Title Page

  • Project Name

  • Superintendent

  • Project Manager

  • Project Executive

  • Conducted on

  • Prepared by

  • Disclaimer - The information contained within this assessment report are believed to be correct at the time of our observation. We do not accept responsibility for any consequences arising fro the use of the information herein. The report is based on matters which were observed or came to our attention during the period of the assessment and should not be relied upon as an exhaustive record of all possible risks or hazards that may exist or potential improvements that can be made.

W.E. O'NEIL FIELD OFFICE & SAFETY ADMINISTRATION

  • OSHA posters posted?

  • Evacuation plan with the location of shut off valves posted?

  • Hospital and clinic phone number, map and written directions posted?

  • W.E. O'Neil safety inspection being conducted at least weekly?

  • W.E. O'Neil daily report safety comments completed daily and current?

  • W.E. O'Neil tailgate meetings conducted by WEO Superintendent current?

  • W.E. O'Neil first aid kit present, stocked and within expiration date?

  • W.E. O'Neil fire extinguisher in the field office and current?

  • Contractor(s) IIPP filed?

  • Contractor(s) SDS filed?

  • Contractor(s) tailgate meetings up to date?

COMPRESSED GASES & WELDING

  • Oxygen and fuel (e.g. Acetylene) cylinders stored at least 20 feet apart or in a cart that has a 5 foot high barrier rated for 30 min?

  • Cylinders secured from movement (tied up)?

  • Cylinders are in an up-right position?

  • Is there a flash arrestor on the fuel gas? (regulators do not have built in arrestors)

  • Welding leads appear to be in good condition?

  • Good ventilation during welding operations?

CONFINED SPACES

  • Competent Person for Confined Space identified and present?

  • Contractors confined space written program on file?

  • Air monitoring results documented to support the designation of non-permitted / permitted confined space?

  • Contractor has filled out their confined space entry permit and kept at the confined space entrance?

  • Permit required confined space ventilation set up and being used?

  • Permit required confined space equipment set up (i.e. tri-pod) for self-rescue and being utilized?

  • Persons entering the confined space following their confined space entry permit?

CRANES & RIGGING

  • Crane - Annual and quadrennial inspection documents submitted to W.E. O'Neil?

  • Crane Operator - Crane operators certification submitted to W.E. O'Neil?

  • Signalman identified?

  • Qualified Rigger(s) identified?

  • Lift plan produced for the activity?

  • Outriggers extended on a firm surface (e.g. floats on an outrigger pad)?

  • Swing radius barricade (e.g. "DANGER" tape) in place?

  • Rigging (e.g. slings, wire cables, chain, shackles, etc.) in good condition (no "red" thread or other visible damage), and have capacity labels/tags?

  • Tag lines used to guide loads?

  • Workers kept from under loads?

ELECTRICAL

  • Cords appear to be free of damage (i.e. damaged outer insulation, strain relief, missing round post, etc.) and improper repairs (i.e. duct tape, electrical tape, wire nuts, etc.)?

  • Electrical cords (i.e. extension and bull cords) protected from roll over?

  • Ground fault circuit interrupters (GFCI) being used for temporary power locations (i.e. spider box, existing receptacles, etc.)?

  • Temp power box (spider box) periodic inspection being done?

  • Power strips are rated for construction and only as battery charging station?

  • Temporary lighting adequate (5 foot candles) in corridors, hallways and stairwells?

  • Temporary lighting is being properly suspended (i.e. eyelet, non-conductive material)?

  • Temporary lighting cages are in place and protecting bulbs (no bare bulbs)?

ELECTRICAL - "Energized"

  • "Live" electrical panels are protected (e.g. dead-front secured - no exposed conductors)?

  • Signage in place notifying of the danger (e.g. "Danger - Live Wires")?

  • Lockout/Tagout (LOTO) procedure in place? De-energized circuits have tag(s) (filled out) and lock(s)?

  • PPE - Proper Arc Flash PPE being worn based upon Arc Flash Hazard Evaluation and/or NFPA 70E (e.g. Arc Rated arc flash suit, hard hat, face shield, safety glasses, hearing protection, electrical rated gloves??

  • Electrical lines minimum distance of at least 10 feet from equipment (i.e. crane, scaffold systems, ladders, etc.)?

EQUIPMENT & OPERATORS

  • Forklift Operators have current certification?

  • Forklift has boom, truss or hook, attachment for suspended load? NO "free rigging"

  • Seat belt being worn on equipment (I.E. forklift, backhoe, loader, etc.)?

  • Back-up alarm on equipment (i.e. backhoe, excavator, boomlift, skid steer, etc.) is audible and appear to be heard from at least 200 feet away?

  • Operators appear to be driving at a safe speed?

  • Equipment being used appear to be in good condition?

  • Scissor lift mid-chain engaged?

  • Scissor lift and boom lift operators staying in the lift (staying off mid rails)?

  • Boom Lifts - PPE - Workers are wearing Personal Fall Protection Systems (i.e. Harness and Lanyard)?

  • Boom Lifts - Workers are tied off to appropriate anchor point in the boom lift?

FALL PROTECTION

  • Contractor(s) have trained their employees on proper use of fall protection (i.e. harness, lanyard, anchor points, etc.)?

  • Contractor(s) employees are using fall protection equipment properly (I.e. harness worn properly, proper anchor point, anchor point properly attached, proper lanyard, etc.)

  • Fall Protection Plan (includes rescue plan) developed by Contractor if they can show that the use of conventional fall protection is impractical or creates a greater hazard.

  • Guardrails (wood or cable) - top rails (42-45 inches), mid rails (21-23 inches)?

  • Fall protection plan being followed?

  • If cable, at least 2 wire clamps used?

  • Toe boards are provided for interior floor, roof and shaft openings (i.e. duct shaft), and/or along edge of exterior elevated floor (i.e. along perimeter of 2nd floor)?

  • Wall openings (wider that 16 inches) are protected (e.g. guard rail)

  • Skylights, roof holes, floor openings (2 inches or greater in diameter) are completely covered or protected?

  • Covers are secured (cleated or nailed) to prevent easy displacement?

  • Covers are capable of supporting 400 lbs. or twice the anticipated load, and are clearly marked "Hole" or "Cover" or painted hi-viz (for smaller covers)?

  • Iron Workers (Connectors only) utilizing fall protection (above 30 feet)?

  • Iron workers and/or Framers utilizing fall protection (above 15 feet) and on 4" nominal or wider structural members?

  • Roofers utilizing fall protection (above 20 feet)?

  • Rod busters utilizing fall protection (above 6 feet - except for point to point travel)?

  • Ramps are at least 20 inches wide (foot ramps), or 30 inches wide if used for wheelbarrows?

  • Ramps are secured / tied down to assure ramps do not move?

  • Impalement hazards (e.g. rebar, flat stakes, EMT conduit, anchor bolts, etc.) protected?

FIRE PROTECTION

  • No Smoking signs posted where flammable or combustible liquids are stored?

  • Fire extinguisher(s) present, inspected (monthly) and accessible? (Every 3000 sq feet or 75 feet of work, and/or at least 1 located adjacent to the stairway at each floor)?

  • Fire extinguishers present during hot work?

HAND & POWER TOOLS - POWDER ACTUATED TOOLS (P.A.T.)

  • Tools are being used per manufacturers specifications?

  • Tool guards (e.g. grinders) in place and being used?

  • Powder Actuated Tools (P.A.T.) operators are certified?

  • P.A.T. signs are properly displayed when being used?

  • P.A.T. spent charges are properly disposed of (i.e. placed in a container of water, not on the ground)?

HOUSEKEEPING

  • Work areas clear of excess trash, material and debris?

  • Paths of travel clear of trash, materials and debris?

  • Trash bins are being provided, and trash and/or debris are being removed on a regular basis?

  • Staging / lay down areas orderly?

  • Protruding nails and/or screws bent over or backed out?

LADDERS & STAIRS

  • Extension ladders extend at least 3 feet above the landing?

  • Extension ladder tied-off at the top to prevent displacement?

  • Contractor(s) are using ladders that appear to be in good condition?

  • "A" frame ladders appear to be set-up and used per manufacturer specifications?

  • Contractor(s) are refraining from utilizing the top two steps of an "A" frame ladder?

  • Stairways (4 or more risers) equipped with handrail(s) and guardrail(s) (unprotected side or edge)?

  • Stairways (pan stair) are fitted with wood or other solid material at least to the top edge of each pan?

PERSONAL PROTECTIVE EQUIPMENT (PPE)

  • Hard hats being worn 100% of the time?

  • Safety glasses being worn when required / necessary?

  • Hi-viz vest (when working around equipment or road work) or Hi-viz shirt (indoor work) being worn?

  • Face shields being used with safety glasses (e.g. when cutting block, using a chop saw or other activity which could cause injury to the face)?

  • Hearing protection being used when required / necessary?

  • Foot protection (i.e. metatarsal guard) being used while using jack hammer or soil compactor (i.e. wacker)?

  • Hand protection being used when required / necessary?

  • Respiratory protection being used when required / necessary? (i.e. half mask, N95 particulate mask)

SCAFFOLDS

  • Scaffold(s) inspected by competent person daily and documentation is provided at all access points ("Green" tag)?

  • Scaffold tied off (double-looped No. 12 iron wire, or single-looped No. 10 iron wire or equivalent) to structure as required?

  • Scaffold footings nailed to the mud sills (i.e. 2"x10"x10")

  • Guardrails - Top-rails and mid-rails in place and at the proper height?

  • Toe-Boards in place at designated access/egress locations

  • Person(s) working below scaffold system are protected from falling objects?

  • Planks appear to be free of visible splits or damages?

  • Access provided to all levels where work activities will occur?

  • Scaffold appear to be kept clear of trash and material?

  • Person(s) working on scaffold refraining from climbing on guardrails and X-bracing?

  • Mobile Scaffold (i.e. Perry/Baker scaffold) appear to be built and used per manufacturers recommendations (i.e. guardrails, outriggers, cross brace, etc.)?

  • Mobile Scaffold wheels locked when in use?

  • Mobile Scaffold - "Surfing" - top-lock being used to prevent scaffold from moving while in use?

  • Mobile Scaffold - Platform no more that 4' above the floor level?

SITE PERIMETER

  • Perimeter fence appears to be in good condition, gates closed, graffiti removed?

  • W.E. O'Neil Safety Requirement Board is located at entry point(s)

  • Perimeter fence has signage such as "Caution - Keep out - Construction area", at all access locations and periodically around the site?

  • Pedestrian walk areas appear to be clear of construction related hazards (i.e. rocks, dirt, construction material)?

TRAFFIC CONTROL & FLAGGERS

  • Traffic control plan has been developed and approved?

  • Traffic control devices (TCD's) are set-up according to the Traffic Control Plan?

  • TCD's are inspected periodically?

  • Flaggers have been trained?

  • Flaggers appear to be using proper signs and hand signals?

TRENCH & EXCAVATION

  • Competent person identified and present during all trench/excavation work activities?

  • Arizona 811 has been contacted and have a current ticket?

  • Arizona 811 - Work area appears to have been marked by Contractor and Arizona 811?

  • Pot-holing done by hand (i.e. hand dig with flat shovel, or vacuum truck) to locate existing underground utilities?

  • Trench/Excavation inspections being conducted daily prior to entry?

  • Trench/Excavation properly shored, benched (No benching in C type soil), or slopped? (A - 3/4:1, B - 1:1, C - 1-1/2:1)

  • Spoils pile and material(s) (e.g. trucks, unnecessary material) are stored at least 2 feet away from trench/excavation edge?

  • Perimeter protection around open trench/excavation (i.e. delineation and "caution" or "danger" tape)?

  • Ladders (extension or straight, NO step ladders) are in place and within 25 feet of workers in a trench/excavation 4 feet or greater?

  • Equipment operating at a safe distance from trench or excavation?

Additional Observations

  • 10 points

  • 25 points

  • 50 points

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