Wynright - Site Manager Safety Observation Report

• Project/Job #:

• Project Name:

• Conducted on:

  Date

• Prepared by:

• Location
  Address

• Contractors On Site:

DOCUMENTATION

• A. Safety Manuals On Site

  Yes

  No

  N/A

• B. Safety Data Sheets (SDS's)

  Yes

  No

  N/A

• C. Safe Plan of Action (SPA) Completed

  Yes

  No

  N/A

• D. Safety Observation Report (SOR) Completed

  Yes

  No

  N/A

JOB SITE POSTERS

• A. All OSHA Required Posters

  Yes

  No

  N/A

• B. Emergency Action Plan Posted

  Yes

  No

  N/A

• C. Emergency Contacts List

  Yes

  No

  N/A

WORK AREA / SITE PROTECTION

• A. General Housekeeping

  Yes

  No

  N/A

• B. Walking - Working Surfaces

  Yes

  No

  N/A

• C. Unprotected Sides or Holes

  Yes

  No

  N/A

• D. Impalement Hazards

  Safe

  At Risk

  N/A

• E.. Sanitary Facilities

  Yes

  No

  N/A

• F. Trash Receptacles / Waste Containers - Is Trash, Waste, and Scrap Material in Proper Containers

  Yes

  No

  N/A

• G. Material Storage/Lay Down

  Yes

  No

  N/A

• H. Conex Box, Gang Box

  Yes

  No

  N/A

• I. Lighting is Adequate

  Yes

  No

  N/A

• J. Overhead Work - Barricades In Place with Signage

  Yes

  No

  N/A

• K. Signs Posted - Constuction Area, PPE Requirements, Exits, Authorized Personnel Only, Danger, Caution etc.

  Yes

  No

  N/A

• L. General Public & Client Protection - Constuction Signs Posted, Perimeter Fencing, Appropriate Barricades etc.

  Yes

  No

  N/A

HEALTH/FIRST AID

• A. CPR/First AidTraining

  Yes

  No

  N/A

• B. First Aid Kit (No Expired Items)

  Yes

  No

  N/A

• E. Other

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT (PPE)

• A. Hard Hats

  Yes

  No

  N/A

• B. Safety Glasses with Side Shields

  Yes

  No

  N/A

• C. Face Shield / Goggles (Cutting, Chipping or Grinding)

  Safe

  At Risk

  N/A

• D. Respiratory Protection (If Required)

  Yes

  No

  N/A

• E. Hearing Protection (If required)

  Yes

  No

  N/A

• F. Clothing - High Visibility Shirts / Vest

  Yes

  No

  N/A

• G. Gloves

  Yes

  No

  N/A

• H. Foot Protection - Steel or Composite Toe Boots

  Yes

  No

  N/A

• I. Additional PPE

  Yes

  No

  N/A

FALL PROTECTION

• A. Trained Personnel (Competent Person)

  Yes

  No

  N/A

• B. Worn Properly and Used Correctly

  Yes

  No

  N/A

• C. Suitable Anchorage Points - Capable of Supporting 5000 Pounds

  Yes

  No

  N/A

• D. If Employees are using Fall Protection are they Tied Off 100%

  Yes

  No

  N/A

• E. Fall Protection Equipment Inspected Prior to Use

  Yes

  No

  N/A

• F. Stored Properly

  Yes

  No

  N/A

• G. Emergency Rescue Plan

  Yes

  No

  N/A

• H. Guardrails Installed Properly - Top Rail, Mid Rail, & Toe Board

  Yes

  No

  N/A

• I. Other

  Yes

  No

  N/A

LADDERS

• A. Safe Use - Base/Footing/Set Up - Firm, Level Surface

  Yes

  No

  N/A

• B. Inspected Prior to Use

  Yes

  No

  N/A

• C. Proper Ladder Type for Task

  Yes

  No

  N/A

• D. Extension Ladder Extends 3ft Above Landing & Secured

  Yes

  No

  N/A

• E. Step Ladder Used in "A" Frame, No Standing on Top Two Steps

  Yes

  No

  N/A

HAND & POWER TOOLS

• A. In Good Condition

  Yes

  No

  N/A

• B. Inspected Prior to Use

  Yes

  No

  N/A

• C. Proper Tools Used for each Job

  Safe

  At Risk

  N/A

• D. Power Tools have the Appropriate Shield, Guards or Attachments as Recommended by the Manufacture

  Yes

  No

  N/A

• E. Are Cords in Good Condition & Ground Prongs In Place

  Yes

  No

  N/A

• F. Other:

  Yes

  No

  N/A

AERIAL LIFTS

• A. Trained Personnel (Competent Person)

  Yes

  No

  N/A

• B. Aerial Lifts Gates, Chains, Bar Secured and In Place

  Yes

  No

  N/A

• C. Aerial Lifts Operator's Feet On The Floor

  Yes

  No

  N/A

• D. Aerial Lift Operator Tied-Off and Using Proper Fall Protection Equipment

  Yes

  No

  N/A

• E. Aerial Lifts in Good Condition

  Yes

  No

  N/A

• F. Barricades In Place for Overhead Work

  Yes

  No

  N/A

• G. Employees Prohibited from Exiting Raised Lifts

  Yes

  No

  N/A

• H. Inspection of Equipment and Work Area

  Yes

  No

  N/A

MATERIAL HANDLING & STORAGE

• A. Materials are Properly Stored, Stacked & Cribbed

  Yes

  No

  N/A

• B. Lifting: Employees are Using Proper Lifting Methods

  Yes

  No

  N/A

• C. Aisle Spaces Maintained Around Stored Material

  Yes

  No

  N/A

• D. Storage Area Kept Clear of Scraps, Debris and Trash

  Yes

  No

  N/A

ELECTRICAL

• A. G.F.C.I.'s being Used

  Yes

  No

  N/A

• B. Extension Cords

  Yes

  No

  N/A

• C. Power Tools

  Yes

  No

  N/A

• D. Lock Out/Tag Out

  Yes

  No

  N/A

• E. Wiring & Cord Protection from Damage - Not Routed Through Pinch Points, Shape Edges or Vehicle Traffic

  Yes

  No

  N/A

• F. Energized Electrical Work by Qualified Person Following NFPA 70E Standards

  Yes

  No

  N/A

• G. Energized Panel Doors Not Left Open and Unattended

  Yes

  No

  N/A

FIRE SAFETY / WELDING & CUTTING

• A. Hot Work Permit (if required)

  Yes

  No

  N/A

• B. Fire Watch Assigned (Competent Person)

  Yes

  No

  N/A

• C. Fire Extinguisher/Inspected and In the Area

  Yes

  No

  N/A

• D. Combustibles removed/isolated

  Yes

  No

  N/A

• E. Hot Work Barricade / Fire Blankets / Welding Screens (if required)

  Yes

  No

  N/A

• F. Flammable Liquids - Properly Stored & Labeled / Gas Can(s) / Safety Cans (No Plastic Cans)

  Yes

  No

  N/A

• G. Oxygen & Acetylene Tanks Properly Secured

  Yes

  No

  N/A

RIGGING AND HOISTING

• A. Capacity Tags In Place and Legible

  Yes

  No

  N/A

• B. Hooks and Latches - Safety Latches In Place

  Yes

  No

  N/A

• C. Chain falls/Come-a-longs

  Yes

  No

  N/A

• D. Tag Lines

  Yes

  No

  N/A

• E. Inspected Prior to Use

  Yes

  No

  N/A

• F. Designated Qualified Rigger

  Yes

  No

  N/A

• G. Employees Not Working Under Suspended Loads

  Yes

  No

  N/A

SCAFFOLD

• A. Trained Personnel (Competent Person)

  Yes

  No

  N/A

• B. Hand and Mid-rails, Toeboards

  Yes

  No

  N/A

• C. Platform Decked/Secured

  Yes

  No

  N/A

• D. Level Footing/Set up

  Yes

  No

  N/A

• E. Access/Egress

  Yes

  No

  N/A

• F. Away from Powerlines

  Yes

  No

  N/A

• G. Barricades

  Yes

  No

  N/A

• H. Inspection/Tagged Correctly

  Yes

  No

  N/A

CRANE EQUIPMENT

• A. Annual Crane Inspection

  Yes

  No

  N/A

• B. Operator Manual

  Yes

  No

  N/A

• C. Crane Setup

  Yes

  No

  N/A

• D. Crane Swing Radius Barricaded

  Yes

  No

  N/A

• E. Flagman with Vest

  Yes

  No

  N/A

• F. Operator Qualified and Certified

  Yes

  No

  N/A

• G. Designated Qualified Signaller

  Yes

  No

  N/A

• H. Fall Zone Procedures

  Yes

  No

  N/A

• I. Lift Plan (if required)

  Yes

  No

  N/A

EQUIPMENT / POWERED INDUSTRIAL TRUCKS (PITs)

• A. Equipment Inspections

  Yes

  No

  N/A

• B. Operator Qualified and Certified & Documentation of Training

  Yes

  No

  N/A

• C. Industrial Vehicles: Observed Operating at Safe Speeds

  Yes

  No

  N/A

• D. Industrial Vehicles: Observed Safe Loading & Unloading Practices

  Yes

  No

  N/A

• E. Horns & Back-Up Alarms are Equipped and can be heard clearly

  Yes

  No

  N/A

• F. Seat Belts are being worn by Operator

  Yes

  No

  N/A

OTHER

• A.

  Yes

  No

  N/A

• B.

  Yes

  No

  N/A

• C.

  Yes

  No

  N/A

• D.

  Yes

  No

  N/A

Comments/Recommendations

• Enter any corrective actions that will be undertaken

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