HydroCo Work Site Safety Inspection

• Project Name

• Location
  Address

• Conducted on

  Date

• Prepared by

SAFETY

• First Aider's identified and First Aid kit Available

  Yes

  No

  N/A

• Drinking water, Restroom facilities available?

  Yes

  No

  N/A

• Muster location and Emergency procedures known?

  Yes

  No

  N/A

• MSDS available on site?

  Yes

  No

  N/A

EXISTING AREA HAZARDS

• Weather Conditions

  Safe

  At Risk

  N/A

• Extreme temperatures

  Safe

  At Risk

  N/A

• Noise

  Safe

  At Risk

  N/A

• Lighting

  Safe

  At Risk

  N/A

• Wet / Slippery Surfaces

  Safe

  At Risk

  N/A

• Work Area is Clean

  Safe

  At Risk

  N/A

• Others Working in Area

  Safe

  At Risk

  N/A

• Floor openings covered and marked?

  Safe

  At Risk

  N/A

• Moving Vehicles / Equipment in the area

  Safe

  At Risk

  N/A

• Photos of site conditions

  Media

Your working Conditions under your direct control

• Are you working at heights or above a hazard (your feet 9' above the ground)?

  Yes

  No

• Control: Fall protection plan and fall arrest training is required in order to proceed.

• Are you avoiding over extension, prolonged motion, awkward body position, heavy lifting, tight area?

  Yes

  No

  N/A

• Control: Remember to stretch and return to your normal body posture to avoid injury.

• Do you have only one emergency escape route? (working in Restricted / Confined Space Potential)

  Yes

  No

• Control: Ensure you have more then one escape route for emergencies, and if this is not possible you may need to have a confided entry permit and training.

• Tool Condition

  Safe

  At Risk

  N/A

• Equipment Condition

  Safe

  At Risk

  N/A

• PPE Condition

  Safe

  At Risk

  N/A

• Training Required

  Yes

  No

• Control: Ask for help and training from supervisor

• Working Alone

  Yes

  No

• Control: Working alone procedure must be used. Establish check in / call in frequency with supervisor and notify when completed.

• Control: refer to MSDS for proper handling instructions, control measures and PPE required.

• Other site hazards

Hazard

• Task

• Hazard

• Control:

• Enter any corrective actions necessary

• Photos of Absolute hazards, if needed

  Media

HAZARD REVIEW COMPLETED BY

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