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WEEKLY INSPECTION (FORM E)
JOB INFO
SUPERVISOR
Andre
Fernando
Fatmir
Andrew
Alan
Arsim
Other
PERSONAL PROTECTIVE EQUIPMENT
Hard Hats
(at all times)
-
Ok
Deficient
N/A
Safety Footwear
(at all times)
-
Ok
Deficient
N/A
Proper Clothing
(at all times)
-
Ok
Deficient
N/A
Eye Protection
(at all times)
-
Ok
Deficient
N/A
Hearing Protection
(as required)
-
Ok
Deficient
N/A
Fall Protection
(as required)
-
Ok
Deficient
N/A
HOUSEKEEPING
Storage area neat/tidy
-
Ok
Deficient
N/A
Debris removed daily
-
Ok
Deficient
N/A
Personnel routes kept clear
-
Ok
Deficient
N/A
Material stacked safety
-
Ok
Deficient
N/A
Nails removed/bent in scrap lumber
-
Ok
Deficient
N/A
LADDERS/STAIRS
Stair treads/handrails complete
-
Ok
Deficient
N/A
Stairs clear of debris
-
Ok
Deficient
N/A
Proper ladders selected
-
Ok
Deficient
N/A
Ladders in good condition
-
Ok
Deficient
N/A
Ladder used correctly
-
Ok
Deficient
N/A
Access ladders secured
-
Ok
Deficient
N/A
RAILING/FLOOR COVERS
All edges adequately guarded
-
Ok
Deficient
N/A
Floor openings protected
-
Ok
Deficient
N/A
Covers marked and secured
-
Ok
Deficient
N/A
SCAFFOLDS
Assembled by competent worker
-
Ok
Deficient
N/A
Inspected daily/tagged
-
Ok
Deficient
N/A
Secured to structure
(as required)
-
Ok
Deficient
N/A
ELECTRICAL
Temporary lighting adequate
-
Ok
Deficient
N/A
GFCI's used
-
Ok
Deficient
N/A
Panel boards in good repair
-
Ok
Deficient
N/A
Cords, plus in good repair
-
Ok
Deficient
N/A
TOOLS
Tools in good repair/properly stored
-
Ok
Deficient
N/A
Guards installed/functioning
-
Ok
Deficient
N/A
Cords/plugs in good conditions
-
Ok
Deficient
N/A
FIRE PROTECTION
Fire extinguishers readily available
-
Ok
Deficient
N/A
Hot work operations controlled
-
Ok
Deficient
N/A
Flammable materials stored properly
-
Ok
Deficient
N/A
GENERAL SITE PROTECTION
Signs posted as appropriate
-
Ok
Deficient
N/A
Barricade tape used as appropriate
-
Ok
Deficient
N/A
Safety fence used as appropriate
-
Ok
Deficient
N/A
Hazard areas marked/protected
-
Ok
Deficient
N/A
Protruding hazards protected
-
Ok
Deficient
N/A
FIRST AID
First Aid kit available
-
Ok
Deficient
N/A
First Aid attendant available/posted
-
Ok
Deficient
N/A
First Aid records maintained
-
Ok
Deficient
N/A
PROGRAM/COMMUNICATION
All workers have onsite orientation
-
Ok
Deficient
N/A
Daily equipment inspection performed
-
Ok
Deficient
N/A
Weekly Tool Box Talk performed
-
Ok
Deficient
N/A
Safety information posted
-
Ok
Deficient
N/A
Safety Data Sheets available
-
Ok
Deficient
N/A
PSA's used consistently
-
Ok
Deficient
N/A
ADDITIONAL ITEMS
Additional 1
Additional 2
Additional 3
Additional 4
*Signature
General Contractor Email
SUBMIT