAS THE TOPIC?
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WRITE IN ANY COMMENTS OR IDEAS YOU DISCUSSED
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DO YOU NEED ADDITIONAL INFORMATION ABOUT A SPECIFIC TOPIC FOR YOUR JOB?
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WHAT TOPICS OR SITUATIONS DO YOU NEED ADDITIONAL INFORMATION ON?
EMERGENCY EQUIPMENT
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ARE FIRE EXTINGUISHER ONSITE AND LESS THAN 50FT FROM WORK AREA?
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IS FIRST AID KIT ONSITE, STOCKED, AND DOES EVERYONE KNOW ITS LOCATION?
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IS A TELEPHONE OR RADIO ON SITE?
COMMENTS
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WERE THERE ANY ACCIDENTS YESTERDAY?
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Briefly describe the incident/issue
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Has an accident report been completed?
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DID EVERYONE GO HOME WITHOUT INJURIES YESTERDAY?
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Who had an injury and when did they report it?
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Briefly describe what they think happened
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ARE THERE ANY SAFETY ISSUES ON SITE?
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DO YOU NEED THE SAFETY DIRECTOR?
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DO YOU HAVE ANY ADDITIONAL COMMENTS?
PHOTOS (Take a couple photos of the jobsite)
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USING SAFETY EQUIPMENT
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WORK AREA
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POTENTIAL HAZARD
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AFTER THE POTENTIAL HAZARD WAS CORRECTED
PERSONAL PROTECTIVE EQUIPMENT
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SAFETY VEST NEEDED?
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HARD HAT NEEDED?
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Why?
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SAFETY GLASSES NEEDED?
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HEARING PROTECTION NEEDED?
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PERSONAL FALL PROTECTION NEEDED?
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DUST MASK NEEDED ?
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ARE ALL PPE ITEMS READILY AVAILABLE AND ONSITE IF NEEDED?
HOUSEKEEPING
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SITE CLEAN WITH NO DEBRIS?
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MATERIALS ARE STORED CORRECTLY?
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ARE FALL ZONES, WORK ZONES, AND OTHER HAZARDS DELINEATED?
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AREAS ARE CLEAN WITH NO TRIP HAZARDS?
MATERIAL HANDLING
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CAN YOU LIFT THE LOAD BY HAND?
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ARE THERE ANY AREAS OF THE BODY THAT CAN BE AFFECTED BY PICKING THE LOAD?
- HAND
- BACK
- KNEES
- FEET
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HOW HEAVY IS THE LOAD?
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ARE THE LIFTING DEVICES (STRAPS, CHAINS, ETC) TAGGED AND CERTIFIED FOR THE LOAD?
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HAVE THE LIFTING DEVICES INSPECTED TODAY?
TOOLS AND EQUIPMENT
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ELECTRICAL CORDS GOT INSPECTED TODAY?
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LADDERS GOT INSPECTED TODAY?
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ALL GUARDS ARE INSTALLED AND WORKING PROPERLY?
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ALL EQUIPMENT DAMAGED IS TAGGED AND OUT OF SERVICE? (click on follow up if equipment needs immediate attention)
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IS THE OPERATOR OF THE EQUIPMENT TRAINED?
FALL PROTECTION
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IS ANY ONE WORKING TODAY HIGHER THAN 4 FT?
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DO YOU NEED HAND RAILS AND TOES BOARDS?
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ARE LADDERS TIED TO A FIXED LOCATION AND INSPECTED?
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ARE YOU USING LIFT LIFE LINES?
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HAVE HARNESSES AND FALL ARREST EQUIPMENT BEEN INSPECTED?
HAZARDOUS COMUNICATION
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ARE SDS SHEET ON SITE FOR THE CHEMICALS/MATERIALS IN CONTACT?
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ALL CHEMICALS STORED PROPERLY AND LABELED?
EXCAVATION AND TRENCHING
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IS EXCAVATION OCCURING TODAY? HAS SUBCONTRACTOR DISCUSSED AND/OR PERFORMED THE FOLLOWING?
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PURPOSE OF THE EXCAVATION?
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IS THERE A DIG SAFE NUMBER AND/OR SITE IS MARKED?
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ARE ALL EMPLOYEES TRAINED ON THE HAZARDS AND PLAN FOR TODAY'S EXCAVATION?
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DISCUSS WITH OPERATOR THAT EXCAVATED MATERIAL TO BE LOCATED 2 FT MIN FROM THE EDGE OF THE EXCAVATION?
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POWER LINE LOCATIONS ARE IDENTIFIED AND LESS THAN 10FT FROM REACH?
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LADDERS ARE AVAILABLE AND AT NOT MORE THAN 25 FT?
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DEPTH OF THE EXCAVATION?
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VISUAL SOIL TEST HAS BEEN PERFORMED?
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SLOPE RATIO/TRENCH BOX?
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IS THERE ANY WATER IN THE TRENCH? ARE A PUMP AND GENERATOR AVAILABLE ON SITE?
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HAVE PEDESTRIAN AND VEHICULAR HAZARDS BEEN ADDRESSED?
CONFINED SPACE
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ARE YOU OR A SUBCONTRACTOR WORKING ON A CONFINED SPACE TODAY?
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WAS THE CONFINED SPACE PERMIT WAS COMPLETED?
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HAVE GAS MONITOR, TRIPOD, HARNESS, AND WINCH BEEN INSPECTED?
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ARE ALL TEAM MEMBERS ENTERING TRAINED IN THE SPECIFIC CONFINED SPACE TO ENTER?
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IS THERE A PROCEDURE TO MONITOR AIR WHILE PERFORMING THE WORK?
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HAS THE PRE-ENTRY TEST HAS BEEN PERFORMED?
TRAFFIC CONTROL
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ARE YOU OR A SUB USING A TRAFFIC CONTROL PLAN TODAY?
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IS THERE A SPECIFIC TRAFFIC CONTROL FOR THE PROJECT?
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HAVE EMPLOYEES BEEN TRAINED IN THE TRAFFIC CONTROL?
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WHO IS IN CHARGE OF THE TRAFFIC CONTROL PACKAGE SET UP AND TRAFFIC CONTROL DAILY PLAN?
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ARE ALL FLAGGERS CERTIFIED?
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DO YOU HAVE ALL SIGNS, PADDLES, CONES, BARRELS TO PERFORM A CORRECT TCP?
SIGNATURES (ALL VMS EMPLOYEES AND AT LEAST ONE REP FROM EACH SUBCONTRACTOR)
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