2-BT GENERAL DAILY SAFETY LOG

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

• Job/Project Name/Number

• Customer Emergency Contact Number (You Must Consider What Actions You Will Take in an Emergency)

• Are Physical, Chemical, Mechanical or Environmental Hazards Present?

  Yes

  No

  N/A

*By checking the presence of hazards below, you agree to meet the BT Safety Policy requirements delineated.

• Forklift Inspection (Forklift Operation Requires License)

• Confined Space Entry (Requires Written Permit, LEL/O2 or Multi-gas Tester and Attendant)

• Ladder Usage (Requires Ladder Inspection)

• Scaffold Inspection (Requires Competent Person)

• Hotwork (Welding, Cutting, Grinding) (Requires Fire Watch and Permit)

• Hazardous Chemicals (Requires written HAZCOM Plan, MSDS documents)

• Laboratory or Hazardous Substances (Requires Blood-borne Pathogen Compliance)

• Man-lift/AWP Operation (Requires Documented Training, also Man-lift Specific)

• Respirator Wear (Requires Documented Training)

• Sub-Contractor Responsibility (Requires Contractor Safety Oversight Management)

Personal Protective Equipment (PPE) Needed Today (Check if needed; leave blank if not needed or not applicable) Required on All Jobsites (at least 1 per site)

• First aid kit (with blood borne pathogen supplies)

• Fire extinguisher-10lb. ABC

General PPE (Indicate as Required)

• Hard Hat

• Safety glasses

• Hard-toe/Metatarsal boots/shoes

• LOTO locks & tags

• Caution/Danger tape

• Sturdy work gloves

• Ear plugs

• Insulated flashlight

• LOTO multi-lock adapter

• Fall protection

Electrical Work

• If today’s work involves ANY contact with live equipment*, NFPA 70E (130.1) requires a justification for the need to work live. Required live <1,000 V

• Class 0 (or 00) gloves (w/Leather protectors)

• Arc-resistant coverall/clothing

• Calibrated multi-meter

• Face shield (80mil polycarbonate)

• NFPA 70E Category (From BT Arc-flash Worksheet or Customer Label)
  Required live >1,000 V

• Class 2 gloves (17 kV)

• Flash-suit/hood

• Hot-stick / shotgun

• Set of ground cables

• Non-Contact High- Voltage Detector >1,000V

SAFETY OBSERVATIONS During the course of the day, describe at least one issue or event that promoted safety, and identify at least one way to further reduce risk. DO NOT LEAVE THIS SECTION BLANK or MARK N/A!

• Act(s) or condition(s) which promoted safety:

• How could you make today’s work even safer in the future?

• Add signature

  Sign