Title Page
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Job Site
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Week Of
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Superintendent
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Location
Daily Job Site Inspection Record
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Click "Add Day"
Day
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Select the Day of Inspection.
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- N/A
Weather Conditions
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Extreme heat
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Extreme cold
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Dry conditions
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Muddy conditions
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High winds
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Slippery conditions
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Dust control in place
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Erosion control in place
Emergency Programs & Equipment
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Site Specific Emergency Action Plan Available
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Emergency numbers posted
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Fire extinguishers in place & checked
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First aid kit
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Eye wash
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Drinking water & clean cups available
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Shaded or cool area available for heat stress
Outdoor Housekeeping
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Trash picked up
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No slip, tip, or fall hazards
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Materials stacked properly
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Traffic area clear
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Vehicle and gate access clear
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Toilet facilities available
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SWPP - area to prevent track off in place
Excavations
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Are there excavations on site?
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Equipment being used safely
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Spoil piles back 2 ft from edge of trench
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Proper sloping
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Any open trenches?
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Trench inspection completed
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Open trench signs or barricades
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Trench box or shoring being used
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Ladder in the trench within 25'
Fall Protection
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Guardrails/protection in place for 4 ft drop
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Toeboards in place if anyone under
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Stair and ladder openings protected
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Ladder and stair access clear
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All extension ladders 3ft above edge
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Step ladders used properly
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Any drop offs protected
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Floor openings or holes covered or protected
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Scaffolds setup & secured (w/rails ovr 10 ft)
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Any leading edge work in progress
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Site Specific Fall Protection Plan available
Welding
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All compressed gases secured
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Proper PPE being worn
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Areas w/ welding hazards marked/shielded
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Hot work permit being used (if needed)
Heavy Equipment
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Backup alarms functional as required
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Windshields free of large cracks
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Equipment being operated safely
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Seatbelts being worn
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No one working under suspended loads
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No unattended supended loads/equipment
Flammable Materials
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All gasoline stored in safety cans
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Flammable materials away from combustibles
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All fuel tanks labeled
Security & Public Safety
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Fencing & barricades in place
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Warning signs in place
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Traffic control in place if needed?
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Open trenches barricaded or covered
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Pedestrian protection in place if needed?<br>
Noise & Respiratory
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Noise levels estd over 85 db for 8 hr twa ( Use ear plugs for short term exposures)
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Any identified respiratory hazards
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Dust masks being used
Other Hazards
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Is there any other hazard identified not listed above?
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Click "Add Hazard"
Hazard
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Description of hazard.
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Correction/Comment (if applicable)
Warnings Issued for Safety Violation(s)
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Were there safety violations requiring action?
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Click "Add Individual"
Individual
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Name
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Company
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Description of Action
Daily Inspector
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Inspected By: (Name & Signature)