ACR Mobile Crushing Pre-Start Meeting Attandance Record

• Site

• Conducted on

  Date

• Supervisor Name

• Weather Temp:

• Weather Conditions:

• Description of Tasks

Hazard Identification

• Have you signed in and out on site?

  Yes

  No

  N/A

• Do you have the required PPE for the tasks?

  Yes

  No

  N/A

• Are the environmental hazards identified and adequately controlled?

  Yes

  No

  N/A

• Are the noise hazards identified and adequately controlled?

  Yes

  No

  N/A

• Are the working at heights hazards identified and adequately controlled?

  Yes

  No

  N/A

• Are the confined space hazards identified and adequately controlled?

  Yes

  No

  N/A

• Have the movement of mobile plant hazards identified and adequately controlled?

  Yes

  No

  N/A

• Have the mechanical lifting hazards identified and adequately controlled?

  Yes

  No

  N/A

Specific Control Measures

• Are all personnel fit for work?

  Yes

  No

  N/A

• Are JSEAs available?

  Yes

  No

  N/A

• Are SWMS for the tasks completed and available?

  Yes

  No

  N/A

• Are the operators aware of pre-start inspections on the plant equipment?

  Yes

  No

  N/A

Current Permits:

Current Environmental Focus:

Did we achieve the plan yesterday?

Areas of Improvement?

Remember to complete your “Stop & Think” Task Assessment Today

ATTENDANCE / ACTION RECORD

• Name

• Signature

  Sign

• Supervisor Signed:

  Sign

• Date:

  Date