Exhibit_4_-_Jobsite_Safety_Checklist.pdf

PDF 198 KB Posted

Attached to
Smart Irrigation Controllers and Master Valve/Flow Sensor with Professional Services
Solicitation number
012-3044004-EB
Issued by
Orange County, San Francisco City, California

About this file

Jobsite Safety Checklist Summary

This is a Jobsite Safety Inspection Checklist document applicable to the County of Orange's Smart Irrigation Controllers and Master Valve/Flow Sensor with Professional Services contract opportunity in California. The checklist serves as a comprehensive safety inspection tool to ensure contractor compliance with occupational safety and health standards during project execution. The document outlines 22 distinct safety inspection categories that contractors must address, including site access, postings and signage, fire protection, housekeeping, first aid and hygiene, worker education and training, material handling and storage, guardrails and barricades, and personal protective equipment (PPE). Additional categories cover specific work activities and equipment such as ladders, scaffolds, lifts, cranes and hoists, fall protection, power tools, electrical work, welding operations, compressed gas cylinders, confined spaces, trenches and excavations, traffic control, and heat illness prevention. Each category contains detailed inspection checkpoints that must be verified and documented by the inspecting party.

The checklist is designed to be completed by identifying the jobsite location, inspection date, inspector name, and other parties present during the inspection. Contractors are expected to maintain compliance across all 22 safety categories, with particular emphasis on Cal/OSHA postings, worker training documentation, equipment maintenance records, emergency response procedures, and proper use of safety equipment and systems. The inspection format allows for systematic verification of safety conditions and serves as documentation that the contractor has implemented and maintains all required safety protocols and programs throughout the contract performance period.

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Text version

Jobsite Safety Inspection Jobsite Location: Date:

Inspected by: Others present:

1) Site Access

☐ Clean, level ground

☐ Adequate stairs, ramps, ladders

☐ Adequate Lighting

2) Postings & Signage

☐ Cal/OSHA Postings

☐ Warning Signs

☐ Emergency Procedures/Phone Numbers

3) Fire Protection

☐ Fire Extinguishers present at appropriate distances (General @75ft., Construction @100ft.)

☐ Fire Extinguishers fully charged

☐ Fire Extinguishers adequately identified

☐ Fire/Emergency Plan in place

4) Housekeeping

☐ Clear walkways

☐ Clean work area

☐ Clear access/exits

☐ Extension cords properly used, in good condition

☐ Adequate restrooms and hand washing facilities

☐ Adequate lighting

5) First Aid & Hygiene

☐ Adequate first aid supplies on site

☐ First aid kits adequately identified

☐ First aid kits easily accessed

☐ First aid kits inspected

6) Worker Education & Training

☐ Staff properly trained

☐ Company safety programs in place

☐ Workers observed following safety guidelines

☐ Injury/hazard reporting process in place

☐ Management/Supervision available on site

☐ Safety Manager/Representative on site

7) Material Handling & Storage

☐ Properly located

☐ Safely piled, stacked, bundled

☐ Properly moved and lifted

☐ Properly labeled

☐ Inventory available of Hazardous Chemicals

☐ Safety Data Sheets readily available for Hazardous chemicals

☐ Hazard Communication Program shared

8) Guardrails & Barricades

☐ Located where required (e.g. Skylights, Confined Spaces, Rooftop edges, etc.)

☐ Properly constructed

☐ Adequately secured

9) Personal Protective Equipment (PPE)

☐ PPE inspected before use

☐ Foot Protection worn

☐ Hand Protection worn

☐ Hard Hats worn

☐ Fall Protection worn

☐ Hearing Protection worn

☐ Respiratory Protection worn (e.g. Wildfire smoke, Welding fume, Silica exposure, etc.)

☐ Protective eyewear worn

10) Ladders

☐ Labels are legible

☐ Proper Angle

☐ Proper Size and Type

☐ Safe/Usable Condition

☐ Extend at least 3 feet above upper landing surface

☐ Properly used

11) Scaffolds

☐ Properly erected (planked and secured)

☐ Proper toe boards and guardrails

☐ Competent person on-site during erection and disassembling

12) Lifts (Forklift, Scissor Lift, Boom Lift)

☐ Lift operators properly trained

☐ Lifts inspected before use (every shift)

☐ Used in a safe manner

☐ Seatbelt worn

13) Cranes and Hoists

☐ Lift/Load plans available

☐ Inspected before use

☐ Maintenance log available

☐ Competent/Certified operator

☐ Tag Lines in place and used properly

☐ Signaler/Spotter in place

14) Fall Protection

☐ Fall Arrest Systems inspected

☐ Fall Arrest Systems properly worn

☐ Unprotected openings and ledges identified, marked, and protected

15) Power Tools and Equipment

☐ Good working condition

☐ Proper guards in place

☐ Powder-Actuated tools used by trained operators

16) Electrical Work

☐ Properly trained personnel

☐ Properly labeled breakers/circuits (including high voltage areas)

☐ Overhead lines flagged/identified with signage

☐ Surface cables properly guarded/secured

☐ Proper personal protective equipment used

☐ Hazardous energy control/Lock Out Tag Out procedures in place

☐ Hazardous Energy Control Plan and/or Lock out Tag out Program shared

17) Welding (Soldering and Brazing)

☐ Cylinders properly labeled

☐ Cylinders properly secured

☐ Cylinders properly stored (e.g. incompatible gases segregated, fire barriers maintained, etc.)

☐ Proper screens in place

☐ Proper ventilation/exhaust in place

☐ Fire extinguisher readily available

☐ Fire Watch in place

☐ Proper eye protection used

☐ Hot Work Permits in place

18) Compressed Gas Cylinders

☐ Properly secured

☐ Properly stored

☐ Proper signage and identification

☐ Valves, hoses, and attachments in good condition

19) Confined Spaces

☐ Proper signage for spaces

☐ Permits in place where required

☐ Air monitoring conducting before and during entries

☐ Rescue equipment readily available when required

☐ Trained emergency rescue staff on standby when required

☐ Confined Space Program shared

20) Trenches & Excavations

☐ Proper permit in place

☐ Competent Person present

☐ Properly sloped, where required

☐ Excavated soil properly placed

☐ Appropriate shoring used

☐ Proper access/exit to trench

☐ Proper storage of materials in and above trench

21) Traffic Control

☐ Trained traffic controllers

☐ Properly located

☐ Proper signage

☐ Properly dressed/equipped personnel (including vests)

22) Heat and Illness

☐ Sufficient Water

☐ Access to Shade

☐ High Heat Procedures

☐ Emergency Response Procedures

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