Section 1: General Information
1. 1. Project Name/No:
Section 2: Hazard Identification, Removal, And Cleanup
1. 1. Does the company have a written Injury and Illness Prevention Program (IIPP) that meets all Cal/OSHA requirements? (It includes identification of hazardous housekeeping problems on the site, regular inspections, accident investigation, and correction of hazardous conditions)
Yes
No
N/A
2. 2. Are debris kept cleared from work surfaces, passages, and stairs?
Yes
No
N/A
3. 3. Is the ground within 6 feet of a building under construction free of irregularities?
Yes
No
N/A
4. 4. Are storage areas and walkways reasonably free of dangerous depressions, obstructions, and debris?
Yes
No
N/A
5. 5. Are all walking and working surfaces reasonably dry and free from grease or oil?
Yes
No
N/A
6. 6. Are spills of oil, grease, and other liquids removed at once, or covered with sand or other absorbent material until cleaned up?
Yes
No
N/A
7. 7. Are sufficient waste or trash containers provided, used, and emptied when appropriate?
Yes
No
N/A
8. 8. Do workers wear heavy gloves and heavy-soled or safety shoes when handling scrap material?
Yes
No
N/A
9. 9. Are all walking and working surfaces free of protruding nails?
Yes
No
N/A
10. 10. Are nails or fasteners removed when opening crates, cartons, kegs, or when stripping small forms?
Yes
No
N/A
11. 11. Are nails bent down or removed before scrap material is discarded?
Yes
No
N/A
12. 12. Are scrap and debris piled neatly?
Yes
No
N/A
13. 13. Are materials, waste, or tools not thrown from buildings or structures to areas where workers may be located?
Yes
No
N/A
14. 14. Has any object protruding at head height been removed or flagged?
Yes
No
N/A
15. 15. Are protective caps used on exposed rebar?
Yes
No
N/A
Section 3: Environment
1. 1. Are the lighting and ventilation adequate?
Yes
No
N/A
2. 2. Are burned-out lights reported and replaced?
Yes
No
N/A