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Ric-Man Construction Florida Inc
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Leadership
Services
Development
Projects
Construction Projects
Development Projects
Collaborative Delivery
For Sale/Lease
Subcontractors
Careers
Safety
Site Safety Inspection Form
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Site Safety Inspection Form
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Name of Project
*
21-ROSW
21-OC29
21-OC30
22-PIFM
22-OBSS
22-ROPS
KB-91
24-Holloywood ER
23-GTLW
Other
24-EBB1
24-WACE
24-EFMR ERT
24-SDRP
24-GSSP
Date of Inspection
MM slash DD slash YYYY
Contractor's designated competent person
Inspection Conducted By
Inspected Area(s)
Comments
1. Office Trailers
a. Emergency phone numbers posted
N/A
Acceptable
Unacceptable
Description
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Date
MM slash DD slash YYYY
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b. Inspected portable fire extinguisher
N/A
Acceptable
Unacceptable
Description
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Date
MM slash DD slash YYYY
b. Job Board postings
N/A
Acceptable
Unacceptable
Description
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Date
MM slash DD slash YYYY
c. First Aid Kit
N/A
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Unacceptable
Description
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Date
MM slash DD slash YYYY
d. Steps, railings
N/A
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Description
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Date
MM slash DD slash YYYY
e. Housekeeping
N/A
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Description
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Date
MM slash DD slash YYYY
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a. Steps, rails
N/A
Acceptable
Unacceptable
Description
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Date
MM slash DD slash YYYY
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b. Housekeeping
N/A
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Date
MM slash DD slash YYYY
f. No unauthorized storage
N/A
Acceptable
Unacceptable
(e.g. propane, compressed gases, gasoline, diesel fuel)
Description
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Date
MM slash DD slash YYYY
g. Compressed gas storage
N/A
Acceptable
Unacceptable
(e.g. gases separated by 20' or 1hr. wall, upright and secure)
Description
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Date
MM slash DD slash YYYY
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b. Flammable liquids storage w/signage
N/A
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Date
MM slash DD slash YYYY
2. Excavations/trenches
Locate Ticket Number
a. Cave-in protection (sloped/shored)
N/A
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Description
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Date
MM slash DD slash YYYY
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b. Barricaded, protected
N/A
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Date
MM slash DD slash YYYY
b. Spoils > 2 feet from edge
N/A
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Description
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Date
MM slash DD slash YYYY
c. Ladder provided (every 25' or as req'd.)
N/A
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Date
MM slash DD slash YYYY
d. Opening Protected
N/A
Acceptable
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Description
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Date
MM slash DD slash YYYY
3. Scaffolds
Scaffold Competent Person
a. Scaffold permit submitted
N/A
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Description
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Date
MM slash DD slash YYYY
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b. Scaffolds properly constructed with
N/A
Acceptable
Unacceptable
required bracing, base plates, planking, and etc.
Description
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Date
MM slash DD slash YYYY
b. Daily inspection tags completed
N/A
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Description
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Date
MM slash DD slash YYYY
c. Access ladders provided
N/A
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Unacceptable
Description
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Date
MM slash DD slash YYYY
d. Top & mid guardrails on all sides/ends
N/A
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Description
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Date
MM slash DD slash YYYY
e. Planking inspected and adequate
N/A
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Date
MM slash DD slash YYYY
f. Planks cleated, secured, supported as req'd.
N/A
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Unacceptable
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Date
MM slash DD slash YYYY
4. Electrical
a. Extension cord visual inspection
N/A
Acceptable
Unacceptable
Description
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Date
MM slash DD slash YYYY
b. GFCI used as required
N/A
Acceptable
Unacceptable
Description
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Date
MM slash DD slash YYYY
c. Temporary lighting adequate
N/A
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Description
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Date
MM slash DD slash YYYY
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d. Light bulbs protected by guard
N/A
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Description
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Date
MM slash DD slash YYYY
d. Energized panels guarded,signage adequate
N/A
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Date
MM slash DD slash YYYY
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f. Circuit breakers labeled
N/A
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Description
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Date
MM slash DD slash YYYY
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8. Welding and cutting
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a. Hot work permit completed as required
N/A
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Description
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Date
MM slash DD slash YYYY
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b. Inspected fire extinguisher within 25' of work
N/A
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Description
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Date
MM slash DD slash YYYY
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c. PPE worn as required
N/A
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Description
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Date
MM slash DD slash YYYY
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d. Welding screens used while welding
N/A
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Description
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Date
MM slash DD slash YYYY
5. Personal Protective Equipment
a. Hard hats worn by all
N/A
Acceptable
Unacceptable
Description
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Date
MM slash DD slash YYYY
b. Safety glasses, face & ear protection gloves as req'd.
N/A
Acceptable
Unacceptable
Description
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Date
MM slash DD slash YYYY
c. Fall arresting equipment worn as req'd.
N/A
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Description
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Date
MM slash DD slash YYYY
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d. Respirators worn as required
N/A
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Date
MM slash DD slash YYYY
6. Equipment (cranes, excavators, front end loaders, fork trucks, aerial lifts and etc.)
a. Qualified and or licensed operators as req'd.
N/A
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Description
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Date
MM slash DD slash YYYY
b. Warning devices (back up or movement alarms)
N/A
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Date
MM slash DD slash YYYY
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c. Counter weight swing radius barricaded
N/A
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Description
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Date
MM slash DD slash YYYY
c. Overhead hazards identified (e.g.power lines)
N/A
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Date
MM slash DD slash YYYY
d. equipment inspected (periodic and annual)
N/A
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Date
MM slash DD slash YYYY
e. Fire Extinguisher mounted
N/A
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Date
MM slash DD slash YYYY
7. MOT
a. Early warning Sign
N/A
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Description
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Date
MM slash DD slash YYYY
b. Taper
N/A
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Date
MM slash DD slash YYYY
c. Buffer
N/A
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Date
MM slash DD slash YYYY
d. Road Closed
N/A
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Date
MM slash DD slash YYYY
e. Side walk closed
N/A
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Date
MM slash DD slash YYYY
f. Detour
N/A
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Date
MM slash DD slash YYYY
g. End of work
N/A
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Date
MM slash DD slash YYYY
8. Other
a. Vertical steel protected where required
N/A
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Date
MM slash DD slash YYYY
b. Rigging practices and equipment adequate
N/A
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Date
MM slash DD slash YYYY
Do you have another item to record an inspection for?
Yes
No
Title
Untitled
N/A
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Description
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Date
MM slash DD slash YYYY
Do you have another item to record an inspection for?
Yes
No
Title
Untitled
N/A
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Description
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Date
MM slash DD slash YYYY
Do you have another item to record an inspection for?
Yes
No
Title
Untitled
N/A
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Description
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Date
MM slash DD slash YYYY
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