Page1PersonalProtectiveequiPment:neededatthisworksite?YesnoDonotknowHarDHatscomments1.SuppliedbyemployerYesNoNotNeededDK2.WornwhenrequiredYesNoDKBoots1.SuppliedbyworkersYesNoNotNeededDK2.WornwhenrequiredYesNoDKHearingProtection1.SuppliedbyemployerYesNoNotNeededDK2.WornwhenrequiredYesNoDKeYeProtection1.SuppliedbyemployerYesNoNotNeededDK2.WornwhenrequiredYesNoDKresPiratorYProtection1.SuppliedbyemployerYesNoNotNeededDK2.TrainingprovidedYesNoDK3.WornwhenrequiredYesNoDKlaDDers:arepresentatthisworksite?YesnoDonotknow1.CorrectsizeforthejobYesNoDK2.FullyopenedandspreaderbarslockedYesNoDK3.FirmfoundationforladderfeetYesNoDK4.ProperclimbingproceduresYesNoDK5.Three-pointcontactrulefollowedYesNoDK6.FreefromobviousdefectsYesNoDK7.Workersstandbelowtop2stepsYesNoDK8.extendmorethanthreefeetabovesupportYesNoDKCity,Street/AddressObserver(Initials)DateObservedCheCklistCompleted:(Checkallboxesthatapply)Fromsidewalk(Notworkinghere)Off-SitebeforeorafterworkOn-SiteinstruCtionseverysectionoftheauditshouldhaveacheck:Yes=Observedandincomplianceno=Observedandnotincompliancenotneeded=Notpresentonjobsitedk=DonotknowCONSTRUCTIONSAFETYCHECKLISTFindandrecordcommonconstructionhazards.Page2scaffolDs:arepresentatthisworksite?YesnoDonotknow1.Fallprotectionusedifover10feettallYesNoDK2.Setuponlevel,stablefootingYesNoDK3.PlatformisappropriatewidthfortypeofscaffoldYesNoDKfallProtection:neededatthisworksite?YesnoDonotknow1.Fallprotectionprovidedforheights6ft.ormoreYesNoDK2.HarnessiswornproperlyandattachedtoYesNoDKsecureanchorage3.SlideguardsareinstalledacrossfullwidthandallsidesYesNoDK4.guardrailssetupforopenings>6’abovelowerlevelYesNoDK5.guardrailsareconstructedsturdilywith2x4sYesNoDKmacHineHazarDs:arepowertoolsandmachinesusedatthissite?YesnoDonotknow1.Workersaretrainedontheuseofpowertools.YesNoDK2.WorkershaveappropriatePPeandkeepclothingawayYesNoDK3.WorkersaretrainedpriortousingnailgunsYesNoDK4.TileandconcretearecutwithwetmethodsYesNoDKHeatstress:isheatamajorproblematthissite?YesnoDonotknow1.HaveworkersbeentrainedonpreventingandYesNoDKrecognizingheat-relatedillness?2.areworkersprovidedwithenoughwaterandYesNoDKappropriaterestbreaks?leaDPaintHazarDs:isthesiteatriskforlead-contaminateddust?YesnoDonotknow1.Haveworkersbeentrainedonhandlingleaddust?YesNoDK2.Istheworkareaproperlycontained?YesNoDKelectricalHazarDs:arepresentatthisworksite?YesnoDonotknow1.WorkonelectricalcircuitsorenergizedequipmentYesNoDKisbegunonlyafterallpowersourceshavebeenidentified,de-energizedandlockedoutortaggedout.2.OverheadandundergroundelectricalpowerlinesYesNoDKarelocated,identified,andavoided.3.Ladders,scaffolds,equipmentormaterialsmoreYesNoDKthan10feetfromanyelectricalpowerlinesexcavations:arepresentatthisworksite?YesnoDonotknow1.SoilandconditionsareinspectedeverydayYesNoDK2.Safeexits(ladders)forexcavationsgreaterYesNoDKthan4ft.deep3.Shoring,shielding,andinclinationassessedYesNoDKforexcavationsgreaterthan5ft.deepPage3actionsorcHanges1.TalkedtoyourorganizersabouthealthandsafetyYesNoconcernsandpossiblechanges/training2.Talkedtoco-workersabouthealthorYesNosafetyconcerns3.TalkedtoforemanorcontractorabouthealthYesNoorsafetyconcerns4.SuggestedchangesinequipmentorYesNoprocedurestoco-workers5.askedforemanorcontractorforchangesYesNoinequipmentorprocedures6.askedforemanorcontractorfortrainingYesNoforselfand/orco-workerscomments:©2014,CPWR–TheCenterforConstructionResearchandTraining.Allrightsreserved.CPWRistheresearch,training,andservicearmoftheBuildingandConstructionTradesDept.,AFL-CIO,andworkstoreduceoreliminatesafetyandhealthhazardsconstructionworkersfaceonthejob.ProductionofthiscardwassupportedbyGrantOH009762fromtheNationalInstituteforOccupationalSafetyandHealth(NIOSH).ThecontentsaresolelytheresponsibilityoftheauthorsanddonotnecessarilyrepresenttheofficialviewsofNIOSH.
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