www.she-consultant.com
SHEC
3400 Richmond Parkway, 2003
San Pablo, CA 94806
(510) 599-0730
imtiaz@she-consultant.com
info@she-consultant.com
CONSTRUCTION SAFETY CHECKLIST
Date:
06/30/2015
Location: 875 Stevenson St, SF
Superintendent: N/A
Foreman / Apprentice: Bryan (new Employee)
PERSONAL PROTECTIVE EQUIPMENT
EMERGENCY ITEMS
Safety glasses and/or goggles available
YES
Emergency evacuation map posted near work area?
YES
Protective eyewear use is specified in writing?
YES
Emergency phone numbers posted and known by all?
YES
Face shield used for grinding or welding
Hand protection used/worn as required?
Foot protection worn as required?
N/A
Emergency eyewash and/or shower units accessible?
First aid kit available at work site?
YES
N/A
YES
YES
N/A
First aid trained competent person available?
Hearing protection worn where required?
N/A
Fire extinguishers accessible
YES
Hard hats worn when falling object hazard is present?
YES
Fire extinguishers inspected & serviced
YES
General housekeeping is neat and orderly?
YES
Reflective Vest / High visibility Clothing
YES
FLOORS AND WALL OPENING
ELECTRICAL SAFTEY ISSUES
GFCI’s used for all portable electrical hand tools?
Electrical cords inspected for any damages
Electric power tools are double insulated or grounded?
Electrical panels are labeled appropriately?
YES
YES
Lockout/Tagout is being used for appropriate tasks?
Elevators Opening are protected
N/A
N/A
YES
Stairs, ramps protected
N/A
N/A
N/A
Wall openings + floor holes are covered or guarded?
Electrical panel knockouts are in place?
N/A
Walk ways are clear / General housekeeping
N/A
Light bulbs for illumination protected from breakage?
N/A
Floor, Wall & Roof (Skylight) Protection
N/A
SCAFFOLD AND MOBILE SCAFFOLD
LADDER AND SCAFFOLD SAFETY
Guard rails used
N/A
Ladders inspected / tied off
N/A
OSHA approved planks are used
N/A
Stair rails = req’d at 30” change in elevation or 4 risers?
N/A
Caster are Locked
N/A
Scaffold Inspected by competent person
N/A
Employees trained to use Scissor lift(mobile Scaffold)
N/A
Stairs or ladder provided for access points > 19” high?
Extension + straight ladders extend 3’ beyond
landing? (36 “)
Step ladders are only used in open position?
100% fall protection in place above 6 feet in height?
N/A
Mobile Elevated Platform, Scaffold Inspected?
N/A
Fall protection, body harness+ lanyard used?
N/A
Forklift and/or motorized equipment inspected?
N/A
PROJECT DOCUMENTATION / PERMITTING
N/A
N/A
N/A
EXCAVATION / CONFINED SPACE
OSHA signs are posted.
YES
Employees operating lifts are trained on the equipment?
N/A
Hot work permits used for grinding, cutting, welding?
N/A
Confined space attendant & entrant trained?
N/A
Confined space entry permit
N/A
Excavation? Ladders used > 4 feet deep? Extend 3 feet?
N/A
Employee has copy IIPP / Trained on IIPP
YES
Excavation? Protection from cave-ins for >5 feet deep?
N/A
NO
Rebar caps used for protruding reinforced steel posts?
N/A
YES
Trench/Excavation labeled and covered
N/A
Job hazard analysis /Job safety analysis completed/
Safety orientation completed
Pre start up safety inspection completed
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MSDS’s folders present and/or accessible
SHEC
YES
Impalement and Rebar Protection
ERGONOMICS
3400 Richmond Parkway, 2003
San Pablo, CA 94806
(510) 599-0730
imtiaz@she-consultant.com
info@she-consultant.com
N/A
CONSTRUCTION SAFETY & HEALTH ISSUES
Awkward body position
NO
Portable circular saws equipped with protective guards?
N/A
Too heavy lifting / awkward position / wrong tools used
NO
Unsafe use of any hands tools
N/A
Prolonged twisting and bending
NO
Repetitive motions / cumulative stress / heat stress
NO
Impact tools, hammers kept free of splinters/mushrooms? N/A
Wire rope used for lifting? Deterioration is absent?
N/A
Crane use? Written lift plan on file listing load capacities? N/A
Web slings used for lifting? Deterioration is absent?
N/A
Any Injury, Accident or illness reported
NO
Sub-contractors are injury free / have All req. trainings
N/A
Hooks used for lifting have safety latch in place?
Cylinders tied and kept up right position?
N/A
YES
CORRECTIVE ACTION PLAN
LIST ITEM, THE PERSON RESPONSIBLE AND EXPECTED COMPLETION DATE!
PERSON (S)
TO BE DONE
ACTION ITEM
RESPONSIBLE
BY
Status column should be marked = either listed as “open”, “in process, or “closed”
Comments:
- wearing safety glasses and hard hat
- understand site evacuation procedures, emergency contact person
Survey Conducted By:
Date:
Imtiaz Arshad
06/30/2015
STATUS