Weekly Jobsite Inspection

• Weekly Jobsite Inspection
  I-5 North Coast Corridor Project

• Prepared by

• Conducted on

  Date

• Segment:

  Select Segment 1 Segment 2 Segment 3 Segment 4 Segment 6 Segment 7 Segment 8 Early Work

  • Segment 1
  • Segment 2
  • Segment 3
  • Segment 4
  • Segment 6
  • Segment 7
  • Segment 8
  • Early Work
• Location Description:
  Address

Checklist

• Inspect your area for each of the following and select the appropriate response. For all items that are unsatisfactory, specify a corrective action. Each Section should have at least 1 photo

HOUSEKEEPING

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• NAILS REMOVED FROM LUMBER

  Yes

  No

  N/A

• Corrective Actions:

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• DEBRIS IS IN CONTAINERS

  Yes

  No

  N/A

• Corrective Actions:

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• SCRAP WOOD BUNDLED

  Yes

  No

  N/A

• Corrective Actions:

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• REBAR COVERED PROPERLY

  Yes

  No

  N/A

• Corrective Actions:

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• MATERIAL STORED PROPERLY

  Yes

  No

  N/A

• Corrective Actions:

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• WASH OUT AREA CLEANED

  Yes

  No

  N/A

• Corrective Actions:

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• HAZ-MAT IN CONTAINMENT

  Yes

  No

  N/A

• Corrective Actions:

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PERSONAL PROTECTIVE EQUIPMENT:

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• HARD HATS USED

  Yes

  No

  N/A

• Corrective Actions:

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• EAR PROTECTION USED

  Yes

  No

  N/A

• Corrective Actions:

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• EYE PROTECTION USED

  Yes

  No

  N/A

• Corrective Actions:

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• FACE SHIELDS USED

  Yes

  No

  N/A

• Corrective Actions:

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• CORRECT GLOVES USED

  Yes

  No

  N/A

• Corrective Actions:

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• CORRECT FOOTWEAR

  Yes

  No

  N/A

• Corrective Actions:

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• RESPIRATORS

  Yes

  No

  N/A

• Corrective Actions:

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ACCESS / EGRESS:

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• WALKWAYS IDENTIFIABLE

  Yes

  No

  N/A

• Corrective Actions:

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• WALKWAYS CLEAR OF DEBRIS

  Yes

  No

  N/A

• Corrective Actions:

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• RAMPS PROPERLY CONSTRUCTED

  Yes

  No

  N/A

• Corrective Actions:

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• LADDERS TIED OFF

  Yes

  No

  N/A

• Corrective Actions:

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• JOB LADDERS BUILT PROPERLY

  Yes

  No

  N/A

• Corrective Actions:

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TRAFFIC CONTROL:

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• TRAFFIC PLAN IN PLACE:

  Yes

  No

  N/A

• Corrective Actions:

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• PEDESTRIAN CONTROLS IN PLACE:

  Yes

  No

  N/A

• Corrective Actions:

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• SIGNAGE IN PLACE:

  Yes

  No

  N/A

• Corrective Actions:

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• CRASH CUSHIONS MAINTAINED

  Yes

  No

  N/A

• Corrective Actions:

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• REFLECTIVE MARKERS CLEANED

  Yes

  No

  N/A

• Corrective Actions:

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• STREET CLEANING

  Yes

  No

  N/A

• Corrective Actions:

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• TRUCK WASH STATION

  Yes

  No

  N/A

• Corrective Actions:

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EMERGENCY PREPAREDNESS:

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• EMERGENCY PLAN POSTED

  Yes

  No

  N/A

• Corrective Actions:

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• 1ST AID KIT PRESENT

  Yes

  No

  N/A

• Corrective Actions:

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• 1ST AIDE KIT MAINTAINED

  Yes

  No

  N/A

• Corrective Actions:

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• CRISIS COMMUNICATION SYSTEM POSTED

  Yes

  No

  N/A

• Corrective Actions:

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FIRE PREVENTION/CONTROL

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• FIRE EXTINGUISHERS PRESENT

  Yes

  No

  N/A

• Corrective Actions:

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• FIRE EXTINGUISHERS CHARGED

  Yes

  No

  N/A

• Corrective Actions:

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• FIRE EXTINGUISHER MONTHLY INSPECTION INITIALED

  Yes

  No

  N/A

• Corrective Actions:

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• DEBRIS IN CONTAINERS

  Yes

  No

  N/A

• Corrective Actions:

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• FLAMMABLE STORED PROPERLY

  Yes

  No

  N/A

• Corrective Actions:

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TRENCHING / EXCAVATION:

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• SHORING USED FOR EXCAVATIONS OVER 5’ DEEP

  Yes

  No

  N/A

• Corrective Actions:

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• SLOPES PER TABLES OR ENGINEER

  Yes

  No

  N/A

• Corrective Actions:

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• UTILITIES LOCATED AND DIG ALERT IS CURRENT

  Yes

  No

  N/A

• Corrective Actions:

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• ACCESS / EGRESS

  Yes

  No

  N/A

• Corrective Actions:

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• CONFINED SPACE PERMIT FILLED OUT

  Yes

  No

  N/A

• Corrective Actions:

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• SPOIL BACK 2 FEET

  Yes

  No

  N/A

• Corrective Actions:

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• PRE & DAILY INPECTIONS UP DO DATE

  Yes

  No

  N/A

• Corrective Actions:

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WELDING SAFETY:

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• FIRE EXTINGUISHERS PRESENT

  Yes

  No

  N/A

• Corrective Actions:

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• LEADS IN GOOD CONDITION

  Yes

  No

  N/A

• Corrective Actions:

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• WHIPS FREE OF DEFECTS

  Yes

  No

  N/A

• Corrective Actions:

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• FLASH GUARDS USED

  Yes

  No

  N/A

• Corrective Actions:

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• CHECK VALVES USED

  Yes

  No

  N/A

• Corrective Actions:

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• HOT WORK PERMIT

  Yes

  No

  N/A

• Corrective Actions:

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FALL PREVENTION AND PROTECTION:

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• GUARD RAILS IN PLACE

  Yes

  No

  N/A

• Corrective Actions:

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• GUARD RAILS MAINTAINED

  Yes

  No

  N/A

• Corrective Actions:

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• NETS MAINTAINED

  Yes

  No

  N/A

• Corrective Actions:

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• HARNESS USED WHERE REQUIRED

  Yes

  No

  N/A

• Corrective Actions:

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• HARNESSES IN GOOD CONDITION

  Yes

  No

  N/A

• Corrective Actions:

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• RETRACTABLES USED

  Yes

  No

  N/A

• Corrective Actions:

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• FALL EQUIPMENT INSPECTED

  Yes

  No

  N/A

• Corrective Actions:

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CRANES & RIGGING

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• CERTIFICATIONS IN CRANE

  Yes

  No

  N/A

• Corrective Actions:

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• PROPER LOAD CHART IN CRANE

  Yes

  No

  N/A

• Corrective Actions:

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• DAILY INSPECTIONS COMPLETE

  Yes

  No

  N/A

• Corrective Actions:

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• SWING RADIUS UP

  Yes

  No

  N/A

• Corrective Actions:

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• RIGGING IN GOOD CONDITION

  Yes

  No

  N/A

• Corrective Actions:

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• TAG LINES USED

  Yes

  No

  N/A

• Corrective Actions:

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• FALL PREVENTION USED WHERE REQUIRED

  Yes

  No

  N/A

• Corrective Actions:

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TOOLS & EQUIPMENT:

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• EQUIPMENT INSPECTED

  Yes

  No

  N/A

• Corrective Actions:

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• EQUIPMENT PROPERLY PARKED

  Yes

  No

  N/A

• Corrective Actions:

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• ALL TOOLS INSPECTED DAILY

  Yes

  No

  N/A

• Corrective Actions:

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• GUARDS IN PLACE

  Yes

  No

  N/A

• Corrective Actions:

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• ELECTRICAL IN GOOD CONDITION

  Yes

  No

  N/A

• Corrective Actions:

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• EXTENSION CORDS IN GOOD WORKING CONDITION

  Yes

  No

  N/A

• Corrective Actions:

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• AIR LINES PINNED OR CHECKED

  Yes

  No

  N/A

• Corrective Actions:

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GENERAL

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• SAFETY HANDBOOK PRESENT

  Yes

  No

  N/A

• Corrective Actions:

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• SAFETY MEETINGS UP TO DATE

  Yes

  No

  N/A

• Corrective Actions:

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• CWP COMPLETE FOR OPERATION

  Yes

  No

  N/A

• Corrective Actions:

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• REQUIRED POSTINGS UP

  Yes

  No

  N/A

• Corrective Actions:

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• VEHICLES PROPERLY PARKED

  Yes

  No

  N/A

• Corrective Actions:

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Any Other Comments

• Comments, Questions, Concerns, Best Practices, etc:

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Acceptance

• Accepted By:

Person

• Signature:

  Sign