Information
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Job No.:
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Job Name:
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Superintendent:
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Conducted on
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Person Performing Inspection:
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Column Grade: Use link to update
A = Adequate At Time of Inspection MSDS
B = Needs Consideration *Login and Password needed
C = Needs Immediate Attention
N/A = Not Applicable
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Company Name/Trade:
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1. Job Information
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OSHA 300A Summary Form Posted (February-April)?
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OSHA Poster Posted?
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Important Phone #'s and Injury Flow Chart Posted?
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Safety Meeting Records up to Date?
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Is There an Emergency Action Plan (EPA) in Place and Understood?
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MSDSs Current and Accessible to All On-Site Personnel?
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First Aid Cabinet Stocked with Required Supplies and Up to Date?
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1. Job Information Comments:
2. Housekeeping
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Work Areas Neat and Clean?
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Projecting Nails Removed or Bent Over?
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Waste Containers Provided and Emptied?
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Passageways and Walkways Clear of Debris?
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Compressed Gas Cylinder Properly Stored and Secured?
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Cords and Leads Not Pinched in Doorways?
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2. Housekeeping Comments:
3. Fire Prevention
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Adequate Fire Extinguishers, Checked the 1st of each Month and Accessible?
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Spark Arrestors and Proper Labels in Place on Fuel Cans?
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Flammable Liquids being Stored in Closed Containers and Proper Labels in Place?
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"No Smoking" Posted and Enforced near Flammables?
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3. Fire Prevention Comments:
4. Electrical
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Extension Cords with Bare Wires or Missing Ground Prongs taken out of Service?
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Ground Fault Circuit Interrupters being used?
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Construction Lights have Guards in Place?
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Terminal Boxes Equipped with Required Covers?
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4. Electrical Comments:
5. Hand, Power & Powder Actuated Tools
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Hand Tools Inspected Regularly?
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Guards in Place?
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Wooden Handle Tools Free of Splinters?
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Cord on Tool in Good Condition?
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Operators of Powder Actuated Tools Trained?
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5. Hand, Power & Powder Actuated Tools Comments:
6. Fall Protection
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Safety Rails are Secured Properly (42" Top Rail, 21" Mid Rail)?
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Employees Exposed to Fall Hazards (above 6') are Tied Off?
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Fall Protection Equipment is up to Manufacturer's Standards?
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Fall Protection Inspected Before each Use?
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All Protruding Metal Properly Covered to Prevent Impalement?
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Employees Protected from Falling Objects?
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6. Fall Protection Comments:
7. Ladders
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Ladders Extend at Least 36" above Landing?
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Ladder are Secured to Prevent Slipping, Sliding and/or Falling?
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Ladder with Damage (i.e. Cracked Sides, Bent Rungs) are Taken out of Service and Tagged "Do Not Use"?
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Stepladders Used in Fully Open Position?
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Lifting Device Provided to Haul Materials Up?
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7. Ladders Comments:
8. Scaffolding
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All Scaffolding Inspected Daily?
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Scaffolding Has a Green "In Use" or Red "Not In Use" Tag?
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Scaffolding Erected on Sound Rigid Footing?
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Guardrails, Intermediate Rails & Toeboards in Place?
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Planking is Sound & Sturdy?
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Proper Access Provided?
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8. Scaffolding Comments:
9. Floor & Wall Openings
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All Floor Openings are Covered and Labeled "Hole" or Barricaded?
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Perimeter Protection is in Place for All Wall Openings & Sides from Which there is a Drop of more than 4'?
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Proper Access is Present where Elevation Changes 19" or more; i.e. Stairs, Ramp or Ladder?
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Materials Stored away from Edges?
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9. Floor & Wall Openings Comments:
10. Trenches, Excavations & Shoring
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Competent Person on hand with Excavation Report filled out?
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Excavations are Shored or Sloped Back?
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Locates were Performed before Digging began?
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Spoils are Stored at least 2' from Trench?
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Proper Means of Egress Provided every 25' in Trench?
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10. Trenches, Excavations & Shoring Comments:
11. Material Handling
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Employees are using Proper Lifting/Rigging Methods?
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Tag Lines are Used During Lifting Operation?
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All Containers are Properly Labeled, Hazardous or Not?
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11. Material Handling Comments:
12. Cranes
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Outriggers are extended and Swing Radius Barricade in Place?
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Operator is Familiar with Load Charts?
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Hand Signal Charts on Crane?
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Crane Operator Logs are Up to Date?
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Employees Kept from Under Suspended Loads?
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Chains and Slings have Labels that are Legible and Intact?
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Chains and Slings Inspected and Tagged as Required?
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12. Cranes Comments:
13. Personal Protective Equipment
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Hard Hats are Being Worn?
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Safety Glasses and Vests are Being Worn?
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Safety Toe Footwear Being Worn?
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Hearing Protection Being Used When Required?
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Gloves are being Worn During Cutting and Lifting Operations
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13. Personal Protective Equipment Comments:
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Signature:
