@Link Pre-Tower Climbing Inspection

• Site conducted

  Select

• Tower Site

• Tower Owner

• Personnel Onsite

• Conducted on

  Date
• Location
  Address

• Prepared by

Planning

• Was a Pre Task/JHA performed for the activities observed?@tLink

  Safe

  At Risk

  N/A

• Is there a rigging plan filled out and discussed with the crew?

  Safe

  At Risk

  N/A

• Is there more than one team member that is FA/CPR certified?

  Safe

  At Risk

  N/A

• Is there more than one team member trained in Tower Rescue?

  Safe

  At Risk

  N/A

• Rescue plan in place?

  Safe

  At Risk

  N/A

General

• Housekeeping performed?

  Safe

  At Risk

  N/A

• Safe access to the work area?

  Safe

  At Risk

  N/A

• Fire Extinguisher in good condition, inspection tag current, and pin in place?

  Safe

  At Risk

  N/A

• Utilities identified and discussed with team members?

  Safe

  At Risk

  N/A

• First aid kit and eye wash on site? (good condition and not expired)

  Safe

  At Risk

  N/A

• Barricades and site signage posted?

  Safe

  At Risk

  N/A

Personal Protective Equipment

• Hard hats worn by all team members?

  Safe

  At Risk

  N/A

• Safety toe/Steel toe boots worn by all team members?

  Safe

  At Risk

  N/A

• Safety glasses worn by all team members?

  Safe

  At Risk

  N/A

• Ear plugs worn when necessary? (General rule of thumb: When standing 5' or more apart and you have to raise your voice hearing protection is needed.)

  Safe

  At Risk

  N/A

Fall Protection

• Fall Protection equipment inspected?

  Safe

  At Risk

  N/A

• Fall Protection equipment in good working order?

  Safe

  At Risk

  N/A

• 100% tie off practices in use?

  Safe

  At Risk

  N/A

• Are all tags on Fall Protection equipment legible?

  Safe

  At Risk

  N/A

Radio Frequency (RF) Hazards

• Have RF hazards been considered and discussed with Team Members?

  Safe

  At Risk

  N/A

• Is a procedure in place to reduce exposure if necessary?

  Safe

  At Risk

  N/A

• Are RF monitors available and in use?

  Safe

  At Risk

  N/A

Rigging and Blocks

• Are proper rigging practices being utilized?

  Safe

  At Risk

  N/A

• Is rigging equipment in good condition and tags legible?

  Safe

  At Risk

  N/A

• All rigging equipment inspected prior to use?

  Safe

  At Risk

  N/A

Tool and Equipment

• All tools in proper working condition?

  Safe

  At Risk

  N/A

• Are extension cords in good condition?

  Safe

  At Risk

  N/A

• Are all tools properly guarded and guards are in place and in use?

  Safe

  At Risk

  N/A

• Are GFCI's in use?

  Safe

  At Risk

  N/A

Good Catch/Near Miss

• Did the crew discuss a Good Catch/Near Miss during the visit?

• Rate the crews focus for safety during your visit?

• Foreman/Supervisor Name:

  Sign

• Assessor's Name

  Sign

• Inspection Complete?

  Yes