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- Date*
- Supervisor*
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- Other than the Foreman, how many P&S Employees are working on this project today:*
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- How many Major Tasks will there be on this project today:*
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- PPE - Do you have the proper PPE avaible and ready to be used?
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- First Aid Kits - Are first aid kits available on site (i.e. in the truck or job box)? Are they adequately filled?
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- SDS Book - Are SDS books on site and readily available?
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- HAZCOM Labeling - Are containers properly labelled?
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- Fire Extinguishers - Are fire extinguishers readily available? Are they properly serviced?
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- Housekeeping - Is the work area clean and orderly? Is the job site free from slip, trip and fall hazards? Are the cab, bed, and tool bins of the trucks clean and organized?
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- Tools, Machinery, and Equipment - Are tools, machines, and equipment in safe operating condition?
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- Hand Tools - Are the crews using the correct tools for the job? Are the tools in good working condition?
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- Assured Grounding - Are all of the power cords and grounds in the proper condition? Have the cords had their quarterly Assured Grounding inspection?
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- Are GFCIs being used where required? Have the GFCIs been tested?
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- Are all ladders, scaffolds, equipment and/or materials more than 10 feet from any electrical power lines?
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- Training and Certifications - Are the operators trained in use of the equipment they are operating?
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- Fall Protection - Do you have the proper fall protection equipment on site?
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- Are Ladders being used on this project?
- Do you have the correct ladders on site for the intended use?
- Do you have ladders that are the correct size needed?
- Are you able to properly tie off extension ladders off?
- On extension ladders, are they tall enough so that the side rails can extend 36" above the top landing?
- Are the ladders in good physical condition?
- Are the annual inspections current on all of the ladders?
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- Are there activities on site that involve hoists, cranes, and/or Digger Derricks?
- Are the annual inspection completed on the crane?
- Is the operator certified for the lifting equipment?
- Has the daily inspection been completed by the operator?
- Do you have the proper pads for the outriggers?
- Are all power lines deactivated, removed, or at least 10' away from the lifting activities?
- Is the lift within the proper loading capacity for the lifting radius?
- Do you have a tag line for the lift?
- Is there a signal person on site?
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- Does this project involve working in or near traffic?
- Are the proper work zones and barricading set up?
- Do you have a certified flagmen on site?
- Do the workers have the proper reflective vests on?
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- Are there excavation activities?
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- Do you have ladders in order to provide Safe exits for excavations greater than 4 ft. deep?
- Do you have shoring for excavations greater than 5 ft. deep?
- Fall protection or guardrails for excavations greater than 6 ft. deep?
- Will you make sure spoils are stored at least 2 ft. from the edge of the cut?
- Does the excavation equipment have ROPS and seat belts in place?
- Does the excavation equipment have the proper back up alarms?
- Excavation - Has a utility locate been called in?
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- Does this project involve manlifts or bucket trucks?
- Aerial Equipment (bucket trucks) - Is fall protection being used?
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- Are the employees working on items that have potential Stored Energy Hazards? Are there items that need to be Locked Out and Tagged Out?
- Are the properly LOTO procedures and devices being used?
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- Is there electrical hot work being done?
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- Is there a restrictive boundary set up to limit unqualified personel from entering the work area?
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- Are there potential Confined Space issues on the project?
- Test #1 - Does the space have the potential to contain a hazardous atmosphere?
- Test #2 - Does the space contain material with the potential to engulf someone who enters the space?
- Test #3 - Does the internal configuration of the space have inwardly converging walls or a floor that slopes downward and tapers to a smaller cross section?
- Test #4 - Does the space contain any other recognized serious safety or health hazards?
- THIS IS A PERMIT REQUIRED SPACE - Are the proper steps being done for a Permit Required Entry
- The Alternative Entry Procedure is acceptable - Is the atmosphere being continuously tested while employees are within the space
- Are the blowers adequately sized to provide the proper air exchange
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- Does this project involve activities that could result in silica dust exposure?
- Are the crews using proper dust control methods and/or Table 1 compliant tools?
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- Should be Empty: