Information

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  • General Contractor

  • Job Name/Number

  • WPI Region

  • Conducted on

  • Inspected By

  • Employee Type

  • Job Site Foreman

1. Administration

Administration

  • 1.1 - Document pre-const meetings

  • 1.2 - Potential Hazardous materials identified (ACM, Lead, Mold)

  • 1.3 - Competent Person Identified by the safety dept.

  • 1.4 - Inspections occurring at regular intervals

  • 1.5 - JHA/PTP performed & Documented

  • 1.6 - Copies of training cards kept onsite

  • 1.7 - WPI site specific orientation conducted and sign in sheet complete

  • 1.8 - Company/OSHA posters/OSHA 300 log/state/fed posters (Eng./Sp.) displayed

  • 1.9 - SSHSP in place and specific

  • 1.10 - Safety meetings/toolbox talks documented

  • 1.13 - SDS site specific inventory list present

  • 1.14 - Proper labels on containers

  • Silica Policy and appropriate SOP in place and specific to the project.

  • 1.15 - SDS or MSDS readily available

2. Medical/Emergency

Medical/Emergency

  • 2.1 - 1st aid kit onsite and stocked

  • 2.2 - Trained 1st aid/CPR individual onsite

  • 2.3 - Emergency numbers posted

  • 2.4 - Eye wash

  • 2.5 - Map to medical facility

  • 2.6 - Project emerg./crisis mgmt. plan posted

  • 2.7 - Team contact numbers

  • 2.8 AED Located

3. Housekeeping

Housekeeping

  • 3.1 - Clear access to building site

  • 3.2 - Impalement/rebar protection

  • 3.3 - Slip, trip, fall hazards

  • 3.4 - Trash in proper container

  • 3.5 - Walkways clear and marked

  • 3.6 - Nothing hits the ground policy being followed

  • 3.7 - Egress pathways clear and marked

4. Electrical

Electrical

  • 4.1 - Cords in good condition

  • 4.2 - Cords properly labeled for quarter

  • 4.3 - Cords protected from traffic

  • 4.4 - Exposed energized parts protected

  • 4.5 - GFCI's used

  • 4.6 - LO/TO procedures

  • 4.7 - Proper task lighting & adequate

  • 4.8 - Proper use of temp power boxes

5. Fall Protection

Fall Protection

  • 5.1 - Exterior/Interior guardrails

  • 5.2 - Fall protection provided at 6' (4' In WA)

  • 5.3 - Fall protection plan written

  • 5.4 - Warning line system properly setup

  • 5.5 - Competent person verified

  • 5.6 - Training verified and filed

  • 5.7 - Floor/Wall opening protected

  • 5.8 Floor covers adequate, secured, and labled

  • 5.9 - Proper anchorage points

  • 5.10 - Roof edge protected

  • 5.11 - Safety harness and lanyard in place and properly used

  • 5.12 - Fall protection stored properly

  • 5.13 Falling object protection in place

6. Fire Protection

Fire Protectioin

  • 6.1 - Extinguishers present, charged and inspected

  • 6.2 - Fire watch when applicable

  • 6.3 - Hot work permit in use

  • 6.4 - Proper signs in storage areas

  • 6.5 - Combustibles removed or protected in hot work areas

  • 6.6 - Proper fuel containers used

7. PPE

PPE

  • 7.1 - Work boots

  • 7.2 - Proper glasses

  • 7.3 - Proper gloves

  • 7.4 - Hard hats

  • 7.5 - Face shields

  • 7.6 - Hearing protection

  • 7.7 - Metatarsal protection

  • 7.8 - Proper clothing

  • 7.9 - Proper High-Vis clothing/vest<br>

  • 7.10 Respirators

8. Hand and Power Tools

Hand and Power Tools

  • 8.1 - Cord in good condition

  • 8.2 - Ground prong in place

  • 8.3 - Guards in place

  • 8.4 - Information label on tool and legible

  • 8.5 - Operators trained and using proper tool for the job

  • 8.6 - Powder actuated tool used properly and signage in place

  • 8.7 - Powder actuated shots stored and disposed of properly

  • 8.8 - Tool in good condition

  • 8.9 - Laser properly used and signage present

9. Ladder/Stairs

Ladders/Stairs

  • 9.1 - Ladders extend 3'above landing

  • 9.2 - Clear of debris/materials

  • 9.3 - Extension ladder 4:1 pitch

  • 9.4 - Indirect access to landing at extension ladder

  • 9.5 - Free of damage or defects

  • 9.6 - Ladders secured

  • 9.7 - Proper use of ladder

  • 9.8 - Rails at stairs/landings

  • 9.9 - Safe work distance from electrical hazard

  • 9.10 - Slip trip exposer eliminated

  • 9.11 - Stairs illuminated

10. Scissor/Boom Lifts

Scissor/Boom Lifts

  • 10.1 - Proper use of scissor or boom lift

  • 10.2 - Equipment loaded properly

  • 10.3 - Gate or chain secured

  • 10.4 Harness While in Boom Lift

  • 10.5 - Nothing used to increase height

  • 10.6 - Operating on flat service

  • 10.7 - Operators Trained

  • 10.8 - Daily inspections verified

  • 10.9 - safe work distances

  • 10.10 - Work platform clear of debris

  • 10.11 - Controls clear of tools and materials

  • 10.12 - Lift rendered dead after placed in work position

  • 10.13 - Surface free of holes and obstructions

11. Scaffolds

Scaffolds

  • 11.1 Scaffold set up properly by a Competent Person

  • 11.2 - Scaffolding properly setup

  • 11.3 - Bracing and pins in place

  • 11.4 - Compatible components used

  • 11.5 - Guard rails, mid rails, toe boards and screens in place if needed

  • 11.6 - Inspected daily and verified

  • 11.7 - Proper loading of materials

  • 11.8 - Safe work distance from electrical

  • 11.9 - Sills, plates and jacks installed properly

  • 11.10 - Surface in safe condition

  • 11.11 - Wheels locked

12. Motorized Equipment

Motorized Equipment

  • 12.1 - Spotter used if applicable

  • 12.2 - Operator appears competent

  • 12.3 - Forklift operator certification verified

  • 12.4 - Daily inspection of equipment verified

  • 12.5 - Seat belts used

  • 12.6 - Training docs. available

  • 12.7 - Cab clear of tools and debris

13. Welding/Cutting

Welding/Cutting

  • 13.1 - Bottles upright, capped and secured

  • 13.2 - Fire ext. present

  • 13.3 - Flash arrest on torches

  • 13.4 - Gauges working properly

  • 13.5 - Leads in good condition

  • 13.6 - Proper PPE in use

  • 13.7 - Proper storage of cylinders

  • 13.8 - Torch hoses in good condition

  • 13.9 - Screens in place when needed

  • 13.10 - Combustibles removed or covered

  • 13.11 - Welding area ventilated

14. Stilts

14. Stilts

  • 14.1 Stilts appear to be in good condition

  • 14.2 Area is free of debris, holes, drops offs, and obstructions

  • 14.3 Employees are stilt user trained

  • 14.4 Employees are properly donning and doffing the stilts

  • 14.5 Guardrails are extended to the proper height if working near them

15. Silica Exposure

  • Proper SOP with the crew performing the work.

  • Proper tools being used

  • Vacuums have proper filtering efficiency and CFM flow rating.

  • Proper respirator procedures (if required by SOP) being followed.

  • Housekeeping being done per SOP

16. Additonal Comments

    Additional Comments

Sign Off

  • On site representative

  • Auditor's signature

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