Weekly Site Safety Checklist

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

General Conditions

• Is the AHA in use for each definable feature of work?

  Yes

  No

  N/A

• Did you hold a weekly safety meeting?

  Yes

  No

  N/A

• Are MSDS sheets on site, Job site posters in good contitions? Emergency Numbers posted?

  Yes

  No

  N/A

• Hazardous material program in place with MSDS sheets on site and maintained?

  Yes

  No

  N/A

• Are good House Keeping Practices observed?

  Yes

  No

  N/A

• EM 385-1-1 available on site?

  Yes

  No

  N/A

• Is the submitted Safety Plan on site and in use?

  Yes

  No

  N/A

• Toilet Facilties available?

  Yes

  No

  N/A

Office Trailer and Job site trailers

• Are office and storage trailers anchored?

  Yes

  No

  N/A

• Are emergnecy phone numbers posted?

  Yes

  No

  N/A

• Is a phone available?

  Yes

  No

  N/A

• First Aid Log maintained (OSHA 300)?

  Yes

  No

  N/A

• Toilet facilities available?

  Yes

  No

  N/A

• Signs posted as required? (Hard Hat AREA, NOISE AREA, CONSTRUCTION ZONE)?

  Yes

  No

  N/A

• Garbage cans and dumpsters available?

  Yes

  No

  N/A

• Jobsite cleaned daily?

  Yes

  No

  N/A

• Is traffic control around site adequate?

  Yes

  No

  N/A

Fire Prevention

• Are Fire extinguishers available and in good working order? Easily visible within 75 feet and fully charged?

  Yes

  No

  N/A

• Is fuel stored in proper containers, are the containers in good conditions?

  Yes

  No

  N/A

• Are hot work permits obtained if necessarry?

  Yes

  No

  N/A

• Are fire watches provided if necessary?

  Yes

  No

  N/A

• Gas cylinders stored upright and secured with rope or chain?

  Yes

  No

  N/A

• Is Housekeeoing acceptable?

  Yes

  No

  N/A

Scaffold Safety

• Are daily Scaffold inspections performed by a competend person?

  Yes

  No

  N/A

• Planks overlapped no less than 6" or more than 12" over end supports with toe board in place?

  Yes

  No

  N/A

• Tubing pinned properly and all cross bracing in place?

  Yes

  No

  N/A

• If scaffold height is 4X smallest base dimension, is system secured to structure?

  Yes

  No

  N/A

• Are guardrails in place? Full working Plattforms at each working level? Safe access provided to each working level?

  Yes

  No

  N/A

• Scaffold and components not overloaded? Is scaffold sytem plump and level?

  Yes

  No

  N/A

• Suspended scaffold systems using independent personal fall arrest system?

  Yes

  No

  N/A

Fall Protection

• Is a full body harness used where required?

  Yes

  No

  N/A

• 100% tie-off to a structural element supporting 5000lbs./person

  Yes

  No

  N/A

• Is fall protection provided to all person working in areas their they could fall 6' or more? Are full body harnesses used and in good working order?

  Yes

  No

  N/A

• Are employees trained in fall protection?

  Yes

  No

  N/A

• Is a competent certified fall protection person on site?

  Yes

  No

  N/A

• If guardrails are being used are they compiant with OSHA and EM 385 standards?

  Yes

  No

  N/A

• Have horizontal life lines been designed and installed under supervision of a qualified person?

  Yes

  No

  N/A

Ladder Safety

• Do ladders extend 3' above landing platform and tied to structure?

  Yes

  No

  N/A

• Are ladders used with hand tools only?

  Yes

  No

  N/A

• Are ladders set up per OSHA requirments/EM 385? 1/4 ratio?

  Yes

  No

  N/A

• Are floor openings secured with guardrails or covered?

  Yes

  No

  N/A

• Electrians not using portable 'conductive"ladders?

  Yes

  No

  N/A

• Stairways having four or more risers or rising more than 30 inches (76 cm) are equipped with a handrail?

  Yes

  No

  N/A

• Portable step ladders over 20' not used on site?

  Yes

  No

  N/A

• Are ladders properly used and inspected by a competend person?

  Yes

  No

  N/A

Excavations

• Do you have an excavation plan on site?

  Yes

  No

  N/A

• Does excavation over 4' deep have a ladder within 25 feet and 2 means of egress?

  Yes

  No

  N/A

• Is water controlled or removed?

  Yes

  No

  N/A

• Is excavation material at least 2' back from trench edge?

  Yes

  No

  N/A

• is the excavation site properly secured?

  Yes

  No

  N/A

• Are air monitors being used, if excavation site is contaminated or suspected of contamination?

  Yes

  No

  N/A

• Are all permits up to date and is a competend person on site?

  Yes

  No

  N/A

Electrical

• Are temporary power panels and receptacles protected from the weather?

  Yes

  No

  N/A

• GFCI's being used for tools?

  Yes

  No

  N/A

• Are temporary lights rigged and secured to supports properly and with covers?

  Yes

  No

  N/A

• If overhead power lines are in areas, are operations maintaining required distance and insulation?

  Yes

  No

  N/A

• Is lock out/tag out program in effect?

  Yes

  No

  N/A

• Has a scetch of proposed temporary power distribution been submitted/accepted before installing?

  Yes

  No

  N/A

Cranes

• Has periodic inspection been performed prior to use on site (OSHA/EM385)?

  Yes

  No

  N/A

• Are equipment inspections done daily by a competend person?

  Yes

  No

  N/A

• Is crane operator qualified per OSHA or EM-385?

  Yes

  No

  N/A

• Are workes protected from the crane swing radius and prevented from passing under the load?

  Yes

  No

  N/A

• Are rigging cables and slings in good repair and free of kinks and cracks?

  Yes

  No

  N/A

• Is the crane on level ground and firm ground and outriggers is use with appropriated cribbing?

  Yes

  No

  N/A

• Is crane side loading prohibited?

  Yes

  No

  N/A

• Near electric power sources are rules followed for clearance/isolation in opeating zone?

  Yes

  No

  N/A

• Is crane equipped with anti two-block device if required?

  Yes

  No

  N/A

Confined Space

• Has entry plan submitted and accepted?

  Yes

  No

  N/A

• Is the atmosphere being monitored? Is space being ventilated?

  Yes

  No

  N/A

• Is space being ventilated?

  Yes

  No

  N/A

• Are entrants, attendants and entry supervisior properly trained

  Yes

  No

  N/A

• Is rescue/retrieval system in place?

  Yes

  No

  N/A

• Are daily entry permits postedat point of entryand signed by entry supervisior?

  Yes

  No

  N/A

• Is point of entry sign posted, "Danger Confined Space" ?

  Yes

  No

  N/A

• Has blanking or locking out of system taken place?

  Yes

  No

  N/A

Roofing

• Are Kettles at least 25 feet away from buildings?

  Yes

  No

  N/A

• Is a fall protection program in place and properly used?

  Yes

  No

  N/A

• Are roof openings properly secured and protected?

  Yes

  No

  N/A

• Has the roof been evaluated for its ability to support the intended construction loads?

  Yes

  No

  N/A

• Has the roof been surveyed for deteriorations?

  Yes

  No

  N/A

• Are two fire extinguishers at the kettle? or near the torches?

  Yes

  No

  N/A

• Fuel cylinders a minimum of 10' away from open flames?

  Yes

  No

  N/A

Equipment

• Are Forklift operators qualified through training at the site (certificate included in Safety Plan)?

  Yes

  No

  N/A

• Does mobile equipment have rollover cages and back up alarms?

  Yes

  No

  N/A

• Are equipment operations maintaining safe clearance from electrical powerlines?

  Yes

  No

  N/A

• Do modifications meet safety ratings per manufacturer?

  Yes

  No

  N/A

• Are safety lashings provided for high pressure hose connections?

  Yes

  No

  N/A

• Are workers clear of blind spots associated with mobile construction equipment?

  Yes

  No

  N/A

• Do aerial lifts have basket/platform with guardrail?

  Yes

  No

  N/A

• Are workers not extending over guardrails of aerial lifts. Climbing on guardrails?

  Yes

  No

  N/A

• Are articulating boom platforms (JLG types) used with Full Body Harness attached to boom or basket?

  Yes

  No

  N/A

Demolition

• Has demolition plan been submitted and accepted?

  Yes

  No

  N/A

• If waste is being dropped >6' is it in an enclosed chute and is area secured from traffic?

  Yes

  No

  N/A

• For building demolition, has notification being made to State having jurisdiction?

  Yes

  No

  N/A

• Are nails removed from scrap lumber/materials?

  Yes

  No

  N/A

PPE

• Workers wearing leather shoes with safety toe, long pants sleeved shirts ?

  Yes

  No

  N/A

• Are hard hats being worn?

  Yes

  No

  N/A

• Are safety glasses worn where appropriated?

  Yes

  No

  N/A

• Hearing protection where appropriated? (if you need to yell to have a conversation)

  Yes

  No

  N/A

• Respirators where appropriated, and workers being trained on using resprirators?

  Yes

  No

  N/A

• Impalment protection in place where workers could work above vertical impalement?

  Yes

  No

  N/A

• Is lighting adequate?

  Yes

  No

  N/A

Abatement

• Has abatement plan submitted and accepted?

  Yes

  No

  N/A

• Is independent air monitoring performed as required inside and outside barriers?

  Yes

  No

  N/A

• Is containment in place without integrity compromised?

  Yes

  No

  N/A

• Are employees using appropriated PPE?

  Yes

  No

  N/A

• If negative air is used, are fans used continously and monitored for pressure differential?

  Yes

  No

  N/A

• Has baseline been performed and necessary final clearance readings taken?

  Yes

  No

  N/A

• Are inspections by independent PQP performed prior to barrier removal?

  Yes

  No

  N/A

• Is waste material properly containerized and stored?

  Yes

  No

  N/A

• Are air monitoring results provided to ROICC?

  Yes

  No

  N/A

• Are waste shipment records provided to ROICC?

  Yes

  No

  N/A

Waterfront Activities

• Are employees wearing appropriated flotation devices?

  Yes

  No

  N/A

• Is a rescue skiff available?

  Yes

  No

  N/A

• Are emergency life rings available?

  Yes

  No

  N/A

• If diving operations are taking place, has a dive plan been submitted and accepted?

  Yes

  No

  N/A

• Does dive team consist of proper number and qualifications for employee?

  Yes

  No

  N/A

Acknowledgment and Signature

• I hereby certify that the information I have entered on this form is true and complete to the best of my knowledge and believe.

  Sign