Monthly Site Inspection Checklist Form Page 3
ADVERTISEMENT
1
2
3
4Item Inspected
S
NS NA
Requires Immediate Action
13. CONFINED SPACES
_______________________
T
T
T
Proper access
_______________________
T
T
T
Air testing before entry
_______________________
T
T
T
Rescue equipment readily available
T
T
T
_______________________
Safety harness, lifeline properly anchored & used
_______________________
T
T
T
Second person for rescue
_______________________
T
T
T
Outgoing air monitored
_______________________
T
T
T
Entry permit where required
_______________________
T
T
T
Other __________________
14. FIRST AID REQUIRMENTS
_______________________
T
T
T
Adequate qualified first aiders on jobsite
_______________________
T
T
T
T Adequate number T Adequate contents
First aid kits:
_______________________
T
T
T
Other __________________
15. FIRE PROTECTION
_______________________
T
T
T
Master emergency plan
_______________________
T
T
T
Extinguishers where required
_______________________
T
T
T
Fully charged
_______________________
T
T
T
Adequately identified
_______________________
T
T
T
Other __________________
16. CRANES, HOISTS, ETC.
T
T
T
Safe setup of equipment
_______________________
T
T
T
Maintenance log available
_______________________
T
T
T
Competent operator
_______________________
T
T
T
Condition of slings, hardware
_______________________
T
T
T
Safety catches on all hooks
_______________________
T
T
T
Proper use of tag lines
_______________________
T
T
T
Proper lifting containers
_______________________
T
T
T
Competent signaller
_______________________
T
T
T
Other __________________
_______________________
17. WELDING
_______________________
T
T
T
Rods & cylinders properly labeled
_______________________
T
T
T
MSDSs readily available
_______________________
T
T
T
Properly secured ground cables
_______________________
T
T
T
Proper eye protection worn
_______________________
T
T
T
Proper screens and exhaust
_______________________
T
T
T
Gas cylinders upright and secured
_______________________
T
T
T
Fire extinguisher readily available
_______________________
T
T
T
Other __________________
18. ELEVATING WORK PLATFORM
_______________________
T
T
T
Worker training
_______________________
T
T
T
Properly used
_______________________
T
T
T
Safe, usable condition
_______________________
T
T
T
Acceptable loading
_______________________
T
T
T
Manufacturer’s operating manual
_______________________
T
T
T
Other __________________
19. TRENCHES & EXCAVATIONS
_______________________
T
T
T
Properly sloped, where required
_______________________
T
T
T
Excavated soil properly placed
_______________________
T
T
T
Appropriate shoring used
_______________________
T
T
T
Proper access to trench
_______________________
T
T
T
Proper storage of materials in and above
_______________________
T
T
T
Other __________________
220
ihsa.ca
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Life