WEEKLY JOBSITE SAFETY INSPECTION REPORT

• Document No.

• Job Name

Basic Info

• Job No:

• Inspector(s):

• Foreman:

• Project Manager:

Electrical Items

• Panel Trims On

  Yes

  No

  N/A

• Panel Interior Trim On

  Yes

  No

  N/A

• Panel KO's Blanked Up

  Yes

  No

  N/A

• All Open Breaker Slots to be Filled Up with either Breakers of Blank Ups

  Yes

  No

  N/A

• Panel Circuit Directory Filled Out

  Yes

  No

  N/A

• Danger High Voltage Keep Out Sign on Panel and Electric Room

  Yes

  No

  N/A

• Voltage marked on panel & electric room door

  Yes

  No

  N/A

• Proper Cable Conn. On Temp. Panels & Boxes

  Yes

  No

  N/A

• Tie Wraps or Insul. Solid Wire

  Yes

  No

  N/A

• Wiring proper size to handle load

  Yes

  No

  N/A

• Sufficient lighting

  Yes

  No

  N/A

• All stringers have light cages

  Yes

  No

  N/A

• All receptacles GFCI protected

  Yes

  No

  N/A

• All Temp Boxes Securely Mounted to wall, ceiling, etc.

  Yes

  No

  N/A

• Have existing electrical conditions, which are not up to standards been surveyed & addressed to the Contractor or Owner?<br>

  Yes

  No

  N/A

• No Storage of Material in Electric Room

  Yes

  No

  N/A

• Any electrical work, or work by other trades<br>which are creating unsafe conditions been<br>addressed to contractor or owner?<br>

  Yes

  No

  N/A

Personal Protective Equipment

• Hard hats being worn

  Yes

  No

  N/A

• Goggles being used

  Yes

  No

  N/A

• Safety belts in use where needed

  Yes

  No

  N/A

• Ear plugs being used

  Yes

  No

  N/A

• Retrieval System in use where needed

  Yes

  No

  N/A

• High Voltage Equipment in Use Signs Where Needed<br>

  Yes

  No

  N/A

• Masks for dust & Welding in use

  Yes

  No

  N/A

Tools

• Tools & Cords in good condition

  Yes

  No

  N/A

• Tools & Cords have proper grounding

  Yes

  No

  N/A

• All mechanical safeguards in place

  Yes

  No

  N/A

• GFCI pigtails in use on building permanent power

  Yes

  No

  N/A

• Men using right tool for right job

  Yes

  No

  N/A

• Defective tools tagged & returned to office for repair "Do not keep defective tools on job"<br>

  Yes

  No

  N/A

Scaffolds & Ladders

• Guard Rails in place

  Yes

  No

  N/A

• Toe board in place

  Yes

  No

  N/A

• Scaffold Work area totally planked

  Yes

  No

  N/A

• Scaffold Access Adequate

  Yes

  No

  N/A

• Out Riggers used where needed

  Yes

  No

  N/A

• All parts of scaffolding of same manufacturer

  Yes

  No

  N/A

• Safety belt & line in use

  Yes

  No

  N/A

• Ladders inspected regularly

  Yes

  No

  N/A

• Are ladders tied off?

  Yes

  No

  N/A

• Ladders Extend 3' above landing

  Yes

  No

  N/A

• Step ladder fully open when in use

  Yes

  No

  N/A

Housekeeping

• Work area clear of debris

  Yes

  No

  N/A

• Regular rubbish disposal

  Yes

  No

  N/A

• Passage & walkways clear of rubbish & obstacles

  Yes

  No

  N/A

• Are Toilets adequately kept clean

  Yes

  No

  N/A

• Adequate drinking water & cups

  Yes

  No

  N/A

• Wash facilities available

  Yes

  No

  N/A

Hazard Communication Program

• Have all employees received training?

  Yes

  No

  N/A

• Are MSDS Sheets for hazardous material used on the job at the jobsite?

  Yes

  No

  N/A

Miscellaneous

• OSHA & All other Posters Posted

  Yes

  No

  N/A

• First Aid kit on job

  Yes

  No

  N/A

• Railings in place around outer perimeter, stairs, pits, etc.

  Yes

  No

  N/A

• Emergency Telephone Numbers Posted

  Yes

  No

  N/A

• Monthly & weekly tool box meeting being held

  Yes

  No

  N/A

Comments

• Please Write Additional Concerns or Comments here.