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PCL HSE MANUAL
HSE Orientation and Training Standard HSE -03- 04
Visitor Site Orientation Checklist
Company:
*
Date:
*
-
Month
-
Day
Year
Date
Project Name & Number:
*
Please Select
5002305 - PEACOCK SOLAR
9300001 - Clearview Solar Project
9300002 - LSBP - Peacock Solar Project
9300003 - Goose Prairie Solar Project
9300005 - Azalea Springs Solar
9300006 - Ostrea Solar Project
9300007 - Shaula I Solar Project
9300008 - Great Bend Solar Project
9300010 - Quincy Valley Solar Project
9300011 - Cobra - Barrett Solar Project
9300012 - LRE - Cradle Solar Project
9300013 - EDPR - New Frontiers Solar
9300014 - LSBP - Mayapple Solar
9300015 - RR - Angelina Solar
9300016 - RR - Alamo Solar
9300018 - BN - Pioneer Clean Solar
9300019 - CCR - Carriger Solar Project
9300027 - Miranda Solar Project
9300020 - Rochelle
Visitor's Name:
*
First Name
Last Name
Part 1: Requirements for Entry
*
Rows
YES
NO
N/A
1. Has a review of the Emergency Response/Project Site Plot Plan been completed?
2. Has the 6-foot fall protection requirement been explained to the visitor?
3. Has the Pre-Job Safety Instruction (PSI) program been explained and reviewed with the 3. visitor?
4. Is the visitor aware that he/she is to be accompanied by the escort identified below at all tim
5. Have site requirements for the use of the following protective equipment been reviewed?
Check the protective equipment required:
*
Safety Glasses
Gloves
Hearing Protection
Safety Footwear
Dust Mask
Respiratory Equipment
Hard Hats
Face Shields
Mono-Goggles
Fall Protection
Vests
Other
Part 2: Orientation Acknowledgment
This form will be retained on file at the project worksite location
Visitor’s Signature:
*
Escort's Name:
*
First Name
Last Name
Escorts Signtrure:
*
Facilitator's Name:
*
First Name
Last Name
Facilitator's Signature:
*
Continue
Continue
Should be Empty: