1A14

• Date

  Date

• Prepared by

• Project Area

Weather

• Is the wind stable for tree felling? If you observe the tops of trees swirling in a circular pattern this indicates an unstable wind pattern and cutting should cease/not begin until wind patterns stabilize.

  Yes

  No

  N/A

PPE

• High Visibility vest worn.

  Yes

  No

  N/A

• Protective Visor / Helmet / Earmuff Combo worn.

  Yes

  No

  N/A

• Chainsaw gloves worn.

  Yes

  No

  N/A

• Chaps being worn (pant coverings).

  Yes

  No

  N/A

• Protective Eye glasses.

  Yes

  No

  N/A

• Composite/steel toe boots worn.

  Yes

  No

  N/A

Chainsaw

• Chain brake is operational and has full range of movement. Chain brake when applied prevents chain movement (test before turning on chainsaw by trying to move chain with gloved hand while chain brake is applied)

  Yes

  No

  N/A

• Chain brake is applied before starting chainsaw.

  Yes

  No

  N/A

• I have a clear opening in which to start the chainsaw on the ground.

  Yes

  No

  N/A

• Chain is sharp, there are no missing teeth or cracked teeth.

  Yes

  No

  N/A

• Chain has adequate tension.

  Yes

  No

  N/A

• Oil is full.

  Yes

  No

  N/A

• Fuel is full.

  Yes

  No

  N/A

• Bar tool is on self or with spotter.

  Yes

  No

  N/A

I Acknowledge that

• I have read through my chainsaw manual, have successfully completed a CSA approved chainsaw course and have read through EarthEx's Chainsaw Standard Operating Procedures document.

  Yes

  No

  N/A

• I have a zero blood alcohol level and that I have not ingested any legal or non-legal substances that may impact my cognitive and/or physical capabilities to safely operate a chainsaw including prescribed medication that may impact my cognitive and/or physical capabilities to operate a chainsaw safely.

  Yes

  No

  N/A

• I am aware that the maximum tree felling diameter is 14 inches and I am to leave a winch-sturdy tree a minimum of every 25 meters when vegetation allows.

  Yes

  No

  N/A

• I have a partner with me that is acting as my spotter.

  Yes

  No

  N/A

• I am wearing all my required PPE, my spotter has a radio, first aid kit, tourniquet, ERP and EMS location sheet on their person.

  Yes

  No

  N/A

• Signature

  Sign