Westech Process Solutions

• Job Site

• Conducted on

  Date

• Conducted By

Personal Protective Equipment

Hard hats

• Are employees wearing hard hats?

  Yes

  No

  N/A

Eye Protection & Face Protection

• Are employees wearing safety glasses with side shields?

  Yes

  No

  N/A

• Are employees wearing face shields and safety glasses while grinding or chipping?

  Yes

  No

  N/A

Hand Protection

• Are employees wearing the proper hand protection?

  Yes

  No

  N/A

Fall Protection

• Has the fall protection equipment been inspected by a competent person?

  Yes

  No

  N/A

• Is the equipment free from defects?

  Yes

  No

  N/A

• Is the equipment installed properly to prevent employees from free-falling more than 6 feet or hitting the level below?

  Yes

  No

  N/A

Respirators

• Are employees medically qualified to wear the respirator?

  Yes

  No

  N/A

• Are employees using the right respirator for the hazard?

  Yes

  No

  N/A

Housekeeping & General Conditions

• Are there adequate trash containers available?

  Yes

  No

  N/A

• Is the Lighting adequate?

  Yes

  No

  N/A

• Are the exits ands stairs kept clear?

  Yes

  No

  N/A

• Are the walkways free of trip/slip hazards?

  Yes

  No

  N/A

Lighting

• Is there adequate lighting?

  Yes

  No

  N/A

• Are all bulbs fully enclosed protecting the build from potential damage?

  Yes

  No

  N/A

Fire Prevention

• Is there a fire extinguisher at the hot work being performed?

  Yes

  No

  N/A

• Are the fire extinguishers inspected both monthly and annually?

  Yes

  No

  N/A

• Are there fire extinguishers placed at least every 100'?

  Yes

  No

  N/A

• Are combustibles kept 36' away from all hot work or are they covered?

  Yes

  No

  N/A

• Are fuels and Oxygen cylinders kept 20' apart or separated by a 5' half hour firewall or equivalent?

  Yes

  No

  N/A

• Does the flammable storage area have proper signage (No Smoking or Open Flame)?

  Yes

  No

  N/A

Floor Hole, Wall Openings & Rooftops

• Are Holes > 2" covered?

  Yes

  No

  N/A

• Are hole covers marked "Hole" or color-coded and designed to withstand 2 times the intended weight?

  Yes

  No

  N/A

• Are handrails in good condition and able to withstand 200 lbs of pressure downward and outward?

  Yes

  No

  N/A

• Are floor deviations/holes guarded or protected?

  Yes

  No

  N/A

Tools & Equipment

• Are employees using the tools for their intended purpose?

  Yes

  No

  N/A

• Are tools in proper working order?

  Yes

  No

  N/A

• Do grinders have guards and handles on?

  Yes

  No

  N/A

Overhead Hoisting Equipment

• Does the equipment have the annual inspection sticker on it & is it inspected?

  Yes

  No

  N/A

• Is the equipment in good working order?

  Yes

  No

  N/A

Aerial Lifts (Scissor & Boom)

• Chains latched?

  Yes

  No

  N/A

• Employees wearing fall protection (Full body harness & Retractable lanyard)

  Yes

  No

  N/A

• Are lifts being kept away from floor holes?

  Yes

  No

  N/A

• Are employees trained to use the equipment?

  Yes

  No

  N/A

Cranes

• Is the crane inspected and is the inspection in the cab?

  Yes

  No

  N/A

• Does the operator have a current training certification?

  Yes

  No

  N/A

• Are the outriggers extended & is the swing radius protected?

  Yes

  No

  N/A

• Is a clearance of at least 10' maintained away from overhead power lines?

  Yes

  No

  N/A

• Is there a qualified signal person?

  Yes

  No

  N/A

Lockout/Tagout

• Are employees trained in the application & removal of locks & tags?

  Yes

  No

  N/A

• Are locks and tags being applied correctly?

  Yes

  No

  N/A

Trenches/Excations

• Has the Competent Person classified the soil?

  Yes

  No

  N/A

• Is there proper protection in place at excavations > 5'(i.e. shoring/sloping/benching)?

  Yes

  No

  N/A

• Is there proper egress in out of excavations > 4' (ladders every 25')?

  Yes

  No

  N/A

• Are spoils kept at least 2' back from the edge of the excavation?

  Yes

  No

  N/A

• Are daily inspections being completed by the Competent Person?

  Yes

  No

  N/A

Confined Spaces

• Is the air monitor calibrated?

  Yes

  No

  N/A

• Is all the appropriate equipment in place and working properly?

  Yes

  No

  N/A

• Are employees trained to understand the hazards of the space & equipment?

  Yes

  No

  N/A

• Is the permit completed properly and posted?

  Yes

  No

  N/A

Rigging

• Is rigging equipment inspected prior to use?

  Yes

  No

  N/A

• Is the manufacturer name and capacity clearly marked on the rigging?

  Yes

  No

  N/A

• Are tag lines being used

  Yes

  No

  N/A

• Are softener being used on sharp edges?

  Yes

  No

  N/A

Compressed Gas Cylinders

• Are compresses gas cylinders from grease & oils?

  Yes

  No

  N/A

• Are compresses gas cylinders stored properly (capped, separated & secured)?

  Yes

  No

  N/A

• Do B Tanks have keys on the stem?

  Yes

  No

  N/A

Welding, Cutting & Burning

• Are weld leads free from defects?

  Yes

  No

  N/A

• Are gas hoses free from defects?

  Yes

  No

  N/A

• Are boots covers in place over lead connections?

  Yes

  No

  N/A

• Do compressed gas cylinders have flashback Arrestors on them or are they are the torch handle?

  Yes

  No

  N/A

• Are welding screens being used to protect others form UV exposures?

  Yes

  No

  N/A

Electrical

• Is all temporary electrical installed properly and inspected (panels closed, off the ground, etc.)?

  Yes

  No

  N/A

• Are GFCI's being used and have they been tested before use?

  Yes

  No

  N/A

• Are cords free from defects (i.e. Ground prong missing, tears in the jacket, etc.)

  Yes

  No

  N/A

• Are workers staying at least 10' away from overhead electrical lines?

  Yes

  No

  N/A

Ladders

• Are ladders free from defects?

  Yes

  No

  N/A

• Are step ladders being used in the open position?

  Yes

  No

  N/A

• Are extension ladders, used for access, placed at the proper angle, secured at the top and bottom & extended 3' above the landing?

  Yes

  No

  N/A

• Are the landings, where extension ladder access are, protected by an offset handrail?

  Yes

  No

  N/A

• Are employees staying off the top 2 steps of step ladders?

  Yes

  No

  N/A

• Are employees working within the confines of the ladders rails?

  Yes

  No

  N/A

Stairs

• Are handrails provide at stairs with 4 or more steps?

  Yes

  No

  N/A

• Is there steps provided at access points > 19"?

  Yes

  No

  N/A

Scaffolding

• Was the scaffolding built by a Competent Person?

  Yes

  No

  N/A

• Is the working platform > 18" & fully decked?

  Yes

  No

  N/A

• Is there adequate access provided?

  Yes

  No

  N/A

• If the scaffolding is on wheels are there any floor deviations nearby?

  Yes

  No

  N/A

Powered Industrial Trucks

• Are all operators trained and certified to operate the equipment?

  Yes

  No

  N/A

• Are seat lets being worn?

  Yes

  No

  N/A

• Is the machines's back up alarm working properly?

  Yes

  No

  N/A

• Are pre-use inspections being performed?

  Yes

  No

  N/A

Vehicles

• Does the vehicle have an inspected fire extinguisher, emergency triangles, camera & accident reporting kit?

  Yes

  No

  N/A

• Is the back up alarm working and audible?

  Yes

  No

  N/A

Hazard Communication

• Are Safety Data Sheets (SDS's) available or accessible?

  Yes

  No

  N/A

• Do all employees know how to obtain SDS's?

  Yes

  No

  N/A

• Are all substances properly labeled?

  Yes

  No

  N/A

First Aid

• Are there first aid kits readily available to employees & are they stocked appropriately?

  Yes

  No

  N/A

• Is there a medical facility nearby and/or is there someone trained in First Aid & CPR?

  Yes

  No

  N/A

Job Site Documentation

• Are SPA's being completed for each task?

  Yes

  No

  N/A

• Are weekly tool box talks being completed?

  Yes

  No

  N/A

• Is there a Safety Manual on site?

  Yes

  No

  N/A

• Is the doctor panel posted?

  Yes

  No

  N/A

Postings

• Is the OSHA 300A Log posted (February 1 to April 31)?

  Yes

  No

  N/A

• Are the federal, state & local postings & emergency #'s posted?

  Yes

  No

  N/A

Sub Contractors

• Was the Sub Contractor Orientation Done for all new Subs?

  Yes

  No

  N/A

• Are Sub Contractors working safely?

  Yes

  No

  N/A

Other

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A