PROJECT-SPECIFIC HSE ORIENTATION CHECKLIST
Solar District
Name
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First Name
Last Name
Company Name
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Project Name
Project Supervisor
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Rows
YES
NO
Does your scope of work require you to wear a full-body harness in travel restraint/fall arrest?
Does your scope of work require you to work on electrical equipment and installations?
Does your scope of work require you to operate any vehicles/equipment?
Please confirm that the following has been reviewed with you:
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Rows
YES
NO
N/A
1. Introduction of PCL project team members and office locations.
2. Summary of Project HSE Committee (JHSC/WTC) members, schedule and location of meetings.
3. Project hours of operation and local by-law considerations. (if applicable)
4. Incident Reporting: All incidents must immediately be reported to your direct supervisor.
5. Personal protection equipment (PPE); check all that apply:
5.1 Select your personal protective equipment needed:
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Hard Hats
Safety Footwear
Personal Fall Arrest
Safety Glasses
Hearing Protection (85dB)
Respiratory Equipment
Face Shields
Dust Masks
Reflective Vest
Goggles
Gloves
Other
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Rows
YES
NO
N/A
6. Project access and egress requirements.
7. Subcontractor parking.
8. Worker amenities (washroom locations, break rooms, coffee truck, etc.)
9. Project HSE Bulletin Board location(s) and content review.
10. Location of Material Safety Data Sheets (MSDS) and Safety Data Sheets (SDS).
11. Designated smoking area(s) and general fire prevention.
12. Designated storage, laydown and waste disposal area(s).
13. Site services including emergency shut-off location(s). (electrical, water gas, sewer, etc.)
14. Emergency response protocols and emergency assembly area (muster point) location(s).
15. Location of first-aid, eyewash, spill kit, fire extinguisher and AED stations. (if applicable)
16. Name and location of nearest hospital.
17. Temporary traffic control considerations and concerns. (adjacent streets/major intersections, deliveries, etc.)
18. Coordination of deliveries and materials.
19. Pre-Job Safety Instruction (PSI) program review. (to be completed at the start of any shift; updated when tasks or conditions change and reviewed / signed off upon return from each break)
20. Job Hazard Analysis (JHA) and/or Safe Work Procedure (SWP) requirements (high-risk activities).
Workers involved in scopes of work pertaining to PCL’s Lifesaving Absolutes (high-risk activities) are required to participate in review of a project-specific JHA/SWP.
21. Project and/or client-specific requirements and considerations. (Biodiversity, Environmental, Electrical)
This form will be retained on file at this project
Worker Name:
*
First Name
Last Name
Workers Signature:
*
Facilitator's Name:
*
First Name
Last Name
Facilitators Signature:
*
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