Jobsite Safety Inspection Report

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Jobsite Safety Inspection Report

Safety Program

Delivering the highest quality and maintaining a safe work environment are among Haskell’s core operation principles.

If you identify multiple contractors within the same category, please list a numerical identification of each within the comments section.

Your commitment by completing this Jobsite Safety Inspection Report makes a difference and is key to operational excellence.

Thank you in advance.

Project Name

Inspection Date

Superintendent

Inspected By

Work Areas Inspected, Clean and Organized

Contract Partner/Comments/Observations

Access to Drinking Water Provided, with cool down areas

Contract Partner/Comments/Observations

Adequate Lighting for Egress or Task

Contract Partner/Comments/Observations

Face shields utilized (Cutting, Grinding & Chipping)

Comments/Observations

Gloves utilized manually handling tools / materials

Comments/Observations

Haskell required PPE in use

Comments/Observations

Guardrail System properly constructed

Comments/Observations

Fall protection provided at 6 feet

Comments/Observations

Proper anchorage points utilized (#5,000)

Comments/Observations

Safety harness and lanyard utilized properly

Comments/Observations

Self-retracting lanyard < 18 feet above lower level

Comments/Observations

Wire Rope Guardrail Flagged (6 feet o.c.)(3)”U” bolts

Comments/Observations

Stair/ramp/walkway Provided (19” or greater)

Comments/Observations

Competent person present and inspected scaffold daily

Comments/Observations

Guardrails in place at 6 feet above lower level

Comments/Observations

Platforms fully planked & in good condition

Comments/Observations

Ladder access to platforms provided

Comments/Observations

Mobile scaffold wheels locked/secured

Comments/Observations

100% Fall Protection while in elevated lifts, SRL 18’

Comments/Observations

Utilization of Manufacturer Anchorage Point

Comments/Observations

Extended 3-feet above landing@ 4:1

Comments/Observations

Ladders Inspected for defects. Manufacturer labels legible

Comments/Observations

Stair landings and treads filled

Comments/Observations

Excavation permit completed and maintained

Comments/Observations

Access/Egress provided within 25' of travel

Comments/Observations

Competent person present

Comments/Observations

Perimeter protection/barricades utilized

Comments/Observations

Excavation Properly sloped 1 ½ : 1 (Class C Soil)

Comments/Observations

Spoils / materials minimum 2 feet from edge

Comments/Observations

Panel / Junction Box Blanks / knockouts installed, labeled

Comments/Observations

Generators/Welding Machines GFCI protected

Comments/Observations

GFCI devices utilized and inspected

Comments/Observations

Fire Extinguisher charged and inspected

Comments/Observations

Fire Extinguisher available (Max 25’ – 75’ Travel)

Comments/Observations

Hot work permits obtained & posted

Comments/Observations

Flexible cords (12 ga. min) in good condition

Comments/Observations

Tool guards & handles installed and utilized

Comments/Observations

Powder actuated tools properly used

Comments/Observations

Proper tool for the task & used properly

Comments/Observations

Air / pressurized hose couplings secured

Comments/Observations

Roof leading edge warning 15-feet from exposure

Comments/Observations

Overhead work zones barricaded

Comments/Observations

Controlled Access Zones (CAZ) identified

Comments/Observations

Barricades installed properly and Maintained

Comments/Observations

Floor/wall openings protected, secured, labeled

Comments/Observations

Compressed gas cylinders upright/cap/secured

Comments/Observations

Fire extinguisher available

Comments/Observations

Welding leads / Torch hoses in good condition

Comments/Observations

Crane Inspection Certificate Current

Comments/Observations

Certification Operator Training (CCO) provided

Comments/Observations

Crane supported / level - Outriggers & Mats deployed

Comments/Observations

Crane Swing Radius Barricaded

Comments/Observations

Loads properly secured & transported

Comments/Observations

Qualified Rigger & Signalperson provided

Comments/Observations

Rigging Components Inspected

Comments/Observations

Tag lines utilized to control suspended loads

Comments/Observations

Backup alarm / horn functioning

Comments/Observations

Flagman/spotter used where applicable

Comments/Observations

Authorized / Trained Operator (Current)

Comments/Observations

Equipment seat belts utilized

Comments/Observations

Impalement protection provided & maintained

Comments/Observations

Gloves utilized when working with concrete/masonry

Comments/Observations

Wet Cutting / NIOSH Dust Mask utilized

Comments/Observations

Minimum two bolts per connection

Comments/Observations

Decking secured & openings protected

Comments/Observations

Erector notification of concrete strength / modification

Comments/Observations

CAZ provided below overhead work (ownership noted)

Comments/Observations

First aid kit available & maintained

Comments/Observations

Emergency vehicle access maintained

Comments/Observations

Emergency response plan & numbers posted

Comments/Observations

HASKELL LOCATIONS

Atlanta

Beloit

Charlotte

Dallas

Denver

Fort Myers

Haskell Steel

Jacksonville (Headquarters)

Livermore

Madison

Merritt Island

Miami

Oklahoma City

Salt Lake City

Sarasota

St. Louis

St. Paul

Tampa

Tulsa

Asia Pacific Region

China

Malaysia

Philippines

Singapore

Latin America Region

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