Construction Site Inspection Report (ICRA)

Date (Week Ending):__________________________ Facility:_______________________________________________

Project Name and Location:___________________________________________________________________________

Mark the column for each day with “Y” for yes, “N” for no, or a check mark in the N/A column if not applicable.
N/A M T W Th F S/S
1. Are temporary construction barriers in place from floor to deck above, and made of
limited combustible material, and air & smoke tight? ……………………………………..
2. Are the doors to construction areas properly rated, positive latching and an operable
closure installed?……………………………………………………………………………
3. Are all exits clear and free from tools, ladders and building material and unobstructed?….
4. Have all personnel affected by this construction received additional training or instruction
if an alternate exit is required?……………………………………….. ……………………
5. Is access to the construction area free and unobstructed for emergency services such as
police, fire and medical response teams?.……………………….. ………………………...
6. Are there any deficiencies with the fire detection system in this area?..……….…………..
7. Are there any deficiencies with the fire suppression system in this area?….….…………...
8. If the integrity of the fire detection or suppression system is compromised, has a Fire
Watch been implemented? …………………………………………………………………
9. Are all pressurized gas cylinders properly restrained?……………………………………..
10. Are all flammable liquids and gases removed from the building at the end of each
workday, or securely placed in a properly fire rated container?……………………………
11. Does each contractor have MSD sheets on site for every liquid, chemical and material
they bring into the building?………………………………………………………………..
12. Are additional portable fire extinguishers provided? Record Tag Numbers:____________
13. Smoking is prohibited in construction area and all other areas. Is there any evidence of
violation of the “No Smoking” policy?……………………………………………………..
14. Have discarded building material and packaging containers been removed from
construction site daily to minimize combustible loads?……………………………………
15. Has hazard surveillance been increased with a special attention to excavations,
construction area, and construction storage and field offices?…………………..…………
16. Is construction area under a negative air condition 24 hours a day, 7 days a week? ………
17. Have all entrances and exits to construction area been clearly marked and identified?……
18. Are trash containers covered and wiped down to eliminate dust contamination before they
are removed from construction area? ………………………………………………………
19. Are adhesive-coated floor mats in place at construction entrance / exit to capture dirt
from foot traffic? If adhesive-coated floor mat is not available, is a wet blanket used
instead?……………………………………………………………………………………..
20. Are all floor and ceiling deck penetrations sealed in construction area to prevent the
migration of dirt and debris?……………………………………………………………….
21. Are all floors in the construction area swept clean at the end of each workday?. …………
22. Are floors outside the construction area clean and clear of dust and dirt?…………………
23. Are all water leaks and spills in construction area cleaned up immediately? ……………..
24. Have all construction workers been orientated to health system work rules and policies?
25. If the HVAC system in the construction area also serves current occupied areas, have all
vents and duct openings in the construction area been sealed to prevent the migration of
dirt?………………………………………………………………………………………….

Person Conducting Inspection:_________________________________________Date:_________________________