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am Project HSE Inspection Form <br /> Safe At N/A I/H Safe At N/A I/H <br /> Risk Risk <br /> 19.1 Vertical re-steel&anchor bolts protected by 21.5 Employee access to building provided with <br /> covering when employees working above? overheadprotection? <br /> 19.2 Employee wearing safety harness or equivalent 21.6 Stairways in building used for access properly <br /> when 6' 2m or more adjacent work surface? lighted&maintained? <br /> 19.3 Walk&standing boards provided when pouring 22.0 RADIATION <br /> horizontal surfaces on re-steel? 22.1 Radiation operators certified? <br /> 19.4 Employees provided with&using PPE,while 22.2 Are film badges,dosimeters&alarm rate <br /> pouring concrete? meters worn by all x-ray ersonnel? <br /> 19.5 No riding concrete buckets? 22.3 Survey meters used? Calibrated? <br /> 19.6 All Rump crete lines secured at all joints? 22.4 Warning signs&lights installed? <br /> 19.7 Concrete trucks blocked when discharging on a 22.5 Radioactive source properly stored? <br /> slope? 22.6 Alarm rate meters worn where required? <br /> 19.8 Shoring&re-shoring adequate for support? 23.0 RIGGING <br /> 19.9 Properly guarded work platform for walls, <br /> job <br /> Adequate equipment available to perform the <br /> columns,beams,etc.? <br /> 19.10 Power troweling machines equipped with j23.2 Crosby <br /> ? <br /> positive on/off switch? cable clips used,properly installed, <br /> 20.0 STEEL ERECTION correct number,size&torque where required? <br /> 23.3 All ropes,cables&hooks inspected daily <br /> 20.1 Decking or safety nets 2 stories or no more before use&are in safe condition? <br /> than 30' 9.1 m where erection is being performed? 23.4 21-43-D is used to hang internal painters rigging <br /> 20.2 Safety railing no less than 1/2"(13mm)wire from center vent or manhole? <br /> rope 42°(1.07m)high around the perimeter of all 23.5 Slings proper size,safe condition? Capacity <br /> temporary planked or metal docked floors? marked? <br /> Minimum of 3 cable clips per interconnecting eye? 23.6 All hooks moused? <br /> 21.0 DEMOLITION 23.7 Guy lines marked where needed? <br /> 21.1 Dust controlled by wetting? 23.8 Plate clamps in safe <br /> 21.2 Employees provided with dust respirators& working condition? Capacity marked? Correct <br /> goggles? insecbon color? <br /> 21.3 Chutes properly erected&drop area 23.9 Plate spreaders marked with capacity& <br /> barricaded off? weight? <br /> 21.4 Floor openingsprotected? <br /> REMARKS: (Were At Risk and Imminent Hazard conditions corrected?) <br /> Original: Construction Office Project HSE Signature: Date <br /> Copy: Project HSE File <br /> Copy: Construction Manager File Construction Manager Signature Date <br />