JOB SAFTEY / COMPLIANCE FORMS
JOB ADDRESS
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Please Select
65 East 96th Street - 10B
160 West 77th Street - 6A
49 West 72nd Street - 7E
300 West 23rd Street - 15H
Date
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Month
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Day
Year
Date
NAME OF JOB-SITE SUPER
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WHO IS DOING THE CHECKLIST?
JOB COMPLIANCE - SAFETY AND COMPLIANCE LOG
PLEASE TAKE PHOTO OF HALLWAY AND JOB SITE AT THE END OF EACH DAY AND UPLOAD TO THIS FORM.
1 - IS THE JOB SITE FREE OF ANY AND ALL HAZARDS?
EL LUGAR DE TRABAJO ESTA LIBRE DE TODOS LOS PELIGROS?
YES
NO
QUESTION 1
2 - BEFORE WORK STARTS IS THE HALLWAY CLEAN AND CLEAR OF ANY AND ALL DEBRIS?
ANTES DE COMENZAR EL TRABAJO, ¿ESTÁ EL PASILLO EXTERIOR LIMPIO Y LIBRE DE CUALQUIERA Y TODA LA BASURA? SI NO, POR FAVOR LIMPIE.¿
YES
NO
QUESTION 2
3 - BEFORE WORK STARTS ARE ALL EXTERIOR DOORWAYS, DOORJAMBS, CARPETS, FLOORS CLEAN OF ANY AND ALL DEBRIS?
ANTES DE COMENZAR EL TRABAJO, ¿ESTÁN TODAS LAS PUERTAS EXTERIORES, MARCOS DE PUERTA, ALFOMBRAS, PISOS, LIMPIOS DE CUALQUIER POLVO? SI NO, POR FAVOR LIMPIE.
YES
NO
QUESTION 3
4 - AT THE END OF THE DAY DID WE VACCUM, MOP, DUST AND SANITIZE ALL SOFT AND HARD SURFACES?
AL FINAL DEL DIA, ASPIRAMOS, TRAPEAMOS, LIMPIAMOS, Y DESINFECTAMOS TODAS LAS SUPERFICES DURA Y BLANDAS?
YES
NO
QUESTION 4
5 - WAS THE HALLWAY LEFT IN PERFECT CONDITION WITH NO DUST OR DEBRIS PRESENT?
¿SE DEJÓ EL PASILLO EXTERIOR EN PERFECTO ESTADO, SIN POLVO O BASURA PRESENTE?
YES
NO
QUESTION 5
6 - HAS THE TRADE LOG IN BEEN USED TODAY?
¿SE HA UTILIZADO HOY LA LISTA DE VERIFICACIÓN DEL SUBCONTRATISTA?
YES
NO
QUESTION 6
7 - HAVE THE FINISHED ITEMS FOR CHECK-IN BEEN CHECKED IN?
¿ SE HAN FACTURADO LOS ARTÍCULOS TERMINADOS PARA EL CHECK-IN?
Type a question
YES
NO ITEMS TO BE CHECKED IN.
QUESTION 7
8 - IS THE JOB SITE READY TO BE LOCKED FOR THE NIGHT? PLEASE ENSURE THERE ARE NO SAFTEY HAZARDS, LIGHTS ARE TURNED OFF, TOOLS ARE LOCKED AND THERE ARE NO OPEN FOOD CONTAINERS.
¿ESTÁ EL LUGAR DE TRABAJO LISTO PARA SER CERRADO POR LA NOCHE? ASEGÚRESE DE QUE NO HAY RIESGOS DE SEGURIDAD, LAS LUCES ESTÁN APAGADAS, LAS HERRAMIENTAS ESTÁN BLOQUEADAS Y NO HAY CONTENEDORES DE ALIMENTOS ABIERTOS.
Type a question
YES
NO
QUESTION 8
PLEASE NOTE ANY OPEN OR OUTSTANDING ISSUSE FOR THE DAY
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IF NO TO ANY QUESTIONS ABOVE COMMENTS MUST BE MADE.
IMAGE UPLOAD
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IMAGES OF CLEANED HALLWAYS, AND JOB SITE EVERY NIGHT, PRIOR TO LEAVING.
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