CPM Constructors. Project Safety Inspection Form. Project Number: Project Location: Project Superintendent: Safety Inspector:

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1 CPM Constructors Project Safety Inspection Form Project Number: Project Location: Project Superintendent: Date: Safety Inspector: Yes No N/A Administration Comments Written project JSA / Daily Activity Plan done. Emergency telephone numbers are posted. Company posters are posted. State and federal employment posters in place. OSHA posters are posted. Project safety meetings recorded and kept on site. Designated competent person on site, name and location communicated to the crew. Complete first aid kit, available inspected weekly area available. Emergency eyewash stations available. HAZCOM / RTK Has HAZCOM training been done annually? Are project MSDS readily accessible to employees and the general public? Are all employees including subcontractors familiar with the Right to Know law? Is either HMIS or NFPA secondary labeling being used on unmarked containers, gas, diesel cans and bulk fuel containers, etc.? Sanitation Adequate toilets provided on the project. Hand washing facility or waterless cleaner available. Adequate supply of potable water available on the project. Housekeeping Project is clean and free of hazardous conditions. Nails are removed from scrap lumber and stacked properly. Scrap materials are stacked properly, contained or removed from the project. 1

2 Trash, combustible and flammable materials are deposited in the proper containers. Walkways and passageways are kept free of hazards. Slip and trip hazards are removed. Holes and openings are covered and marked appropriately. Adequate lighting in work areas. All liquids spills are cleaned up, properly disposed and the action documented. Trash receptacles periodically emptied to prevent spillage and insects, vermin infestation. Fire Prevention / Protection Are the correct number of adequate fire extinguishers available. Are the fire extinguishers charged and serviceable. All project employees trained to operate a fire extinguisher. Fire reporting procedure communicated and posted. Area around portable heaters free of combustible / flammable liquids and materials. Fuels are stored in the appropriate labeled containers. Compressed gas cylinders stored properly to avoid accidental explosion from heat source. Personal Protection Equipment (PPE) Hard hats are properly worn as designed at all times. Safety glasses are being worn. Secondary eye protection is being worn when needed. Hearing protection is being used when decibel levels are greater then 80 dba. Only NIOSH/MSHA approved respirators or dust mask are being used when hazardous conditions exist. Rescue equipment is available before entering a confined space. Air monitoring has been performed and documented when necessary. All participating employees have received documented training in entering Confined Spaces. Welding hoods are being worn by employees performing welding duties. Safety glasses are being worn under the welding hood. Gloves are being worn when welding or working with sharp objects. Appropriate clothing is being worn by the employees exposed to hazardous activities. Safety toed boots are being worn. Full body harnesses equipped with two lanyards to achieve 100% personal fall protection. Hand and Power Tools All hand and power tools are in good working condition. Devices are being used to prevent air power tools from accidentally disconnected from hose. 2

3 Pneumatic nailers operating at more than 100 psi. provided with safety devices on the muzzle to prevent accidental discharge. Tools are stored in a dry secured place. Power tool cords are free of cuts or abrasions and in good repair. Hand and power tools are being used as designed. Handles for hammers and other tools are in good condition free of cracks, splinters and free of mushroomed heads. All safety guards and devices are in place and working as designed. All powder-actuated tools are unloaded when not in use. All air compressors are equipped with pressure check valves (pop off valves). Hand and power tools that need repair are removed from use immediately and not used until repaired. Vehicles and Equipment Only those who are authorized to operate equipment are permitted to do so. All equipment has functioning lights, signals and horns. Backup warning systems are functioning properly. Seatbelts are good condition and used. Passengers are prohibited from riding on equipment. All mirrors are in place and operational. All windshields and glass are in place and clean so vision is unobstructed. Vehicles and equipment are free of trash inside and clean outside. Flaggers are used when necessary to control vehicles or pedestrians. Has a written traffic plan been implemented Warning lines and signs are in place when equipment is within 15 feet of overhead power lines. Equipment roll over protection is adequate in good shape. Construction equipment and vehicles are parked so as to prevent the release of stored energy (buckets, forks down, brakes applied). Trenching and Excavation Underground utilities have been located and marked. Documented contact with DIG SAFE has been performed. Trenches 4 or more in depth are shored, or have sides sloped. The correct benching, sloping and shoring of excavations are designed based on the type of soil. All parts of the shoring system are in good repair. Trench boxes are certified and the necessary documentation and nomenclature plates are intact. Excavated or other construction material is placed a minimum of 2 from edge of excavations. Excavations have barricades surrounding them where necessary. All trenches 4 or greater been provided with stairways, ladders or ramps within 25 of each employee. Trenches have been dewatered before work begins. Air quality test have been taken and documented. 3

4 Type of soils been identified, classified A, B or C. Concrete & Masonry All protruding reinforcing bars have been guarded. All protruding form ties are protected from creating a hazard to employees All freestanding masonry walls have been braced and supported. Proper access to elevated concrete or masonry placement has been established. A wash out area has been established for concrete delivery trucks and tools. Electrical All power tools are either double insulated or have a ground prong on the plug. GFCI circuits are being used on all volt service, including generators and welders providing power. Temporary lights are guarded to prevent accidental contact with bulbs. Electrical cords are free of frays, cuts, and nicks and in good shape. Electrical cords are not used for hoisting or carrying tools or equipment. The correct number of outlets is available to avoid over loading of circuits. All outlet, switches and panels are covered to avoid accidental employee contact. Main electrical panels have at least 4 square feet in front that is clear and unobstructed. Circuit breakers are labeled and secured. Work areas are free of cords creating a trip hazard. Fall Protection Holes and openings are barricaded or covered securely and marked. Employees working below other employees are protected by canopies or other means. Rope or cable guardrails are marked very 6 with highly visible material. Fall arrest systems are anchored to an appropriate source capable of withstanding 5000 lbs of force for each employee. Personal fall systems are inspected prior to each use by a competent person. 100% fall protection is required for all employees working at elevated heights greater than 6 Yellow caution warning lines are in place where an elevation change is greater than 6 Employees have received documented training in the care and use of personal and jobsite fall protection systems. All wall openings have sufficient guardrail system secured in place. Handrail systems meet or exceed the minimum OSHA requirements for top-rail, mid-rail and toe board. Fall arrest systems must be engineered to meet OSHA requirements and guidelines. Scaffolding Scaffolding is erected and/or constructed by a qualified / competent person. 4

5 Scaffold planks are free of splits, twists, & bows. Scaffold components are in good repair and complete. All scaffolding will be erected per the manufacture s guidelines and will meet OSHA standards. Scaffold is set up on an adequate flat base with base plates on mudsills, screw jacks, etc. All connections are pinned or fastened securely. Cross bracing in place. Wheels are locked into place. Scaffolding is designed and erected, capable of carrying 4 times the maximum intended load without settling or displacing. Planks overlap the end of the scaffold no less than 6 and no more than 12 The working surface of the scaffold is fully planked. Planks are certified scaffold planks or structural lumber. Planks are secured to prevent slipping. Gap between planks is less than 1 to prevent tools and material from falling through. Scaffold is free of debris and material. Scaffold frame is used as access only if designed to do so otherwise ladders are to be used as access to scaffolds. Scaffold is tied off every 30 horizontally and 26 vertically or if the height is greater than four times the width at the base. All open sides of scaffold ore than 10 above the ground or lower levels will be outfitted with a complete handrails system. Top rail is set at mid-rail set at 21 from work level of the scaffold, 4 toe boards in place Guardrails must capable of withstanding 200lbs of force anywhere along the top rail. Maximum spacing of rungs used for access to the scaffold is 16 3/4 Suspended scaffolds are equipped with separate lifelines, one per employee secured to the structure Scaffold must not be overloaded with materials beyond the capacity such as block, brick, lumber steel or containers. Scaffolds are tagged with Green Yellow or Red tags designating the level of completion Stairways and Ladders Access and egress areas, which have an elevation change greater than 19 are provided with stairs, ladders or proper ramps. Stairs with 4 steps or more must have a handrail. Ladders must be secured from displacement. Ladders extend at least 3 above the landing. All job-built ladders are constructed in accordance with 29 CFR All ladders are in good repair. Those ladders that have cracked or broken components will be tagged do not use and are removed from the project. All ladders used as designed. Ladders made of fiberglass are the preferred type for heavy and bridge construction. Ladders shall be rated, lb. 1A- 300 lb. or 1AA- 375 lb. All extension ladders shall be equipped with feet, rung locks and rope for extension purposes 5

6 All manufactured ladders are equipped with ladder shoes. Extension ladders are placed so that the distance from the top support to the ladder base is ¼ the working height of the ladder. Employees climbing a ladder shall maintain a three-point stance during ascending and descending. Ladders shall be erected out of vehicle and equipment traffic areas or barricaded to prevent accidental displacement. Rigging All rigging is inspected daily and/or before a lift is made Nylon slings are free of cuts, nicks and burns and the appropriate tags are affixed Wire rope slings are free of broken wires and are in good workable order All rigging is care for properly by being stored off the ground, including all rigging hardware Tag line is attached to each load being lifted with a minimum of 10 in length, ½ in size, free of knots Qualified rigger is performing or overseeing all rigging operations Qualified signal person has been assigned to each lift Lift plan has been written, completed and communicated for lifts greater than 75% of the rated capacity of the lifting device All lifting devices are manufactured and with certified rated capacity Hardware is of drop forged type such as hooks, shackles, wire rope clips and turnbuckles All hooks are equipped with the appropriate functional safety devices Cranes Crane outriggers are fully extended and the appropriate pads are in place Crane is level and on solid ground Daily, monthly and annual inspections have been performed and documented Swing has been barricaded and signs in place warning employees of the hazard Crane is outfitted with a serviceable appropriate size fire extinguisher Hand signal chart is affixed to the crane for all employees to see Lift charts are available to the specific crane configuration Cranes placed on barges shall be outfitted with indicators to monitor list and trim. Cranes shall be secured to the barge at all times to prevent movement from wave and tidal action. Manufacturers documentation stating the maximum list of the crane on the barge for safe operation shall be available. Working Over or Near Water Rescue boat / skiff is available and in good working order with reliable motor attached Oars or other means of propulsion are available in the rescue boat Life ring with 90 feet of floating line attached, in the rescue boat 6

7 Charged and serviceable fire extinguisher available in the rescue boat A life ring with 90 feet of floating rope attached, available every 100 of project water access All employees working over or within 6 of the water are wearing approved PFD s secured to the person An employee or a number of employees are assigned to the care and use of the rescue boat Environmental Recommends and Guidelines Fully functional spill kits will be readily available on the project to respond to accidental releases. Project personnel have reviewed and trained on the response procedure. Emergency phone numbers and agencies have been posted at various locations around the project. Containment booms shall be available to be used on land or water work for spills. Subcontractors All subcontractor employees have knowledge and understand of company and project safety policies. Subcontractors provide a list of qualified and competent person(s) located on the assigned project. Subcontractors understand their role in identifying project hazards and solutions process. Subcontractors understand that failure to comply with all safety policies and regulations could impact future work. Subcontractors supervision and it s employee been trained to comply with OSHA guidelines. Subcontractors will comply with any project disciplinary action for safety infractions. As the project manager / superintendent I have reviewed the results of the safety inspection: Copies of completed form will forwarded to the following senior management personnel for review and comment: Tim Ouellette Paul Koziell Specific Project Managers 7