Title Page
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Report Title
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Type of Work (Description)
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Location
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Conducted on
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Prepared by
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Personnel in attendance
Housekeeping
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Is site free of debris, trash, material waste ? (Debris is piled or gathered)
Hot Work
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Is the site following a hot work permitting process? (Wegmans or the General Contractors)
Fire Protection / Emergency Response
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Fire Extinguishers charged, inspected, properly placed?
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Site NO SMOKING policy being followed? (Wegmans or General Contractor)
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Fire EXITS marked and not blocked?
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First aid kit on site?
Scaffolding, Scissors Lifts, Aerial Lifts, Material Handling Equipment
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Scaffolding - Is properly erected, inspected, used and maintained. Note: competent person must be directing the build and removal of scaffolding.
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Scissors lift- Is user following site policy? (Wegmans or General Contractor)
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Aerial Lift- Is user following site policy? (Wegmans or General Contractor)
Fall Hazards
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Holes covered- Openings or gaps >2" wide are covered.
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Fall Protection/Prevention - Is properly established and has sufficient structural integrity to protect from falls greater than 6 feet.
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Walking / Working Surfaces - Are free from obstructions & slipping hazards
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Ladders - Are used properly (3 points of contact when ascending or descending ladders, work facing ladder, ladder secured, etc.)
Struck by Hazards
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Traffic Flow - Pedestrian and vehicle/mobile equipment traffic flow are controlled.
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Elevated Materials/Tools/Equipment - Protected from dropping/falling to lower levels (toe boards, debris nets, secure materials, etc.)
Caught In/Between Hazards
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Mobile Equipment - Has operable back-up alarms.
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Swing-Radius - Cranes and other rotating construction equipment swing-radius is protected.
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Tag lines - Are used to control loads during lifts.
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Guards - In place for tools and equipment with moving and rotating parts.
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Trenches/Excavations - Greater than 5 ft. in depth have cave-in protection consistent with regulatory requirements.
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Confined Space Hazards - Atmospheric, entrapment, engulfment, mechanical, electrical and other pertinent hazards are identified and controlled. Permit on hand.
Electrical Hazards
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Elevated Energized Power Systems - Cranes and lifts maintain at least 10 ft. distance from elevated energized power systems.
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Underground Energized Power Systems - Identified and protected prior to digging.
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Power Cords - Have electrically protective elements intact (outer insulation, ground pin, etc.) and are protected/elevated to prevent damage.
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GFCI/Assured Grounding Conductor Program - is utilized to protect employees from electric shock.
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Energized Parts - are guarded to prevent contact & isolated from wet conditions.
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Lockout/Tagout - Is contractor / employee following LO/TO requirements?
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Arc Flash Protections - Safe arc blast boundaries,PPE, and other control methods are utilized.
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PPE - is utilized to prevent electricity from harming person(s).
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Insulated Tools - Are used in the proximity of electrical sources (insulated screw driver, etc.).
Laceration Hazards
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Sharp Edges - Are protected to prevent contact or proper PPE is utilized (gloves, chaps, sleeves, etc.).
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Guards - Are maintained as designed/installed on cutting tools.
Ergonomic (Physical Stress) Hazards
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Material Handling Equipment - Is utilized when handling loads > 50 lbs. / person.
Safety Planning
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Hazard Identification through Pre-task plan, Risk Assessments or JHA's - Are conducted daily by construction crews and include safety and ergonomic hazards.
Hazard Communication
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SDS's available for chemicals, including liquids and gasses, on site.
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Chemicals, including liquids and gases labeled and stored properly.
Safety Training
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Project-Specific Safety Orientations - Completed by construction field employees prior to commencing work on site.
Lead by Example
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Site complies with all hazard controls while on the worksite (barriers, PPE, warning signs, etc.)
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Is Site Manager holding contractors /employees to the Wegmans or site PPE policy?
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Is Project Manager conducting periodic safety inspections?
