Information

Work Area Inspection (Complete Weekly)

  • Date:

  • Completed by:

  • Accompanied by:

  • Job Site:

  • Power on Site:

  • Voltage / Amps of Power:

  • Voltage / Amps of Power:

  • employees on site are fit for duty?

  • Are Emergency Public Health requirements in effect for infectious diseases?

  • Are General Contractors requiring COVID specific measures?

  • Are masks available?

  • Are hand wipes / sanitizer available?

  • Are disinfectant wipes available?

Work Area

Work Area Inspection - Complete Weekly

  • 1. Housekeeping

  • 1.1 Work Area: clean and tidy, free from spills

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 1.2 Aisles & Hallways: free of obstructions

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 1.3 Fire Exits: unblocked

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 2. Supplies & Material: properly stored

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 3. Access/Egress

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 4. Guardrails

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 5. Stairs

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 6. Ladders

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 7. Are there Elevated Work Platforms on site?

  • 7.1 Has the Operator's Daily Checklist Elevated Work Platform been completed?

  • Include a picture of the Checklist

  • Complete the Daily LIft Checklist and include a picture

  • 8. Floor/roof openings

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 9. Personal Protective Equipment

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 10. Electrical

  • 10.1 Electrical cords are properly grounded

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 10.2 Ground pins are not broken on electrical cords

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 10.3 Electrical cord connected power tools have double insulated casing

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 10.4 Equipment does not have any exposed electrical parts

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 10.5 Live switches and receptacles have necessary cover plates

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 10.6 GFCI receptacles used in wet locations/conditions

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 10.7 Live electrical panel has cover

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 10.8 Circuits are not overloaded

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 11. Lighting

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 12. Machine guards/power tools

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 13. Material handling

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 14. Ventilation

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 15. Traffic control

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 16. Public protection

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 17. Fire protection

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 18. Trenches and Excavations: Are there trenches or excavations on site?

  • 18.1 Prior to excavations, locates have been reviewed and markings on the ground are visible to identify location of underground power lines/utilities

  • 18.2 Trench is properly sloped and excavated soil is placed safely away from trench

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 18.3 If required, appropriate shoring is used

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 18.4 There is proper access/egress to trench

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 18.5 Safe placement of materials in and above trench

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • 19. Other: (please specify)

  • Hazard Rating (this condition could result):<br>HIGH-in fatality, permanent disability, expensive loss to property<br>MEDIUM-in serious injury or illness resulting in temporary disability & property damage<br>LOW-in minor injury or illness non disabling, non disruptive property damage

  • Recommended corrective action to be taken (please include pictures)

  • Add media

  • Signature:

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