West Contracting - Asphalt & Concrete

• West Contracting Safety Inspection (Asphalt & Concrete)

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Project Manager

Housekeeping

• Is the work area clear of debris/trash?

  Yes

  No

  N/A

• Proper disposal of trash/debris?

  Yes

  No

  N/A

• Electrical cords, leads, hoses are routed out of walkways?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Hard Hats are being worn? (Mandatory)

  Yes

  No

  N/A

• Safety glasses are being worn as required?

  Yes

  No

  N/A

• Face Shields are being worn as needed?

  Yes

  No

  N/A

• Work boots are being worn as required?

  Yes

  No

  N/A

• High Visability Vest/Shirt/Clothing is being worn as required?

  Yes

  No

  N/A

• Gloves are being worn as needed?

  Yes

  No

  N/A

• Hearing Protection is being worn as necessary?

  Yes

  No

  N/A

• Respiratory Protection is being worn as necessary?

  Yes

  No

  N/A

Fire Protection & Flammable Liquids/Materials

• Fire Extinguisher available?

  Yes

  No

  N/A

• Flammable Liquids/Materials are in approved containers?

  Yes

  No

  N/A

• Flammable Liquids/Materials are transported, secured, and stored properly?

  Yes

  No

  N/A

Signs, Signals & Barricades

• Proper signs and signals are in place?

  Yes

  No

  N/A

• Barricades, Caution/Danger Tape is in place as necessary?

  Yes

  No

  N/A

Walking & Working Surfaces

• Have uneven surfaces been identified?

  Yes

  No

  N/A

• Have slip/trip/fall hazards been removed/addressed?

  Yes

  No

  N/A

• Is safe access/egress maintained as necessary?

  Yes

  No

  N/A

Material Handling

• Are proper lifting techniques being used?

  Yes

  No

  N/A

• Is material handling equipment available and being used as needed?

  Yes

  No

  N/A

Hand and Power Tools

• Hand and Power Tools inspected?

  Yes

  No

  N/A

• Defective tools removed from service?

  Yes

  No

  N/A

• Guards are in place as required?

  Yes

  No

  N/A

Electrical, Utilities and Powerlines.

• Electrical cords inspected and in good condition?

  Yes

  No

  N/A

• Ground Fault Circuit Interrupters (GFCI) used when required?

  Yes

  No

  N/A

• Power lines identified and warning signs (as needed) are in place?

  Yes

  No

  N/A

Motor Vehicles / Seat Belts

• Vehicle in safe working condition?

  Yes

  No

  N/A

• Seat belts used?

  Yes

  No

  N/A

Heavy Equipment & Mechanized Equipment

• Heavy Equipment & Mechanized Equipment inspected?

  Yes

  No

  N/A

• Deficient Heavy Equipment & Mechanized Equipment removed from service?

  Yes

  No

  N/A

• Roll-Over Protection (ROP's) are in place?

  Yes

  No

  N/A

• Back up alarms functional?

  Yes

  No

  N/A

Excavations, Trenching & Shoring

• Excavation/Trenching Competent Person Designated?

  Yes

  No

  N/A

• Excavation/Trench inspected daily prior to entry?

  Yes

  No

  N/A

• Excavation/Trench Permit completed?

  Yes

  No

  N/A

• Sloping, Benching, Shoring is established/installed as required?

  Yes

  No

  N/A

• Access/Egress maintained?

  Yes

  No

  N/A

Traffic Controls & Flagging

• Appropriate traffic control plan is in place?

  Yes

  No

  N/A

• Warning signs are in place?

  Yes

  No

  N/A

• Barricades are in place?

  Yes

  No

  N/A

• Traffic lanes marked?

  Yes

  No

  N/A

• Flaggers are in place?

  Yes

  No

  N/A

• Flaggers trained?

  Yes

  No

  N/A

Other Observations:

• Other Observations/Hazards Addressed?

  Yes

  No

  N/A

General Comments

Sign Off

• Add signature

  Sign