Daily_Inspection_Form.pdf

DAILY INSPECTION FORM

INSTRUCTIONS: This form is to be utilized when hazards are posed by NFPA 101 deficiencies or construction activities are in progress. Remediation must be implemented upon project start and continuously enforced through project completion to provide a level of life safety comparable to that described in the Life Safety Code. Submit completed forms to the Contracting Officer.

Project Name: Project Number:

Construction & Impact Description: Construction Location:

Affected Areas:

Project COR: Project Start Date:

Project Competent Person (CP): Estimated Duration:

Contractor: Completion Date:

GC Supervisor: Telephone:

Contractor CP:

Inspection Period:

Responses:

SUN MON TUE WED THR FRI SAT

1. Are exits readily accessible and provide unobstructed egress?

2. Have alternate exits been established if required due to inaccessibility of existing exits?

3. If alternate exits have been established, are personnel in the area informed and aware of their relocation?

4. Are the existing and relocated exits clearly marked and able to be seen in the event of a fire or emergency?

5. Are evacuation routes posted with follow-up inspections required by construction impact changes in escape routes?

6. Are written procedures and guidelines posted in the immediate and adjacent areas for what to do and who to call in the event of a fire or emergency?

7. Are personnel in immediate/adjacent areas aware and informed in procedures and guidelines to follow in the event of fire or emergency?

8. Is there free and unobstructed access to services for emergency personnel (eg, fire, medical, security)?

9. Are fire alarm (eg, pull station), detection (eg, smoke/heat), suppression (eg, sprinkler, extinguisher) systems in working order, protected, and unobstructed with locations identified?

10. If the fire alarm, detection, suppression systems are impaired or temporarily non-functional, has a fire watch for the area, as required or necessary, been trained and established?

11. If the fire alarm, detection, suppression systems are impaired, have measures been taken to provide temporary equivalent equipment and/or systems for adequate protection? Note date for equivalent.

12. If the fire alarm, detection, suppression systems are impaired, are equivalent equipment/systems inspected and tested at least monthly?

13. If temporary fire alarm, detection, suppression systems are installed, are personnel in the area aware and trained on how to operate or utilize them in the event of fire or emergency?

14. Has the “No Smoking” policy been posted, implemented, and enforced in the construction area?

Inspection Period:

Responses:

SUN MON TUE WED THR FRI SAT

15. Are temporary partitions built to be fire/smoke tight with fire retardant noncombustible material and inspected daily for integrity?

16. Is construction site access restricted to authorized personnel only, including warning signs, and secured at the end of each day?

17. Is construction area hazard surveillance conducted daily?

18. Is construction area storage, waste, debris, and excess materials being daily managed properly to reduce fire or safety hazards?

19. Are construction activities and materials prosecuted, handled, stored, and secured in an orderly and safe manner?

20. Is the generation, spread, and exposure of construction dust, fumes, noise, odor, and/or smoke controlled with appropriate fume, odor, and/or vapor ventilation provided to control noxious, infectious, and/or toxic exposure and store/protect flammable/combustible products?

21. Has a GC Safety Manager been designated with routine site safety meetings conducted to ensure awareness of Life Safety Code?

22. Is personnel protective equipment (e.g., safety glasses, ear plugs, hard hats) required and being used?

23. If there are hand/safety rails, scaffolding, or ladders required, are they in place, in good condition, and being used in a safe manner?

24. Are the construction site (buildings and exterior grounds) hazards (e.g., fall/trip) guarded and free of potential safety violations?

25. Do electrical panels, temporary wiring, extension cords (3 wire grounded type), tools, and equipment appear to be installed, utilized, and functioning in a safe manner?

26. If there are temporary electrical outlets provided, do they have ground fault protection at the receptacle/panel?

27. If hazardous equipment/systems need to be de-energized, are applicable “Lockout/Tagout” procedures being followed?

28. Are utility services (e.g., electrical, steam, water, waste, gas) properly secured at the end of each day?

29. If there is any hot work (welding, soldering, cutting) being performed within the construction site, have additional fire safety precautions been taken and necessary equipment provided?

30. If there is any hot work (welding, soldering, cutting) being performed on the construction site, has Contracting Officer been notified? Has the Hot Work Permit been approved?

31. If hazardous products are present, are they limited to the amount needed and used daily?

32. Are hazardous products disposed according to EPA requirements?

33. Are all hazardous products present or being used (e.g. flammable, combustible, corrosive, noxious) labeled with MSDS information readily available?

34. If infection control is required, are the appropriate policies and procedures known and being followed?

35. Are all safety incidents documented and reported to the Contracting Officer?

Contractor CP Initials Performing Daily Inspections:

Inspection Comments/Findings: (PROVIDE DETAILED EXPLANATION OF EXCEPTIONS/DEFICIENCIES)

Signature/Date:

Project CP GC Safety Manager