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EnSafe Inc. <br /> �� Jobsite Safety Inspection Checklist <br /> July 2011 <br /> Jobsite: Date: <br /> Jobsite Safety Inspection Checklist <br /> 1. Personal Protective Equipment—29 CFR 1910.132(a) Points YES NO N/A <br /> A. Hard Hat <br /> B. Safety glasses <br /> C. Face shield or goggles <br /> D. Steel/Composite toed safety boots <br /> E. Full-body harness and lanyard or retractable lifeline <br /> F. Hearing protection <br /> G. Respirators <br /> H. Gloves <br /> I. High Visibility Vest or Clothing <br /> J. No rings or dangling jewelry <br /> 2. Lockout/Tagout/Tryout—29 CFR 1910.147 Points YES NO N/A <br /> A. Are all energy sources at zero energy levels? Verified? <br /> B. Are Lockout/Tagout procedures followed? <br /> C. Are personal locks and tags properly applied? <br /> 3. EnSafe Jobsite Vehicles(Work Trucks,etc.) Points YES NO N/A <br /> A. Are vehicles being operated safely(speed, storage of tools, etc.) <br /> B. Do all occupants wear their seat belt? <br /> C. Is vehicle in satisfactory condition? <br /> D. Are fire extinguisher, lights, brakes, etc., operational? <br /> 4. Fall Protection Points YES NO N/A <br /> A. Is fall protection worn while operating manlifts? <br /> B. Are scissor lifts operated on level ground? <br /> C. Is fall protection used for work over 6 feet? <br /> D. Is scaffolding in good condition? <br /> E. Are toe boards, mid-rail, and planking adequate? <br /> F. Is scaffolding being inspected daily by a competent person? <br /> G. Are floor or roof openings adequately guarded/barricaded? <br /> H. Are ladders of proper construction and in good condition? <br /> I. Are ladders used safely? Tied off at top? <br /> J. Are work areas clear of tripping hazards? <br /> K. Are anchorage points certified and available in work area? <br /> L. Is fall protection being used properly and in good condition? <br /> M. Has a all control work plan been developed for work over 10 feet? <br /> N. Are inspections documented for fall protection equipment? <br /> O. Are holes, drop-offs, culverts, etc., safely barricaded? <br /> 6. Barricades and Signs—29 CFR 1910.120(d)and 1910.145 Points YES NO N/A <br /> A. Are required barricades in place, in good condition, and properly maintained? <br /> B. Are necessary signs in place, in good condition, and properly maintained? <br /> Jobsite Safety Inspection Checklist Page 1 Rev. 0 <br />