Beruflich Dokumente
Kultur Dokumente
Company: _________________________________________________
Job name:_____________________________________________________
Superintendent: ____________________________________________
Date: ________________________________________________________
Inspected by:______________________________________________________________________________________________________________
Subcontractors on site (list name and trade):
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YES
NO
N/A
COMMENTS/ACTIONS
JOB INFORMATION
1.
2.
3.
4.
5.
HOUSEKEEPING
1.
2.
3.
4.
5.
FIRE PREVENTION
1.
2.
3.
ELECTRICAL
1.
Extension cords with bare wires or missing ground prongs taken out of service
2.
3.
2.
3.
4.
FALL PROTECTION
1.
2.
3.
LADDERS
1.
2.
3.
4.
5.
YES
NO
N/A
COMMENTS/ACTIONS
SCAFFOLDING
1.
2.
3.
4.
5.
6.
7.
8.
2.
3.
4.
2.
3.
Materials and spoil piles are stored at least two feet from trench
4.
5.
6.
Warning system in place if equipment operator cannot clearly see the edge of the trench
or excavation
MATERIAL HANDLING
1.
2.
3.
4.
2.
Proper separation between fuels and oxygen (1/2-hr-rated fire wall or a minimum of 20 feet)
3.
4.
5.
CRANES
1.
2.
3.
4.
5.
6.
CONCRETE CONSTRUCTION
1.
2.
3.
2.
3.
4.
5.
6.
YES
NO
N/A
COMMENTS/ACTIONS
Comments:
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Signature:__________________________________________________________________________________________ Date:_____________________