Safety Observation Checklist - Construction                                                                   

 

100	WR	NA	Site PPE - Requirements:	Yes	No	NA	Administrative:	Use	Inc	NA	Check List (Using or Incomplete)
			Hard Hats: 100% or When Required				OSHA Partnership - Alliance - VPP				Fall Protection:
			Eye Protection				Contract Agreements - In Written				Fall Protect: Harn - Lany - Anchor
			Respirator Protection				Site Safety Plan - Safety Manual				Training Records on Fall Prot.
			Hearing Protection				Safety Rules & Enforced				Competent Per. - Inspect Equipt.
			Steel Toe Shoes				Jobsite Orientation				Guardrailing
			Traffic Vest				Emergency Action Plan - Onsite				Falling Object Protection
			Other:				First-Aid - CPR Responders				Scaffold: Frame - Tube - Susp - Mobile
Yes	No	NA	Hazard Assessment:				Inspections - Daily  -  Weekly				Competent Per. - Inspect - Traing
			Weather Cond: Hot  Cold  Wind				Safety Meetings - Daily  -  Weekly				Lifts: Scissor - Aerial - Fork
			Slip - Trip - Fall Hazards				Report Near Misses				Other:
			Good Lighting	Yes	No	NA	Material Items "Onsite"				Ladders: Step - Extension - Other
			Falling Objects - Holes				OSHA Poster				Set up - Inspected - Train
			Absorption (Chem - Bio - Radiation)				300 Log: On-Site - HDQ.				Excavation - Trenching:
			Inhalation - Fume, Mist, Dust, Vapors				300 summary (2/1-4/30) posted				Competent Per. - Inspect - Traing
			Violence				Emerg. Alarm: Voice - Cell - Horn				Utilities called & marked
			Impalement Hazards (Nails - Rebar)				Emergency Numbers Posted				Protected: Box - Slope - Bench
			Traffic: Street, Road, Parking Area				First Aid Kit				Electric:
			Vibration - Ergonomics - Noise				Bloodborne Path Kit				Powerlines: Marked - Covered
Yes	No	NA	Type of Work: Com - Resid.				Eye Wash Station				GFCI: Port - Wall - Breaker
			Inside                Outside				Toilet Facilities				Extention Cords - Temp. Lighting
			Number of Floors:				Drinking Water				Panels: Covers - Secure - Marked
			Shift Work: 1,  2,  3				Site Signage (Front)				Worker Qualified - Lockout
Yes	No	NA	Progress: Stage 1 - 2 - 3 - 4 - 5				Street Workzone and Sign Needed				Tools & Equip:Hand - Power - Pn - Hyd
			Demo - Site Clearing				Material Safety Data Sheets				Guards - Hose Clip - Insp.
			Excavation - Trenching				Co. Safety Manual - OSHA Book				Cranes:Tower - Mobile - Hoist
			Concrete - Rest - Form - Chipping	Yes	No	#	Sub-Contractor:				Slings & Attach: Mark - Inspect
			Steel Erection				Number of Sub-Contractors Onsite				Operator Qualified - Trained
			Framing - Truss - Siding - Roofing				Safety Person Onsite				Confined Space:Type
			HVAC - Electrical - Plumbing				Competent Person Onsite				Permit - Monitor - Train - Rescue
			Drywall - Painting				Co. Safety Manual - OSHA Book				Workzone: Street - Road - Inter - Park
			Glass - Windows - Trim - Doors				Safety Meetings,  Site Inspections				Signage - Worker Vest - WZ Map
			Landscape				Safety Training - Workers				Haz. Com:
Yes	No	NA	Safety Training:				Sub of Sub Notification to G.C.				List - Prog - Label - MSDS - Traing
			OSHA 30 Hr.- Emp  Supv.  Manage				Fire Extinguishers - First Aid Kit				Other:
			OSHA 10 Hr.- Emp  Supv.  Manage				MSDS Onsite				Fire Hazard Area's ID - Signage
			Specific:	Yes	No	NA	Behavior Observed:				Heavy Equipment - Vehicles
Yes	No	NA	Site Condition:				Jobsite Attitude - Good - Helpful				Weld - Permit - Fire Extg - Watch
			Housekeeping - Good				PPE - Workers Using PPE Properly				Concrete - Underground - Tunnel
			Exits Paths - Maintained				Reported items to the Company				Blasting - Explosives - Qualified
			Fire Extinguishers Provided				Company Rep:				Lead - Asbestos - Mold: Abated
Due to the constantly changing nature of government regulations, conditions, and the human factors involved, no safety audit can possibly reveal all conditions existing at the audit site that may lead to injury, property damage, or fines.  Furthermore, no safety audit can possibly render an opinion on conditions existing at the inspection site before or after the performance of the audit. The Company understands that it must also provide or conduct frequent and regular inspections on the job site. The audits performed by Safety Alliance LLC shall be used only to aid not relieve the company in complying with this requirement. Safety Alliance will have no authority to stop, correct or supervise employees but will inform company representative of any specific safety concerns known to it. This is considered a walk through inspection not a comprehesive safety inspection.  This form may not be complete for your site.  You will need to review and revise this form to your type of work. REVISED FORM: 8/6/08
Contractor & Project:                                           Supt.:                              Date:

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