WB Koester Construction Company Job-site safety Inspection (Rev. 8.23.2016)

• Document No.

• Project Location

• Date of Inspection

  Date

• Inspector's Name

• Project Number
  Address

A. Posters and Records

• 1. OSHA poster posted?

  Yes

  No

  N/A

• 2. Workers compensation notice posted?

  Yes

  No

  N/A

• 3. Emergency Action Plan Posted?

  Yes

  No

  N/A

• 4. Weddle Bros. safety rules posted?

  Yes

  No

  N/A

• 5. SOP's being conducted?

  Yes

  No

  N/A

• 6. IS DHA being completed and documented daily and submitted weekly?

  Yes

  No

  N/A

• 7. OSHA Standards available?

  Yes

  No

  N/A

• 8. Weddle Bros. Safety Manual available?

  Yes

  No

  N/A

• 9. Hazard Communication Program and SDS's available

  Yes

  No

  N/A

• 10. Hazard Chemical Inventory List prepared?

  Yes

  No

  N/A

• 11. Worksite Respiratory Hazard Analysis form posted?

  Yes

  No

  N/A

• 12. Has Corrected Inspections been turned-in?

  Yes

  No

  N/A

B. HOUSEKEEPING AND SANITATION

• 1. General housekeeping of jobsite acceptable?

  Yes

  No

  N/A

• 2. Passageways and walkways clear?

  Yes

  No

  N/A

• 3. Nails removed from lumber?<br>

  Yes

  No

  N/A

• 4. Materials property stockpiled?<br>

  Yes

  No

  N/A

• 5. Waste and trash removed regularly?

  Yes

  No

  N/A

• 6. Toilet facilities adequate and clean?

  Yes

  No

  N/A

• 7. Sanitary supply of drinking water w/cups?<br>

  Yes

  No

  N/A

• 8. Building exits signs in place?

  Yes

  No

  N/A

C. Fire Protection/Prevention

• 1. Adequate number, size, type of fire extinguishers on-site?

  Yes

  No

  N/A

• 2. "No Smoking" or "Flammable" sign posted at storage and fueling locations?

  Yes

  No

  N/A

• 3. Location of fire fighting equipment prominently marked?

  Yes

  No

  N/A

• 4. Are flammable liquids stored in approved and properly labeled containers?

  Yes

  No

  N/A

• 5. Large fuel tanks properly diked and separated?

  Yes

  No

  N/A

• 6. Large fuel tanks stored closer than 20 feet from a building?

  Yes

  No

  N/A

• 7. LP gas stored outside of buildings?

  Yes

  No

  N/A

• 8. Full fire extinguisher not less than 25 ft or more than 75 ft from refueling tank?

  Yes

  No

  N/A

• 9. Maximum of 25 gallons of flammable/combustible material stored inside w/o cabinets?

  Yes

  No

  N/A

D. FIRST AID

• 1. First aid kits properly stocked?

  Yes

  No

  N/A

• 2. Trained First aid person onsite?

  Yes

  No

  N/A

E. ELECTRICAL

• 1. Distribution boxes covered and marked?

  Yes

  No

  N/A

• 2. GFCI's being used?

  Yes

  No

  N/A

• 3. Temporary lighting protected?

  Yes

  No

  N/A

• 4. Extension cords inspected and used properly?

  Yes

  No

  N/A

• 5. Overhead power lines marked?

  Yes

  No

  N/A

• 6. Lockout/tagout used as required?

  Yes

  No

  N/A

F. TOOLS

• 1. Damaged or broken tools tagged out of service?

  Yes

  No

  N/A

• 2. Operative guards on all power tools?

  Yes

  No

  N/A

• 3. Air hose connectors secured?

  Yes

  No

  N/A

• 4. Tools properly used?

  Yes

  No

  N/A

• 5. Personal protective equipment worn and maintained?

  Yes

  No

  N/A

G. MSHA

• 1. Mobile equipment including portable welding units, equipped with at least one portable fire extinguisher?

  Yes

  No

  N/A

• 2. Combustible materials, grease, lubricants, paint or flammable liquids not to accumulate where they can create a fire hazard?

  Yes

  No

  N/A

• 3. Berms or guards provided on the outer bank of elevated roadways?

  Yes

  No

  N/A

• 4. Daily inspections completed?

  Yes

  No

  N/A

• 5. Berms at least mid-axle height of largest equipment?

  Yes

  No

  N/A

• 6. Daily inspection records available for inspection?

  Yes

  No

  N/A

• 7. Two fire extinguishers at refueling tank?

  Yes

  No

  N/A

• 8. All lights functioning?

  Yes

  No

  N/A

• 9. Fire extinguishers inspected every 6 months & recorded on extinguisher?

  Yes

  No

  N/A

H. LADDERS

• 1. Ladders extend 36" above landing?

  Yes

  No

  N/A

• 2. Ladders secured?

  Yes

  No

  N/A

• 3. Ladders used for intended purpose?

  Yes

  No

  N/A

• 4. Ladders inspected before use and free of defects?

  Yes

  No

  N/A

• 5. Job made ladders properly constructed?

  Yes

  No

  N/A

I. TRAFFIC CONTROL

• 1. Advanced signage at approaches to work area?

  Yes

  No

  N/A

• 2. Correct messages on signs?

  Yes

  No

  N/A

• 3. Traffic control set-up on highways meet INDOT regulations?

  Yes

  No

  N/A

• 4. Flag persons properly dressed and equipped?

  Yes

  No

  N/A

• 5. Flag person performing properly?

  Yes

  No

  N/A

J. WELDING AND CUTTING

• 1. Using correct eye protection?

  Yes

  No

  N/A

• 2. Gauges, valves, torches and lines in good condition and free of oil and grease?

  Yes

  No

  N/A

• 3. Gauges protected with hard hats?

  Yes

  No

  N/A

• 4. Cylinders not in use have caps in place?

  Yes

  No

  N/A

• 5. Cylinders in use or storage secured upright?

  Yes

  No

  N/A

• 6. Anti-flashback arrestor valves at torch?

  Yes

  No

  N/A

• 7. Torches ignited with friction strikers?

  Yes

  No

  N/A

• 8. Stored oxygen cylinders separated from flammables by 20 ft?

  Yes

  No

  N/A

• 9. Fire extinguishers near welding or cutting operation?

  Yes

  No

  N/A

• 10. Adequate ventilation provided?

  Yes

  No

  N/A

• 11. All parts of arc welding outfits properly insulated and grounded?

  Yes

  No

  N/A

K. HEAVY EQUIPMENT

• 1. Dust control?

  Yes

  No

  N/A

• 2. Haul road adequate and maintained?

  Yes

  No

  N/A

• 3. Equipment speeds maintained for safety?

  Yes

  No

  N/A

• 4. Horns and Backup alarms functioning?

  Yes

  No

  N/A

• 5. Engines shutdown when refueling or lubricating?

  Yes

  No

  N/A

• 6. Seat belts worn on machines with ROPS?

  Yes

  No

  N/A

• 7. Steps and hand holds adequate and safe condition?

  Yes

  No

  N/A

• 8. Parked or unattended equipment have blade/bucket lowered to ground?

  Yes

  No

  N/A

• 9. No hitching riding on equipment?

  Yes

  No

  N/A

• 10. Overhead guard on fork lift truck?

  Yes

  No

  N/A

• 11. Forklift operator certified?

  Yes

  No

  N/A

• 12. Daily equipment inspections completed and documented?

  Yes

  No

  N/A

• 13. Fire extinguisher on equipment? (All equipment including rental)

  Yes

  No

  N/A

M. TRENCHING & EXCAVATIONS

• 1. Trench side shored, sloped or shielded?

  Yes

  No

  N/A

• 2. Utility locate requested and located before digging?

  Yes

  No

  N/A

• 3. Ladder in excavation within 25 feet of workers?

  Yes

  No

  N/A

• 4. Trained "Competent Person" performing duties as required?

  Yes

  No

  N/A

• 5. Excavated materials stockpiled at least 2 feet back from edge of trench?

  Yes

  No

  N/A

• 6. Laser warning signs in place?

  Yes

  No

  N/A

• 7. Traffic control adequate?

  Yes

  No

  N/A

• 8. Structures next to excavation shored or protected?

  Yes

  No

  N/A

• 9. Oxygen levels tested in tunnels, shafts or confined spaces?

  Yes

  No

  N/A

• 10. Public protected from exposure to open excavation?

  Yes

  No

  N/A

O. MISCELLANEOUS

• 1. Life Jackets, ring buoys, and skiff provided when working over or near water?

  Yes

  No

  N/A

• 2. Confined spaces identified and marked?

  Yes

  No

  N/A

• 3. Checklist used when man basket is suspended from crane?

  Yes

  No

  N/A

• 4. Labels on hazardous chemicals?

  Yes

  No

  N/A

P. FALL PROTECTION

• 1. Guardrails installed at 42" +/- 3" with mid rail when exposure of 6 ft or more?

  Yes

  No

  N/A

• 2. Toeboards installed when required?

  Yes

  No

  N/A

• 3. Holes covered, secured, and marked "Danger Hole"?

  Yes

  No

  N/A

• 4. Harnesses worn when fall exposure of 6 ft or more?

  Yes

  No

  N/A

• 5. Anchorage points adequate?

  Yes

  No

  N/A

• 6. Roofers have flagged warning line?

  Yes

  No

  N/A

• 7. Roofers provided with fall protection on steep pitched roof greater than 4-to-12?

  Yes

  No

  N/A

• 8. Wall openings protected @ 42" and 21"?

  Yes

  No

  N/A

• 9. Cables used for guardrails sag less than 3"?

  Yes

  No

  N/A

Q. PERSONAL PROTECTIVE EQUIPMENT

• 1. Hard hats being worn (Required 100%)?

  Yes

  No

  N/A

• 2. Safety glasses/eye protection being worn (Required 100%)?

  Yes

  No

  N/A

• 3. Hearing protection worn when around loud noises?

  Yes

  No

  N/A

• 4. Proper footwear worn?

  Yes

  No

  N/A

• 5. Respirators worn when required?

  Yes

  No

  N/A

• 6. Medical clearance completed for respirator wear?

  Yes

  No

  N/A

• 7. High-visibility outer wear (vests, shirts, etc) being worn by all Weddle Bros. employees?

  Yes

  No

  N/A

• 8. Kevlar sleeve protectors used for all demolition work?

  Yes

  No

  N/A

Acknowledgement and Signature

• I have reviewed the indicated hazards and will take the necessary actions to immediately correct them.

  Sign

• Return Signed & corrected form to the Safety Administrator within 7 days of the Inspection.

• I have reviewed the indicated hazards and have corrected all hazards except as noted.

  Sign