Bridge construction checklist
Duininck, inc. bridge construction leadership discussion
What does this form include?
This form contains 49 sections:
Daily Safety & Pre-Task Planning
- Are Daily Safety & Pre-Task Planning forms being completed?
Employee Comments
Name
Comments
Emergency Plan
- Do employees know of the emergency plan?
New Employees
- Jobsite Orientation
- Integration
New Employee Concerns
Concern
New Employee
- Have you completed job site orientation?
Are you being welcomed in/how are you fitting in?
Do you have any concerns?
Issues and Concerns?
Describe
Machinery
- Lubricated?
- Clean?
- Seat belt?
- Safety equipment?
Overhead
Underground
- Power Lines
- Phone Lines?
- Fiber-optics?
- Gas lines?
- Water Lines?
- Sewer Lines?
Designated employee parking?
- Designated employee parking?
- Pedestrian Traffic Areas designated and guarded?
- Haul Routes and/or Traffic Pattern in place?
- Work zone signing/traffic control manual in place?
Type of Soil Present
Is the trench safe?
- Is the trench safe?
- Ladders within 25ft of employees?
- Are employees aware of the rescue plan?
Chains and Slings
What is the condition of the chains/slings?
- What is the condition of the chains/slings?
Photos
Have the chains/slings been inspected and certified within the last year?
- Have the chains/slings been inspected and certified within the last year?
Employees
- Are employees operating within the danger zone/swing zone of equipment?
- Are employees aware of swing zone/danger zone?
Crane
- Is there a Certified Crane Operator (CCO)?
- Load chart and lift chart located in the crane?
Pile Driver
- Is the driver/hammer in good condition?
- Are the manufacturing plates attached and inspected?
Is rebar capped or properly covered by 2x4s?
- Is rebar capped or properly covered by 2x4s?
- Is the rebar placed correctly?
- Is the rebar bent/unusable?
Name of Tool
Tool
- Proper Guarding on Tool?
- Exterior Damage?
- Are cord(s) cut, frayed, damaged?
Proper PPE worn? (select all that apply)
Lift #
Lifts (Scissors, Aerial, Boom)
- Daily inspection complete?
- Used correctly?
- Damage?
Ladder
- Daily inspection complete?
- Used correctly?
- Damage?
- Tied off?
Location Address
Guardrail
Serial #
Body Harness and Lanyards
Has the concrete properly cured?
- Has the concrete properly cured?
- While curing, has the concrete been properly covered?
Are employees wearing....?
- Safety Vests?
- Safety glasses?
- Hearing protection (if required)?
- Hard hats?
- Sun protection? (sunscreen, UV protective clothing)?
- Seat belts on equipment being worn?
- Fall protection (if required)?
Chain Saw Safety (if applicable)
- Chaps being worn and fitted properly?
- Hard hat?
- Face shield and safety glasses being worn?
- Hearing protection?
- Gloves being worn?
Erosion control measures in place?
- Erosion control measures in place?
- Following SWPPP?
Do employees have cell phones on their person?
- Do employees have cell phones on their person?
- Are cell phones being used during work hours?
Date of Last Job Site Inspection Date
Name of Supervisor
Executive Safety Committee Member
Select date Date
Add signature
Supervisor
Received copy?
Use this template