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Contractor Safety

CSM-018 Project Observation Log *This form is to be submitted each week along with CSM-017-Weekly Observation Report. See CSM-017 for routing.
(Entire Project) YTD PROJECT SPECIFIC - SAFETY, ENVIRONMENTAL SUB STANDARD CONDITIONS - FIELD OBSERVATION TRENDING SUMMARY

Historical Current Week


Substandard Behavior and/or Condition Identified (Guidelines Total Project Name: _____________ (Sheet Start Date:
Conditions Conditions
are in Contractor Safety Manual; Regulatory Requirements; TOTALS BY CURRENT
Project HASP) CONDITION WEEK
Safety glasses or side shields not on where needed
Hard hat not on where needed
Gloves not used where needed
Fire extinguisher non-compliant or missing
Vehicle/equipment operator not wearing seat belt
Environmental controls lacking - spill prevention
Reflective vest not being worn
Permit procedure not followed or operating w/out
Working w/out completing safety orientation
Vehicle speeding and/or other infraction
Daily inspection report incomplete or not available
Fuel storage/oxygen container improper
Excavation egress non-compliant
Grounding of electrical equipment improper or absent
Talking on cell phone while operating equipment or driving
Excavation sloping/bench non-compliant
Lifting equipment damaged or used improperly
Job site clean up needed (housekeeping)
Barricade down in area where needed
Cutting torch/regulators w/o flash back arresters
Grinder missing guard or modified guard
Grinder w/out legible RPM rating
Safety latch on lifting hook absent
Water cooler not properly labeled
Working too close to powerlines
Body positioning improper
Dust mask absent where needed
Excavation One Call ticket not secured or updated
Job hazard analysis incorrect and/or incomplete
Ladder non-compliant
Operator backing equipment w/out spotter
Vehicle/equipment running while unattended
Air hose w/out whip checks or pins
Confined space entry non-compliant
Electrical cord damaged while in use
Excavation report incorrect or missing
Fall protection not present and/or inadequate
Fire watch not present where required
Improper temporary traffic control measures
Improper sanitation controls
Manlift procedure improper
Piping not properly checked
Safety shoes/steel toe boots not on where needed
Work attire improper
Working when lightning in area
Worker Standing under load
Slip, trip, fall hazard
Unsecured load being moved
Training insuffiecient / worker not trained
Operator / operating equipment improperly
Ladder / Worker Tie-off inadequate
Tag line on load being lifted absent
Operating dump truck with bed in improper position
Bulk chemicals storage improper
Concrete washout improper
Dust control in work area insufficient
Excavating while employee in excavation
Exposed sharp object is puncture hazard
Face shield missing where required
Forklift operation improper
FRC missing where needed
Harassment policy violation
Hearing protection missing when needed
Hole watch log data incorrect
GRAND TOTAL
Contractor Safety
CSM-018 Project Observation Log *This form is to be submitted each week along with CSM-017-Weekly Observation Report. See CSM-017 for routing.
Positive (Entire Project) YTD PROJECT SPECIFIC - SAFETY, ENVIRONMENTAL POSITIVE / GOOD CATCH CONDITIONS - FIELD OBSERVATION TRENDING SUMMARY

Project Name: ______________________________Sheet Historical Current Week


Total Start Date: Conditions Conditions
Substandard Behavior and/or Condition Identified (Guidelines are in Totals by CURRENT
Contractor Safety Manual; Regulatory Requirements; Project HASP) Condition WEEK
Ensured spotter avaialbe during crane operations
Daily inspection of equipment identied issue - removed
Equipment found to be out of date on annual inspection
Worker shutdown equipment to properly revise actions
Worker properly reviewed area prior to work and found snake
Safety suggestion proposed to reduce speeding

GRAND TOTAL 0 0
Contractor Safety
CSM-018-Project Observation Log *This form is to be submitted each week along with CSM-017-Weekly Observation Report. See CSM-017 for routing.
Contractor Name: YTD PROJECT SPECIFIC - SAFETY, ENVIRONMENTAL SUB STANDARD CONDITIONS - FIELD OBSERVATION TRENDING SUMMARY

Project Name: ______________________ Historical Current Week


Substandard Behavior and/or Condition Identified (Guidelines Total ___________Sheet Start Date: Conditions Conditions
are in Contractor Safety Manual; Regulatory Requirements; TOTALS BY CURRENT
Project HASP) CONDITION WEEK
Environmental controls lacking - spill prevention
Safety glasses or side shields not on where needed
Hard hat not on where needed
Fire extinguisher non-compliant or missing
Vehicle/equipment operator not wearing seat belt
Excavation egress non-compliant
Reflective vest not being worn
Excavation sloping/bench non-compliant
Cutting torch/regulators w/o flash back arresters
Grinder missing guard or modified guard
Grinder w/out legible RPM rating
Permit procedure not followed or operating w/out
Safety latch on lifting hook absent
Gloves not used where needed
Working too close to powerlines
Barricade down in area where needed
Daily inspection report incomplete or not available
Dust mask absent where needed
Grounding of electrical equipment improper or absent
Job hazard analysis incorrect and/or incomplete
Ladder non-compliant
Operator backing equipment w/out spotter
Vehicle/equipment running while unattended
Lifting equipment damaged or used improperly
Water cooler not properly labeled
Body positioning improper
Confined space entry non-compliant
Electrical cord damaged while in use
Excavation report incorrect or missing
Fall protection not present and/or inadequate
Fire watch not present where required
Fuel storage/oxygen container improper
Improper temporary traffic control measures
Manlift procedure improper
Piping not properly checked
Safety shoes/steel toe boots not on where needed
Talking on cell phone while operating equipment or driving
Vehicle speeding and/or other infraction
Work attire improper
Working w/out completing safety orientation
Working when lightning in area
Air hose w/out whip checks or pins
Operating dump truck with bed in improper position
Bulk chemicals storage improper
Concrete washout improper
Dust control in work area insufficient
Excavating while employee in excavation
Excavation One Call ticket not secured or updated
Exposed sharp object is puncture hazard
Face shield missing where required
Forklift operation improper
FRC missing where needed
Harassment policy violation
Hearing protection missing when needed
Hole watch log data incorrect
Improper sanitation controls
Job site clean up needed (housekeeping)
GRAND TOTAL

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