General Work Environment
     Yes__No__Worksites clean and orderly?
     Yes__No__Work surfaces kept dry or appropriate means taken to assure the surfaces are slip-resistant?
     Yes__No__All spilled materials or liquids cleaned up immediately?
     Yes__No__Combustible scrap, debris and waste stored safely and removed from the worksite promptly?
     Yes__No__Accumulations of combustible dust routinely removed from elevated surfaces including the overhead structure of the buildings?
     Yes__No__Combustible dust cleaned up with a vacuum system to prevent the dust going into suspension?
     Yes__No__Metallic or conductive dust prevented from entering or accumulating on or around electrical enclosures or equipment?
     Yes__No__Covered metal waste cans used for oily and paint soaked waste?
     Yes__No__Oil and gas fired devices equipped with flame failure controls that will prevent flow of fuel if pilots or main burners are not   
     Yes__No__At least minimum number of toilets and washing facilities provided?
     Yes__No__Toilets and washing facilities clean and sanitary?
     Yes__No__Work areas adequately illuminated?
     Yes__No__Pits and floor openings covered or otherwise guarded?

Exiting or Egress
     Yes__No__All exits marked with an exit sign and illuminated by a reliable light source?
     Yes__No__ Are the directions to exits, when not immediately apparent, marked with visible signs?
     Yes__No__Doors, passageways or stairways, that are neither exits nor access to exits and which could be mistaken for exits, appropriately      
                          marked "NOT AN EXIT", etc.
     Yes__No__ Exit signs provided with the word "EXIT" in lettering at least 5 inches high and the stroke of the lettering at least 1/2 inch wide?
     Yes__No__Exit doors side-hinged?
     Yes__No__All exits kept free of obstructions?
     Yes__No__At least two means of egress provided from elevated platforms, pits or rooms where the absence of a second exit would increase
                         the risk of injury?
     Yes__No__Sufficient exits to permit prompt escape in case of an emergency?
     Yes__No__Special precautions taken to protect employees during construction and repair operations?
     Yes__No__Is the number of exits from each floor of a building and the number of exits from the building itself appropriate for the building
                         occupancy load?
     Yes__No__Exits stairways that are required to be separated from other parts of a building enclosed by at least two-hour, fire-resistive
                         construction in buildings more than four stories high, and not less than one-hour fire resistive construction elsewhere?
     Yes__No__ When ramps are used as part of required exiting from a building, is the ramp slope limited to 1 foot vertical to 12 feet horizontal?
     Yes__No__When an exit must be made through an unframed glass door, glass exit door, etc.  are the doors fully tempered and do they meet
                          the safety requirements for human impact?
Project Name: Project Location:
Inspected By: Date: Work Area:
Project Name______________________
Inspected By_______________________
Project Location____________________
Work Area________________________