Title Page
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Conducted on
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Prepared by
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Location
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Supervisor/Lead
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Truck #
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Trailer #
PPE
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Workers wearing hardhats?
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Workers wearing safety glasses?
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Hand protection worn as required?
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Foot protecting worn as required?
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Appropriate work attire?
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Gloves and sleeves when removing windows and doors off trailers?
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Fall protection and associated equipment?
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Hearing protection worn where required?
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Equipped with a Retractable Lanyard?
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Equipped with Tie-off points?
Equipment
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Ladders in good condition?
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Correct size ladder for the job?
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Condition of the ladder rope and pulley?
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Ladders locking assembly operational?
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Ladders appropriately labeled with class and weight?
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Condition of the ladder shoes?
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Ladder rungs straight and in good condition?
Truck Inspection
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Truck inspection completed?
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Trailer connected correctly to the truck hitch?
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Truck have first aid kit?
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Truck equipped with traffic reflectors?
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Truck equipped with a fire extinguisher?
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Fire extinguisher yearly inspection updated?
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Truck have the SDS decal on the driver side door?
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Housekeeping condition of the truck cab?
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Housekeeping condition of the truck bed?
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Housekeeping condition of the trailer tongue?
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Truck occupants wearing seatbelts?
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Ladders secure to ladder rack?
Construction Site
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General housekeeping neat and orderly?
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Ladders are not placed against window?
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Proper ladder is used for the job?
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Ladders not placed on scaffold?
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Site have scaffolding?
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Color of the tag on the scaffold?
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Standard staircase guardrails installed?
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Three rungs (3 ft) of ladder above the work station?
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Fall protection, full body harness and lanyard used?
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Workers standing below top 2 steps?
Misc.
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Water and ice available?