Work Area Inspection 3.0

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?

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

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

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

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

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

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

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

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

7. Are there Elevated Work Platforms on site?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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