Allied HVAC Services

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Site Inspection Form

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Jobsite: *

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Date: *

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Additional Features

Inspection Checklist - Allied Job Site - 1000

A. General Safety

Reference	Item	Description	Status		Comments	Corrective Actions
OSHA 1926 Sub Part C	01	First Aidadequate ?
OSHA 1926 Sub Part C	02	Housekeeping?
OSHA 1926 Sub Part C	03	Toilets ?
OSHA 1926 Sub Part F	04	Fire protection / Extinguishers?
Allied IIPP /Job Site hazard Checklist	05	Is Adequate Lighting provided at allwork area's,walkways and stairwells ?
Allied IIPP /Job Site hazard Checklist	06	Are all floor openings properly guarded /protected to prevent falls?
Allied IIPP /Job Site hazard Checklist	07	Are floor skeep Dry to prevent slips and falls

B. PPE

Reference	Item	Description	Status		Comments	Corrective Actions
OSHA 1926 Sub Part E	08	PPE Adequate for task
OSHA 1926 Sub Part E	09	PPE Maintained ?
OSHA 1926 Sub Part E	10	PPE Inspected ?
Allied IIPP /Job Site hazard Checklist	11	PPE Hard Hats used at all times ?
Allied IIPP /Job Site hazard Checklist	12	PPE Safety Glasses Used at all times ?
Allied IIPP /Job Site hazard Checklist	13	PPE Gloves are being used at all times ?
Allied IIPP /Job Site hazard Checklist	14	PPE Is ear protections available if needed ?
Allied IIPP /Job Site hazard Checklist	15	PPE Proper work attire ?
Allied IIPP /Job Site hazard Checklist	16	PPE Proper work Boots ?

C. OCCUP. Heath and Env.

Reference	Item	Description	Status		Comments	Corrective Actions
OSHA 1926 Sub Part D	17	Noise Hazards ?
OSHA 1926 Sub Part D	18	MSDS on site and maintained ?
OSHA 1926 Sub Part D	19	Medical Services, Do you know your nearest medical services locations and options for treatment?

D. Signs/Signals/Barricades

Reference	Item	Description	Status		Comments	Corrective Actions
OSHA 1926 Sub Part G	20	Signs/Signals/Barricades -Erected ?
OSHA 1926 Sub Part G	21	Signs/Signals/Barricades -Maintained ?
OSHA 1926 Sub Part G	22	Signs/Signals/Barricades -Defective equipment tagged out and returned to shop ?

E. Material Handling

Reference	Item	Description	Status		Comments	Corrective Actions
OSHA 1926 Sub Part H	23	Material Handling Adequate Procedures ?
OSHA 1926 Sub Part H	24	Material Handling -Proper Ergonomics ?
OSHA 1926 Sub Part H	25	Material Handling -Proper lifting techniques ?

F. Tool's

Reference	Item	Description	Status		Comments	Corrective Actions
OSHA 1926 Sub Part I	26	Hand & Power tools in good working order?
Allied IIPP /Job Site hazard Checklist	27	All Guards in place
Allied IIPP /Job Site hazard Checklist	28	Inspected Regularly ?
Allied IIPP /Job Site hazard Checklist	29	Are power tools properly grounded?

G. Welding / Cutting

Reference	Item	Description	Status		Comments	Corrective Actions
OSHA 1926 Sub Part J	30	Are Hot Work permits required?
OSHA 1926 Sub Part J	31	Fire protection in Place?
OSHA 1926 Sub Part J	32	Fire Watch?

H. Electrical

Reference	Item	Description	Status		Comments	Corrective Actions
OSHA 1926 Sub Part K	33	Electrical Cords Inspected daily
OSHA 1926 Sub Part K	34	Electrical Cords in good condition ?
OSHA 1926 Sub Part K	35	Electrical GFI Tested ?

I. Scaffolds

Reference	Item	Description	Status		Comments	Corrective Actions
OSHA 1926 Sub Part L	36	Scaffolds Properly erected ?
OSHA 1926 Sub Part L	37	Scaffolds inspected ?
OSHA 1926 Sub Part L	38	Scaffolds Tagged
OSHA 1926 Sub Part L	39	Scaffolds Safe Access ?

J. Fall Protection

Reference	Item	Description	Status		Comments	Corrective Actions
OSHA 1926 Sub Part M	40	Leading Edges protected?
OSHA 1926 Sub Part M	41	Holes and penetrations protected and covered?
OSHA 1926 Sub Part M	42	Fall protections systems adequate
OSHA 1926 Sub Part M	43	Anchor Points adequate
OSHA 1926 Sub Part M	44	Guard Rails Property constructed
OSHA 1926 Sub Part M	45	Personnel Trained ?
OSHA 1926 Sub Part M	46	Competent Person

K. Stairs / Ladders

Reference	Item	Description	Status		Comments	Corrective Actions
OSHA 1926 Sub Part X	47	Ladders -Inspected Regularly ?
OSHA 1926 Sub Part X	48	Ladders -Right ladder for the task
OSHA 1926 Sub Part X	49	Ladders -Secured ?
OSHA 1926 Sub Part X	50	Extension ladders extend 3 feet above?